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APC CASE-63267

Excis Intrasp Lesn,Xdural,Lumbar|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

$7.0k

Average

$9.8k

Median

$7.2k

High

$18.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$26.4k$18.7k$26.9k$9.5k
2Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.0k$7.0k—
3Mercy Health Regional Medical Center LlcLorain, OH$16.6k$16.6k$18.5k$25.7k$3.6k
4Mercy Health St Vincent Medical Center LlcOregon, OH$7.0k$7.0k$10.9k$26.4k$7.7k
5Community Mercy Health PartnersSpringfield, OH$7.0k$7.0k$7.0k$7.1k$56
6Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.3k$7.3k$7.3k$7.4k$63
7Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$7.3k$7.3k$7.3k$7.4k$69
8St Francis Hospital IncGreenville, SC$7.0k$7.0k$7.0k$7.0k$31
9Maryview Hospital LlcPortsmouth, VA$7.1k$7.1k$7.1k$7.2k$57
10Mary Immaculate Hospital LlcNewport News, VA$7.1k$7.1k$7.1k$7.2k$69

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