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APC CASE-31256

Nasal/Sinus Endoscopy W/Maxillary Antrostomy|LEFT SIDE|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 18 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

$3.6k

Average

$6.0k

Median

$6.6k

High

$7.1k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$5.8k$6.4k$6.3k$7.0k$557
2Mercy Health Youngstown LlcWarren, OH$6.7k$6.7k$6.7k$6.7k—
3Mercy Health Youngstown LlcYoungstown, OH$5.6k$6.7k$6.5k$6.8k$457
4Mercy Health Lourdes Hospital LlcPaducah, KY$3.7k$3.8k$4.7k$7.2k$1.5k
5Jewish Hospital LlcCincinnati, OH$6.9k$6.9k$6.9k$7.0k$51
6Mercy Health St Vincent Medical Center LlcToledo, OH$6.9k$6.9k$6.9k$7.0k$55
7Mercy Health Regional Medical Center LlcLorain, OH$3.5k$3.5k$4.6k$6.8k$1.5k
8Mercy Health Kings Mills Hospital LlcMason, OH$6.9k$6.9k$6.9k$7.0k$60
9Mercy Health St Ritas Medical Center LlcLima, OH$7.0k$7.0k$7.0k$7.0k—
10Mercy Health Fairfield Hospital LlcFairfield, OH$7.0k$7.0k$7.0k$7.0k—
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