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APC CASE-G0463

Hospital outpt clinic visit

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

$126

Average

$129

Median

$128

High

$132

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$129$129$130$132$1
2Mercy Health Youngstown LlcYoungstown, OH$126$126$126$128$1
3Mercy Health St Ritas Medical Center LlcLima, OH$132$132$132$135$1
4Mercy Health Tiffin Hospital LlcTiffin, OH$126$126$126$128$1

Look up this code directly

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