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APC CASE-49593

Rpr Aa Hernia 1st 3-10 Cm Reducible

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

$6.1k

Average

$6.4k

Median

$6.3k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$6.1k$6.1k$6.8k$10.1k$1.5k
2Mercy Health Youngstown LlcYoungstown, OH$6.1k$6.1k$6.1k$6.2k$46
3Mercy Health Regional Medical Center LlcLorain, OH$6.1k$6.1k$6.1k$6.2k$43
4Mercy Health Kings Mills Hospital LlcMason, OH$6.3k$6.3k$6.3k$6.4k$47
5Mercy Health St Vincent Medical Center LlcOregon, OH$6.3k$6.3k$6.3k$6.4k$49
6Mercy Health West Hospital LlcCincinnati, OH$6.4k$6.4k$6.4k$6.5k$48
7Mercy Health Anderson Hospital LlcCincinnati, OH$6.3k$6.3k$6.3k$6.4k$44
8Mercy Health St Vincent Medical Center LlcPerrysburg, OH$6.3k$6.3k$6.3k$6.4k$42
9Bon Secours St Francis Medical Center LlcMidlothian, VA$6.3k$6.3k$6.3k$6.4k$44
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$6.5k$6.5k$6.5k$6.6k$61
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