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APC CASE-55700

HC Biopsy Prostate Needle or Punc|TECHNICAL COMPONENT

Reported by 17 hospitals in the network.

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.

National pricing summary

Low

$120

Average

$360

Median

$123

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$122$677$2.0k$5.2k$2.3k
2Mercy Health Youngstown LlcYoungstown, OH$120$122$122$125$1
3Mercy Health Lourdes Hospital LlcPaducah, KY$120$120$121$122$1
4Mercy Health St Vincent Medical Center LlcToledo, OH$122$122$122$125$1
5Mercy Health St Ritas Medical Center LlcLima, OH$122$122$122$125$1
6Mercy Health Clermont Hospital LlcBatavia, OH$122$122$122$125$1
7Mercy Health St Vincent Medical Center LlcOregon, OH$677$677$680$691$5
8Mercy Health Anderson Hospital LlcCincinnati, OH$122$122$122$125$1
9Mercy Health St Vincent Medical Center LlcPerrysburg, OH$122$122$123$125$1
10Mercy Health Defiance Hospital LlcDefiance, OH$122$122$122$125$1
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