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APC CASE-28285

Correction Hammertoe|LEFT FOOT, FIFTH DIGIT|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 9 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

$4.6k

Average

$6.9k

Median

$6.8k

High

$11.0k

Hospitals reporting this code

#HospitalLocation
1Bon Secours St Francis Medical Center LlcMidlothian, VA$3.2k$7.1k$7.0k$12.8k$3.5k
2Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.3k$7.3k$6.7k$13.1k$3.0k
3Bon Secours Richmond Community Hospital LlcRichmond, VA$3.2k$3.3k$4.6k$7.2k$1.9k
4Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$3.3k$7.3k$6.8k$13.1k$3.1k
5Bon Secours Mercy Health Franklin LlcFranklin, VA$7.6k$13.4k$11.0k$13.7k$2.9k
6St Francis Hospital IncGreenville, SC$3.1k$7.0k$6.3k$12.4k$3.1k
7Maryview Hospital LlcPortsmouth, VA$3.2k$7.1k$7.0k$12.8k$3.2k
8Bon Secours Mercy Health Petersburg LlcPetersburg, VA$3.2k$7.1k$5.4k$7.2k$1.9k
9Mary Immaculate Hospital LlcNewport News, VA$3.2k$7.1k$6.9k$12.8k$3.3k

Look up this code directly

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