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APC N905

Not Recognized by OPPS

Reported by 16 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

$74

Average

$432

Median

$238

High

$2.5k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY—$328$536—$864
2Crawford Long HospitalAtlanta, GA—$128$155—$133
3Ehca John's Creek, LlcJohns Creek, GA—$84$74—$41
4Dekalb Medical Center, IncDecatur, GA—$129$138—$14
5Emory UniversityAtlanta, GA—$139$232—$321
6Saint Josephs Hospital Of Atlanta IncAtlanta, GA—$232$232——
7Houston Hospitals IncWarner Robins, GA—$2.5k$2.5k——
8Logan Health Medical CenterKalispell, MT—$191$289—$298
9Logan Health - ConradConrad, MT—$280$280——
10Wellstar Kennestone HospitalMarietta, GA—$131$229—$198
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