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APC CASE-31240

Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection|BILATERAL PROCEDURE

Reported by 13 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

$3.7k

Average

$5.8k

Median

$5.7k

High

$7.1k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$6.9k$6.9k$6.9k$7.0k$55
2Mercy Health Youngstown LlcWarren, OH$6.7k$6.7k$6.7k$6.8k$44
3Mercy Health Youngstown LlcYoungstown, OH$6.7k$6.7k$6.7k$6.8k$40
4Jewish Hospital LlcCincinnati, OH$3.6k$3.6k$4.7k$7.0k$1.5k
5Mercy Health St Vincent Medical Center LlcToledo, OH$6.9k$6.9k$6.9k$6.9k—
6Mercy Health St Ritas Medical Center LlcLima, OH$3.3k$7.0k$5.4k$7.0k$1.8k
7Mercy Health West Hospital LlcCincinnati, OH$3.3k$3.3k$4.9k$7.1k$1.8k
8Mercy Health Anderson Hospital LlcCincinnati, OH$6.9k$6.9k$6.9k$7.0k$55
9Community Mercy Health PartnersSpringfield, OH$3.7k$3.7k$3.7k$3.7k—
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.1k$7.1k$7.1k$7.2k$67
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