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APC CASE-27610

Arthrotomy Ankle W/Expl Drainage/Removal FB|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 3 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$3.2k

Average

$7.7k

Median

$7.0k

High

$12.9k

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$3.2k$3.2k$12.9k$27.0k$11.5k
2Mercy Health St Vincent Medical Center LlcPerrysburg, OH$3.2k$3.2k$3.2k$3.2k$24
3Mercy Health Youngstown LlcYoungstown, OH$7.0k$7.0k$7.0k$7.0k—

Look up this code directly

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