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APC CASE-43762

HC Perq Replacement Gtube Not Req Revj Gstrst Trc

Reported by 8 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

$244

Average

$246

Median

$245

High

$252

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$243$243$244$248$2
2Mercy Health St Ritas Medical Center LlcLima, OH$248$248$248$253$2
3Mercy Health Clermont Hospital LlcBatavia, OH$243$243$244$248$2
4Mercy Health West Hospital LlcCincinnati, OH$248$248$248$253$2
5Mercy Health Anderson Hospital LlcCincinnati, OH$243$243$244$248$2
6Bon Secours St Francis Medical Center LlcMidlothian, VA$244$244$244$249$2
7Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$251$251$252$256$2
8Bon Secours Mercy Health Petersburg LlcPetersburg, VA$244$244$245$249$2

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