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APC CASE-99152

HC Mod Sed Same Phys/Qhp 5/>Yrs|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 5 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

$1.8k

Average

$4.3k

Median

$4.5k

High

$7.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Lourdes Hospital LlcPaducah, KY$3.2k$11.5k$7.7k$11.7k$4.2k
2Jewish Hospital LlcCincinnati, OH$3.2k$3.2k$4.5k$7.2k$1.8k
3Mercy Health St Vincent Medical Center LlcToledo, OH$3.4k$5.4k$4.6k$5.5k$978
4Mercy Health Fairfield Hospital LlcFairfield, OH$1.6k$3.2k$2.9k$3.6k$742
5Mercy Health West Hospital LlcCincinnati, OH$132$1.8k$1.8k$3.3k$1.3k

Look up this code directly

Ask Claude or any MCP client for APC CASE-99152 pricing at a specific hospital — see how to connect.

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