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APC CASE-28825

Amputation Toe Interphalangeal Joint|LEFT FOOT, FIFTH DIGIT

Reported by 15 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

$3.3k

Median

$3.2k

High

$4.4k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$3.1k$3.1k$3.1k$3.2k$18
2Mercy Health Youngstown LlcYoungstown, OH$3.1k$3.1k$3.1k$3.2k$22
3Mercy Health Regional Medical Center LlcLorain, OH$3.1k$3.1k$3.7k$7.0k$1.4k
4Mercy Health St Vincent Medical Center LlcOregon, OH$3.2k$3.2k$3.2k$3.2k$26
5Mercy Health West Hospital LlcCincinnati, OH$3.2k$3.2k$3.3k$3.3k$24
6Mercy Health Anderson Hospital LlcCincinnati, OH$3.2k$3.2k$4.4k$7.2k$1.8k
7Community Mercy Health PartnersSpringfield, OH$3.1k$3.1k$3.1k$3.2k$20
8Bon Secours St Francis Medical Center LlcMidlothian, VA$3.2k$3.2k$3.2k$3.3k$23
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.3k$3.3k$3.3k$3.3k$30
10Bon Secours Richmond Community Hospital LlcRichmond, VA$3.2k$3.2k$3.2k$3.3k$30
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