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APC CASE-36245

HC Sel Cath Abd/Pelvic/Le 1st Ord|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 3 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

$1.2k

Average

$3.3k

Median

$3.2k

High

$5.4k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$5$415$1.2k$3.1k$1.4k
2Mercy Health Regional Medical Center LlcLorain, OH$3.0k$3.0k$5.4k$11.1k$3.2k
3Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$3.2k$3.2k$3.2k$3.2k—

Look up this code directly

Ask Claude or any MCP client for APC CASE-36245 pricing at a specific hospital — see how to connect.

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