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APC CASE-29824

Surgical Arthroscopy Shoulder Dstl Claviculc|RIGHT SIDE|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 10 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

$5.8k

Average

$7.0k

Median

$7.1k

High

$7.7k

Hospitals reporting this code

#HospitalLocation
1Bon Secours St Francis Medical Center LlcMidlothian, VA$3.2k$7.1k$5.8k$7.2k$1.8k
2Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.3k$7.3k$7.3k$7.4k$63
3St Francis Hospital IncGreenville, SC$7.0k$7.0k$7.0k$7.0k$33
4Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$7.3k$7.3k$7.3k$7.4k$61
5Harbour View Medical Center LlcSuffolk, VA$7.1k$7.1k$7.1k$7.1k—
6Bon Secours Mercy Health Franklin LlcFranklin, VA$7.6k$7.7k$7.7k$7.7k$61
7St Francis Hospital IncGreenville, SC$7.0k$7.0k$7.0k$7.0k$28
8Maryview Hospital LlcPortsmouth, VA$7.1k$7.1k$7.1k$7.2k$61
9Bon Secours Mercy Health Petersburg LlcPetersburg, VA$7.1k$7.1k$7.1k$7.2k$55
10Mary Immaculate Hospital LlcNewport News, VA$7.1k$7.1k$7.1k$7.2k$60

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