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APC CASE-69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj|RIGHT SIDE

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

$5.6k

Average

$5.8k

Median

$5.8k

High

$6.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$5.8k$5.8k$5.8k$5.8k—
2Mercy Health Youngstown LlcWarren, OH$5.6k$5.6k$5.6k$5.7k$39
3Jewish Hospital LlcCincinnati, OH$5.8k$5.8k$5.8k$5.9k$43
4Mercy Health St Ritas Medical Center LlcLima, OH$5.9k$5.9k$5.9k$5.9k—
5Mercy Health West Hospital LlcCincinnati, OH$5.9k$5.9k$5.9k$6.0k$41
6Mercy Health Anderson Hospital LlcCincinnati, OH$5.8k$5.8k$5.8k$5.9k$38
7Community Mercy Health PartnersSpringfield, OH$5.7k$5.7k$5.7k$5.8k$42
8Bon Secours St Francis Medical Center LlcMidlothian, VA$5.8k$5.8k$5.8k$5.9k$40
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$5.9k$5.9k$6.0k$6.1k$50
10St Francis Hospital IncGreenville, SC$5.7k$5.7k$5.7k$5.7k$26
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