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APC CASE-62323

HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn

Reported by 11 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

$668

Average

$688

Median

$690

High

$712

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$668$668$670$681$5
2Mercy Health Youngstown LlcYoungstown, OH$668$668$670$681$5
3Mercy Health Regional Medical Center LlcLorain, OH$668$668$670$681$5
4Mercy Health St Ritas Medical Center LlcLima, OH$700$700$702$714$5
5Mercy Health Fairfield Hospital LlcFairfield, OH$700$700$702$714$5
6Mercy Health West Hospital LlcCincinnati, OH$700$700$702$714$5
7Mercy Health Anderson Hospital LlcCincinnati, OH$688$688$690$702$5
8Mercy Health Tiffin Hospital LlcTiffin, OH$666$666$668$679$4
9Community Mercy Health PartnersSpringfield, OH$678$678$680$691$5
10Mercy Health Defiance Hospital LlcDefiance, OH$702$702$702$702—
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