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APC CASE-43248

Egd Insert Guide Wire Dilator Passage Esophagus

Reported by 22 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

$856

Average

$970

Median

$887

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$881$881$884$899$7
2Mercy Health Youngstown LlcWarren, OH$858$858$861$875$6
3Mercy Health Youngstown LlcYoungstown, OH$858$867$1.3k$1.9k$476
4Mercy Health Lourdes Hospital LlcPaducah, KY$902$902$909$920$9
5Jewish Hospital LlcCincinnati, OH$884$884$886$902$6
6Mercy Health Regional Medical Center LlcLorain, OH$858$858$860$875$6
7Mercy Health Kings Mills Hospital LlcMason, OH$884$884$887$902$7
8Mercy Health St Ritas Medical Center LlcLima, OH$899$917$1.4k$1.9k$502
9Mercy Health Fairfield Hospital LlcFairfield, OH$899$899$901$917$6
10Mercy Health Clermont Hospital LlcBatavia, OH$884$884$890$902$8
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