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APC CASE-63052

Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 10 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

$25.7k

Average

$26.5k

Median

$26.5k

High

$27.4k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$26.4k$26.4k$26.4k$26.9k$190
2Mercy Health Lourdes Hospital LlcPaducah, KY$27.0k$27.0k$27.0k$27.0k—
3Mercy Health Regional Medical Center LlcLorain, OH$25.7k$25.7k$25.7k$25.7k—
4Mercy Health St Ritas Medical Center LlcLima, OH$26.9k$26.9k$26.9k$26.9k—
5Mercy Health St Vincent Medical Center LlcOregon, OH$26.4k$26.4k$26.5k$26.9k$228
6Mercy Health St Vincent Medical Center LlcPerrysburg, OH$26.4k$26.4k$26.4k$26.9k$190
7Mercy Health Youngstown LlcYoungstown, OH$26.2k$26.2k$26.4k$26.8k$247
8Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$27.2k$27.2k$27.4k$27.8k$267
9St Francis Hospital IncGreenville, SC$26.0k$26.0k$26.1k$26.3k$119
10Mary Immaculate Hospital LlcNewport News, VA$26.5k$26.5k$26.5k$26.5k—

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