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APC CASE-49591

Rpr Aa Hernia 1st < 3 Cm Reducible

Reported by 9 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

$3.4k

Average

$4.3k

Median

$3.6k

High

$5.9k

Hospitals reporting this code

#HospitalLocation
1Bon Secours St Francis Medical Center LlcMidlothian, VA$3.5k$3.6k$4.9k$6.6k$1.5k
2Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.6k$6.1k$5.0k$6.2k$1.2k
3St Francis Hospital IncGreenville, SC$3.4k$3.4k$3.4k$3.5k$16
4Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$3.6k$3.6k$3.6k$3.7k$32
5Harbour View Medical Center LlcSuffolk, VA$3.5k$3.5k$3.5k$3.5k—
6St Francis Hospital IncGreenville, SC$5.8k$5.8k$5.8k$5.9k$26
7Maryview Hospital LlcPortsmouth, VA$3.5k$3.5k$3.5k$3.6k$28
8Bon Secours Mercy Health Petersburg LlcPetersburg, VA$3.5k$3.5k$3.5k$3.6k$28
9Mary Immaculate Hospital LlcNewport News, VA$5.9k$5.9k$5.9k$6.0k$51

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