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EAPG 16

REPAIR SUPERFICIAL WOUND(S)

Reported by 7 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

$139

Average

$246

Median

$258

High

$322

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$121$274$274$274—
2Affinity Hospital LLCBirmingham, AL$322$322$322$322—
3Foley Hospital Company LLCFoley, AL$258$258$258$258—
4QHG of Enterprise IncEnterprise, AL$121$247$247$247—
5Gadsden Regional Medical Center LLCGadsden, AL$270$270$270$270—
6Key West HMA LLCKey West, FL$186$210$210$223—
7HMA Santa Rosa Medical Center LLCMilton, FL$122$139$139$142$1

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