APR-DRG 004
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
facility
The hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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16 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · inpatient | 3 | $26,020 | $22,443 – $27,808 |
| 2 | Baystate Medical Center Springfield, MA fee schedule · inpatient | 3 | $26,441 | $22,663 – $28,330 |
| 3 | Baystate Noble Hospital Westfield, MA fee schedule · inpatient | 3 | $22,350 | $19,889 – $23,580 |
| 4 | Baystate Wing Hospital Palmer, MA fee schedule · inpatient | 3 | $20,911 | $20,359 – $22,016 |
| 5 | CORNING HOSPITAL Corning, NY facility · case rate · inpatient | 4 | $220,229 | $114,268 – $255,549 |
| 6 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · case rate · inpatient | 5 | $190,956 | $162,497 – $198,070 |
| 7 | Johnson City Medical Center JOHNSON CITY, TN other · inpatient | 1 | $22,736 | $22,736 – $22,736 |
| 8 | MVHS, Inc. Utica, NY case rate · inpatient | 1 | $334,238 | $334,238 – $334,238 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · other · inpatient | 1 | $88,357 | $67,579 – $109,136 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · other · inpatient | 1 | $66,369 | $66,369 – $66,369 |
| 11 | North Memorial Health Care Robbinsdale, MN facility · case rate · inpatient | 3 | $240,365 | $80,300 – $354,910 |
| 12 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · case rate · inpatient | 4 | $197,089 | $105,927 – $227,477 |
| 13 | ROBERT PACKER HOSPITAL Sayre, PA facility · case rate · inpatient | 1 | $117,888 | $117,888 – $117,888 |
| 14 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · case rate · inpatient | 1 | $117,888 | $117,888 – $117,888 |
| 15 | The Mercy Hospital Inc Springfield, MA facility · case rate · inpatient | 3 | $384,695 | $373,242 – $385,052 |
| 16 | University of Illinois Hospital & Clinics Chicago, IL facility · other · inpatient | 1 | $196,211 | $159,438 – $232,985 |
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