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APC CASE-28124

Partical Excision Bone Phalanx Toe|LEFT FOOT, FOURTH DIGIT

Reported by 13 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

$4.1k

Median

$3.3k

High

$10.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$3.1k$3.1k$3.1k$3.2k$11
2Mercy Health Youngstown LlcYoungstown, OH$3.1k$3.1k$3.6k$6.9k$1.2k
3Mercy Health Lourdes Hospital LlcPaducah, KY$3.3k$3.3k$3.3k$3.3k$32
4Mercy Health St Vincent Medical Center LlcToledo, OH$3.2k$3.2k$3.2k$3.2k$24
5Mercy Health St Ritas Medical Center LlcLima, OH$3.2k$3.2k$3.2k$3.3k$19
6Mercy Health Fairfield Hospital LlcFairfield, OH$3.2k$3.2k$3.3k$3.3k$24
7Community Mercy Health PartnersSpringfield, OH$3.1k$3.1k$3.1k$3.1k—
8Bon Secours St Francis Medical Center LlcMidlothian, VA$3.2k$3.2k$3.2k$3.3k$24
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.3k$3.3k$3.3k$3.3k$30
10Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$3.3k$3.3k$3.3k$3.3k$32
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