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APC CASE-52204

Cystourethroscopy With Biopsy|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 22 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

$2.0k

Average

$2.8k

Median

$2.8k

High

$4.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$2.0k$3.4k$2.8k$3.5k$697
2Mercy Health Youngstown LlcYoungstown, OH$2.0k$2.0k$2.0k$2.0k$14
3Mercy Health Lourdes Hospital LlcPaducah, KY$2.1k$3.5k$3.1k$3.6k$678
4Jewish Hospital LlcCincinnati, OH$2.0k$2.0k$2.0k$2.1k$15
5Mercy Health St Vincent Medical Center LlcToledo, OH$2.0k$2.1k$2.7k$3.5k$698
6Mercy Health Regional Medical Center LlcLorain, OH$4.7k$4.7k$4.7k$4.8k$35
7Mercy Health St Ritas Medical Center LlcLima, OH$2.1k$3.5k$3.6k$5.4k$1.3k
8Mercy Health Fairfield Hospital LlcFairfield, OH$2.1k$3.7k$3.7k$5.4k$1.6k
9Mercy Health Clermont Hospital LlcBatavia, OH$2.0k$2.1k$3.5k$5.3k$1.6k
10Mercy Health St Vincent Medical Center LlcOregon, OH$2.0k$2.0k$2.0k$2.1k$14
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