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APC CASE-43270

Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire

Reported by 12 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

$1.9k

Average

$2.0k

Median

$1.9k

High

$3.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$1.9k$1.9k$1.9k$1.9k$12
2Mercy Health Lourdes Hospital LlcPaducah, KY$1.9k$1.9k$1.9k$1.9k$19
3Jewish Hospital LlcCincinnati, OH$1.9k$1.9k$1.9k$1.9k$13
4Mercy Health Kings Mills Hospital LlcMason, OH$1.9k$1.9k$1.9k$1.9k$14
5Mercy Health St Ritas Medical Center LlcLima, OH$1.9k$1.9k$1.9k$1.9k$13
6Mercy Health St Vincent Medical Center LlcOregon, OH$1.9k$1.9k$1.9k$1.9k$10
7Mercy Health West Hospital LlcCincinnati, OH$1.9k$1.9k$1.9k$1.9k$13
8Bon Secours St Francis Medical Center LlcMidlothian, VA$1.9k$1.9k$1.9k$1.9k$14
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$1.9k$1.9k$1.9k$2.0k$18
10Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$1.9k$1.9k$1.9k$2.0k$17
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