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APC CASE-43236

Esophagogastroduodenoscopy Submucosal Injection

Reported by 22 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

$860

Average

$1.2k

Median

$1.1k

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$881$881$884$899$6
2Mercy Health Youngstown LlcWarren, OH$858$858$860$875$6
3Mercy Health Youngstown LlcYoungstown, OH$858$858$861$875$6
4Mercy Health Lourdes Hospital LlcPaducah, KY$1.9k$1.9k$1.9k$1.9k$19
5Jewish Hospital LlcCincinnati, OH$884$884$1.2k$1.9k$471
6Mercy Health Regional Medical Center LlcLorain, OH$1.8k$1.8k$1.8k$1.9k$13
7Mercy Health Kings Mills Hospital LlcMason, OH$1.9k$1.9k$1.9k$1.9k—
8Mercy Health St Ritas Medical Center LlcLima, OH$899$899$899$899—
9Mercy Health Fairfield Hospital LlcFairfield, OH$899$1.9k$1.6k$1.9k$479
10Mercy Health St Vincent Medical Center LlcOregon, OH$881$881$1.3k$1.9k$485
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