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APC CASE-28296

Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|RIGHT SIDE

Reported by 14 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

$3.1k

Average

$4.9k

Median

$5.2k

High

$7.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$3.1k$3.1k$3.1k$3.2k$27
2Mercy Health Youngstown LlcYoungstown, OH$3.1k$6.9k$5.2k$7.0k$1.9k
3Mercy Health Regional Medical Center LlcLorain, OH$3.1k$3.1k$6.7k$12.1k$4.4k
4Mercy Health St Vincent Medical Center LlcOregon, OH$3.2k$7.0k$5.8k$7.2k$1.8k
5Mercy Health West Hospital LlcCincinnati, OH$3.2k$7.2k$5.5k$7.3k$2.0k
6Mercy Health St Vincent Medical Center LlcPerrysburg, OH$3.2k$3.2k$3.2k$3.2k$25
7Bon Secours St Francis Medical Center LlcMidlothian, VA$3.2k$3.2k$3.9k$7.1k$1.5k
8Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.3k$3.3k$3.3k$3.3k$31
9Bon Secours Richmond Community Hospital LlcRichmond, VA$7.1k$7.1k$7.1k$7.1k—
10Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$7.3k$7.3k$7.3k$7.4k$68
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