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APC CASE-43261

Ercp W/Biopsy Single/Multiple|SEPARATE STRUCTURE

Reported by 11 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

$4.7k

Average

$5.3k

Median

$5.3k

High

$6.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$3.7k$5.9k$5.3k$6.0k$984
2Mercy Health Youngstown LlcWarren, OH$3.6k$4.7k$4.7k$5.7k$1.0k
3Mercy Health Lourdes Hospital LlcPaducah, KY$3.8k$6.0k$5.3k$6.2k$1.1k
4Mercy Health St Vincent Medical Center LlcToledo, OH$5.9k$5.9k$5.9k$5.9k—
5Mercy Health Fairfield Hospital LlcFairfield, OH$6.0k$6.0k$6.0k$6.1k$45
6Mercy Health Clermont Hospital LlcBatavia, OH$5.9k$5.9k$5.9k$6.0k$41
7Mercy Health St Vincent Medical Center LlcOregon, OH$3.7k$5.9k$5.0k$6.0k$1.1k
8Mercy Health Youngstown LlcYoungstown, OH$3.7k$5.9k$5.0k$6.0k$1.1k
9Community Mercy Health PartnersSpringfield, OH$5.8k$5.8k$5.8k$5.9k$43
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.9k$5.0k$5.0k$6.2k$1.1k
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