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APC CASE-43265

Ercp Destruction/Lithotripsy Calculi Any Method

Reported by 3 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

$5.9k

Average

$6.0k

Median

$5.9k

High

$6.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Kings Mills Hospital LlcMason, OH$5.9k$5.9k$5.9k$5.9k—
2Mercy Health Clermont Hospital LlcBatavia, OH$5.9k$5.9k$5.9k$6.0k$41
3Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$6.1k$6.2k$6.2k$6.2k$61

Look up this code directly

Ask Claude or any MCP client for APC CASE-43265 pricing at a specific hospital — see how to connect.

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