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APC CASE-63685

Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj

Reported by 17 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

$29.3k

Average

$30.2k

Median

$30.2k

High

$31.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$30.0k$30.0k$30.1k$30.6k$210
2Mercy Health Youngstown LlcWarren, OH$29.2k$29.2k$29.3k$29.8k$218
3Mercy Health Lourdes Hospital LlcPaducah, KY$30.7k$30.7k$30.9k$31.3k$304
4Jewish Hospital LlcCincinnati, OH$30.1k$30.1k$30.2k$30.7k$224
5Mercy Health St Vincent Medical Center LlcToledo, OH$30.0k$30.0k$30.1k$30.6k$240
6Mercy Health Regional Medical Center LlcLorain, OH$29.2k$29.2k$29.3k$29.8k$218
7Mercy Health St Ritas Medical Center LlcLima, OH$30.6k$30.6k$30.6k$30.6k—
8Mercy Health Fairfield Hospital LlcFairfield, OH$30.6k$30.6k$30.7k$31.2k$202
9Mercy Health St Vincent Medical Center LlcOregon, OH$30.0k$30.0k$30.0k$30.0k—
10Mercy Health Anderson Hospital LlcCincinnati, OH$30.1k$30.1k$30.2k$30.7k$210
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