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APC CASE-91299

Gastroenterology Procedure

Reported by 4 hospitals in the network.

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.

National pricing summary

Low

$124

Average

$127

Median

$127

High

$130

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$125$125$125$128$1
2Mercy Health West Hospital LlcCincinnati, OH$128$128$128$130$1
3Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$129$129$130$132$1
4St Francis Hospital IncGreenville, SC$123$123$124$124$1

Look up this code directly

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