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APC CASE-43774

Laps Gastric Restrictive Px Remove Device & Port

Reported by 7 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

$3.7k

Average

$4.1k

Median

$3.8k

High

$5.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$3.6k$3.6k$3.7k$3.7k$29
2Jewish Hospital LlcCincinnati, OH$3.8k$3.8k$3.8k$3.8k$26
3Mercy Health Fairfield Hospital LlcFairfield, OH$3.8k$3.8k$3.8k$3.9k$33
4Community Mercy Health PartnersSpringfield, OH$3.7k$3.7k$3.7k$3.7k—
5Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.9k$3.9k$3.9k$3.9k$29
6St Francis Hospital IncGreenville, SC$3.7k$3.7k$3.7k$3.7k$15
7Mary Immaculate Hospital LlcNewport News, VA$5.9k$5.9k$5.9k$6.0k$53

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