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EAPG 46

REVISE KNUCKLE JOINT

Reported by 8 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

$2.6k

Average

$6.0k

Median

$4.9k

High

$15.7k

Hospitals reporting this code

#HospitalLocation
1Marshall County HMA, LLCMadill, OK$12.8k$15.3k$15.7k$19.3k$2.5k
2Triad of Alabama LLCAL 36305, AL$2.3k$5.1k$5.1k$5.1k—
3Affinity Hospital LLCBirmingham, AL$6.0k$6.0k$6.0k$6.0k—
4Foley Hospital Company LLCFoley, AL$4.8k$4.8k$4.8k$4.8k—
5QHG of Enterprise IncEnterprise, AL$2.3k$4.6k$4.6k$4.6k—
6Gadsden Regional Medical Center LLCGadsden, AL$5.0k$5.0k$5.0k$5.0k—
7Key West HMA LLCKey West, FL$3.5k$4.0k$4.0k$4.2k—
8HMA Santa Rosa Medical Center LLCMilton, FL$2.3k$2.6k$2.6k$2.7k$23

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