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APC CASE-43255

Egd Transoral Control Bleeding Any Method|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 18 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

$1.9k

Median

$1.9k

High

$2.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$1.8k$1.8k$1.8k$1.9k$12
2Mercy Health Youngstown LlcYoungstown, OH$1.8k$1.8k$1.8k$1.9k$12
3Mercy Health Lourdes Hospital LlcPaducah, KY$1.9k$1.9k$1.9k$1.9k$19
4Mercy Health Regional Medical Center LlcLorain, OH$1.8k$1.8k$1.8k$1.9k$12
5Mercy Health Kings Mills Hospital LlcMason, OH$1.9k$1.9k$2.5k$3.8k$893
6Mercy Health St Vincent Medical Center LlcOregon, OH$1.9k$1.9k$1.9k$1.9k$11
7Mercy Health West Hospital LlcCincinnati, OH$1.9k$1.9k$1.9k$1.9k$13
8Mercy Health St Vincent Medical Center LlcPerrysburg, OH$1.9k$1.9k$1.9k$1.9k$13
9Mercy Health Youngstown LlcYoungstown, OH$1.9k$1.9k$1.9k$1.9k$12
10Community Mercy Health PartnersSpringfield, OH$1.8k$1.8k$1.8k$1.9k$13
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