APR-DRG 020
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
23 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna fee schedule · inpatient · +1 other terms | 9 | $24,932 | $26,663 | $14,629 – $47,372 |
| 2 | Highmark fee schedule · inpatient · +1 other terms | 9 | $28,422 | $30,396 | $16,677 – $54,004 |
| 3 | UnitedHealthcare fee schedule · inpatient · +2 other terms | 9 | $39,891 | $42,661 | $23,406 – $75,795 |
| 4 | Molina facility · case rate · inpatient · +3 other terms | 8 | $17,990 | $26,877 | $14,696 – $83,932 |
| 5 | Aetna Better Health facility · case rate · inpatient · +1 other terms | 6 | $17,990 | $26,470 | $14,696 – $139,318 |
| 6 | Blue Cross Blue Shield facility · case rate · inpatient · +4 other terms | 6 | $26,398 | $75,163 | $13,479 – $134,442 |
| 7 | Humana facility · case rate · inpatient | 6 | $17,990 | $18,197 | $14,696 – $21,284 |
| 8 | Anthem facility · case rate · inpatient | 2 | $84,815 | $83,799 | $32,272 – $134,442 |
| 9 | Medicaid facility · case rate · inpatient · +1 other terms | 2 | $62,492 | $68,380 | $44,829 – $110,739 |
| 10 | WellCare facility · case rate · inpatient · +1 other terms | 2 | $29,873 | $29,873 | $20,872 – $38,874 |
| 11 | Bcbs Ny case rate · inpatient · +1 other terms | 1 | $55,043 | $55,043 | $42,824 – $67,261 |
| 12 | Carefirst facility · case rate · inpatient | 1 | $83,357 | $83,357 | $32,272 – $134,442 |
| 13 | Caresource facility · case rate · inpatient | 1 | $80,156 | $80,156 | $49,573 – $110,739 |
| 14 | Cigna case rate · inpatient | 1 | $46,322 | $46,322 | $36,039 – $56,604 |
| 15 | Excellus case rate · inpatient · +1 other terms | 1 | $28,027 | $28,027 | $13,620 – $67,261 |
| 16 | Kaiser other · inpatient · +1 other terms | 1 | $30,189 | $30,189 | $19,196 – $48,920 |
| 17 | Medical Mutual case rate · inpatient | 1 | $26,229 | $26,229 | $20,406 – $32,051 |
| 18 | Premera facility · case rate · inpatient | 1 | $83,357 | $83,357 | $32,272 – $134,442 |
| 19 | Regence facility · case rate · inpatient | 1 | $83,357 | $83,357 | $32,272 – $134,442 |
| 20 | Sanford Health Plan case rate · inpatient | 1 | $89,284 | $89,284 | $76,668 – $102,848 |
| 21 | Superior Healthplan facility · case rate · inpatient | 1 | $34,362 | $34,362 | $17,920 – $50,805 |
| 22 | Ucare facility · case rate · inpatient | 1 | $48,661 | $48,661 | $48,661 – $48,661 |
| 23 | Wellmark facility · case rate · inpatient | 1 | $80,830 | $80,830 | $29,337 – $134,442 |
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