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APC CASE-43251

Egd Removal Tumor Polyp/Other Lesion Snare Tech

Reported by 10 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

$1.8k

Average

$2.0k

Median

$1.9k

High

$2.9k

Hospitals reporting this code

#HospitalLocation
1Bon Secours St Francis Medical Center LlcMidlothian, VA$1.9k$1.9k$1.9k$1.9k$14
2Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$1.9k$1.9k$1.9k$2.0k$18
3St Francis Hospital IncGreenville, SC$1.8k$1.8k$1.8k$1.9k$9
4Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$1.9k$2.9k$2.9k$3.9k$978
5Bon Secours Mercy Health Emporia LlcEmporia, VA$1.9k$1.9k$1.9k$1.9k$17
6Bon Secours Mercy Health Franklin LlcFranklin, VA$2.0k$2.0k$2.0k$2.0k—
7St Francis Hospital IncGreenville, SC$1.8k$1.8k$1.8k$1.9k$8
8Maryview Hospital LlcPortsmouth, VA$1.9k$1.9k$1.9k$1.9k$15
9Bon Secours Mercy Health Petersburg LlcPetersburg, VA$1.9k$1.9k$1.9k$1.9k$17
10Mary Immaculate Hospital LlcNewport News, VA$1.9k$1.9k$1.9k$1.9k$17

Look up this code directly

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