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APC CASE-97597

HC Debrid Wound Tis 20 Cm/<|PBB CHARGE

Reported by 5 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

$155

Average

$326

Median

$195

High

$884

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$195$195$884$3.2k$1.3k
2Mercy Health St Ritas Medical Center LlcLima, OH$199$199$199$203$1
3Mercy Health St Vincent Medical Center LlcPerrysburg, OH$195$195$195$199$1
4Mercy Health Youngstown LlcYoungstown, OH$194$194$195$198$1
5Bon Secours St Francis Medical Center LlcMidlothian, VA$95$196$155$200$50

Look up this code directly

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