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APC CASE-45330

Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd

Reported by 16 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

$882

Average

$911

Median

$909

High

$980

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$880$880$882$897$6
2Mercy Health Youngstown LlcYoungstown, OH$880$880$883$897$7
3Mercy Health Regional Medical Center LlcLorain, OH$880$880$882$897$6
4Mercy Health Kings Mills Hospital LlcMason, OH$906$906$906$906—
5Mercy Health St Vincent Medical Center LlcOregon, OH$903$903$905$921$6
6Mercy Health West Hospital LlcCincinnati, OH$922$922$924$940$6
7Mercy Health Anderson Hospital LlcCincinnati, OH$906$906$909$924$6
8Bon Secours St Francis Medical Center LlcMidlothian, VA$907$907$910$925$7
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$933$933$939$952$9
10St Francis Hospital IncGreenville, SC$891$891$893$900$4
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