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APC CASE-38525

Bx/Exc Lymph Node Open Deep Axillary Node|LEFT SIDE

Reported by 16 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

$6.1k

Median

$6.4k

High

$8.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$3.7k$3.7k$3.7k$3.8k$30
2Mercy Health Youngstown LlcYoungstown, OH$3.7k$3.7k$4.7k$6.3k$1.2k
3Mercy Health Regional Medical Center LlcLorain, OH$6.3k$6.3k$6.3k$6.4k$38
4Mercy Health St Vincent Medical Center LlcOregon, OH$6.5k$6.5k$6.5k$6.5k—
5Mercy Health West Hospital LlcCincinnati, OH$3.9k$6.6k$5.5k$6.7k$1.3k
6Mercy Health Anderson Hospital LlcCincinnati, OH$6.5k$6.5k$6.5k$6.6k$51
7Community Mercy Health PartnersSpringfield, OH$3.8k$3.8k$4.3k$6.5k$1.1k
8Bon Secours St Francis Medical Center LlcMidlothian, VA$6.5k$6.5k$7.8k$13.4k$2.7k
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$6.7k$6.7k$6.7k$6.8k$63
10St Francis Hospital IncGreenville, SC$6.4k$6.4k$6.4k$6.4k$30
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