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APC CASE-43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Reported by 10 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

$45

Average

$3.0k

Median

$1.1k

High

$10.4k

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$6.3k$6.3k$6.3k$6.4k$47
2Mercy Health St Vincent Medical Center LlcToledo, OH$1.1k$1.1k$1.1k$1.1k$7
3Mercy Health St Ritas Medical Center LlcLima, OH$29$211$130$211$90
4Mercy Health Fairfield Hospital LlcFairfield, OH$355$355$357$362$3
5Community Mercy Health PartnersSpringfield, OH$1.1k$1.1k$1.1k$1.1k$10
6St Francis Hospital IncGreenville, SC$45$45$45$45—
7Harbour View Medical Center LlcSuffolk, VA$2.5k$2.5k$2.5k$2.5k—
8Maryview Hospital LlcPortsmouth, VA$5.9k$8.2k$8.2k$10.6k$2.3k
9Bon Secours Mercy Health Petersburg LlcPetersburg, VA$350$357$354$357$3
10Mary Immaculate Hospital LlcNewport News, VA$10.4k$10.4k$10.4k$10.6k$98

Look up this code directly

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