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APC CASE-49592

Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated

Reported by 19 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

$5.7k

Average

$5.9k

Median

$5.9k

High

$6.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$5.7k$5.7k$5.7k$5.8k$43
2Mercy Health Youngstown LlcYoungstown, OH$5.7k$5.7k$5.7k$5.8k$41
3Mercy Health Lourdes Hospital LlcPaducah, KY$6.0k$6.1k$6.1k$6.1k$60
4Mercy Health Regional Medical Center LlcLorain, OH$5.7k$5.7k$5.7k$5.8k$38
5Mercy Health Kings Mills Hospital LlcMason, OH$5.9k$5.9k$5.9k$5.9k—
6Mercy Health St Vincent Medical Center LlcOregon, OH$5.9k$5.9k$5.9k$6.0k$44
7Mercy Health West Hospital LlcCincinnati, OH$6.0k$6.0k$6.0k$6.1k$42
8Mercy Health Anderson Hospital LlcCincinnati, OH$5.9k$5.9k$5.9k$6.0k$44
9Mercy Health St Vincent Medical Center LlcPerrysburg, OH$5.9k$5.9k$5.9k$6.0k$39
10Mercy Health Youngstown LlcYoungstown, OH$5.8k$6.4k$6.2k$6.6k$286
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