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  4. /APC CASE-91040

APC CASE-91040

Esophgl Balo Distension Dx Std W/Provocation|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA at Bon Secours St Marys Hospital Of Richmond Llc

Richmond, VA

Pricing by billing methodology

Price type

All methodologies

$374

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

Not reported

Reflects a negotiated percentage of total billed charges.

Other

$374

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Apr 1, 2026

Compare to other hospitals

See Esophgl Balo Distension Dx Std W/Provocation|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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