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APC CASE-28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus|UNUSUAL NON-OVERLAPPING SERVICE|RIGHT SIDE

Reported by 20 hospitals in the network.

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.

National pricing summary

Low

$3.1k

Average

$4.9k

Median

$4.1k

High

$12.8k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$3.2k$3.2k$4.1k$7.2k$1.7k
2Mercy Health Youngstown LlcWarren, OH$3.1k$3.1k$3.8k$6.9k$1.5k
3Mercy Health Youngstown LlcYoungstown, OH$3.1k$3.1k$3.1k$3.2k$31
4Jewish Hospital LlcCincinnati, OH$3.2k$3.2k$5.1k$12.5k$3.7k
5Mercy Health Regional Medical Center LlcLorain, OH$3.1k$3.1k$3.1k$3.1k—
6Mercy Health Kings Mills Hospital LlcMason, OH$3.2k$3.2k$3.2k$3.3k$28
7Mercy Health St Ritas Medical Center LlcLima, OH$3.2k$3.2k$4.1k$7.3k$1.6k
8Mercy Health Fairfield Hospital LlcFairfield, OH$3.2k$3.2k$3.8k$12.7k$2.3k
9Mercy Health St Vincent Medical Center LlcOregon, OH$3.2k$3.2k$4.3k$7.0k$1.7k
10Mercy Health West Hospital LlcCincinnati, OH$3.2k$3.2k$3.3k$3.3k$23
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