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APC CASE-31237

Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx|LEFT SIDE

Reported by 11 hospitals in the network.

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.

National pricing summary

Low

$1.7k

Average

$5.4k

Median

$3.3k

High

$30.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcYoungstown, OH$1.7k$3.1k$3.4k$5.6k$1.4k
2Mercy Health Lourdes Hospital LlcPaducah, KY$1.8k$1.8k$1.8k$1.8k$18
3Jewish Hospital LlcCincinnati, OH$3.2k$3.2k$3.2k$3.3k$23
4Mercy Health St Vincent Medical Center LlcToledo, OH$3.6k$3.6k$3.6k$3.6k—
5Mercy Health Regional Medical Center LlcLorain, OH$1.7k$1.7k$1.7k$1.7k$13
6Mercy Health St Ritas Medical Center LlcLima, OH$3.3k$5.9k$5.0k$6.0k$1.2k
7Mercy Health West Hospital LlcCincinnati, OH$1.8k$1.8k$1.8k$1.8k$13
8Bon Secours St Francis Medical Center LlcMidlothian, VA$30.1k$30.1k$30.2k$30.7k$224
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$1.8k$1.8k$1.8k$1.8k$16
10St Francis Hospital IncGreenville, SC$1.7k$5.7k$4.2k$6.8k$2.2k
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