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APC CASE-43999

HC Gastric Procedure Unlisted

Reported by 7 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

$860

Average

$3.7k

Median

$901

High

$10.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcYoungstown, OH$858$858$860$875$6
2Mercy Health Regional Medical Center LlcLorain, OH$10.1k$10.1k$10.1k$10.1k—
3Mercy Health St Ritas Medical Center LlcLima, OH$899$899$899$899—
4Mercy Health Fairfield Hospital LlcFairfield, OH$899$899$901$917$6
5St Francis Hospital IncGreenville, SC$1.8k$1.8k$1.8k$1.9k$9
6Maryview Hospital LlcPortsmouth, VA$10.4k$10.5k$10.5k$10.6k$104
7Mary Immaculate Hospital LlcNewport News, VA$885$885$890$903$8

Look up this code directly

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