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APC CASE-28730

Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|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

$12.2k

Average

$12.9k

Median

$12.6k

High

$17.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.7k$96
2Mercy Health Youngstown LlcWarren, OH$12.1k$12.1k$12.2k$12.4k$97
3Mercy Health Youngstown LlcYoungstown, OH$12.1k$12.1k$12.2k$12.4k$65
4Mercy Health Lourdes Hospital LlcPaducah, KY$12.8k$12.8k$12.8k$13.0k$120
5Jewish Hospital LlcCincinnati, OH$12.5k$12.5k$12.6k$12.8k$93
6Mercy Health St Ritas Medical Center LlcLima, OH$12.7k$12.7k$12.7k$12.7k—
7Mercy Health Fairfield Hospital LlcFairfield, OH$12.7k$12.7k$12.8k$13.0k$76
8Mercy Health Anderson Hospital LlcCincinnati, OH$12.5k$12.5k$12.5k$12.5k—
9Mercy Health Youngstown LlcYoungstown, OH$17.0k$17.0k$17.0k$17.0k—
10Bon Secours St Francis Medical Center LlcMidlothian, VA$12.5k$12.5k$12.6k$12.8k$93
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