APR-DRG 022

Brain fluid drainage shunt procedures, minor

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

VENTRICULAR SHUNT PROCEDURES,MAJOR

Payers reporting APR-DRG 022

24 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare case rate · inpatient · +6 other terms	22	$111,447	$106,216	$7,698 – $132,111
2	Molina facility · case rate · inpatient · +7 other terms	14	$52,906	$34,980	$5,692 – $87,078
3	Humana facility · case rate · inpatient · +5 other terms	11	$64,410	$33,481	$5,692 – $86,248
4	Aetna case rate · inpatient · +6 other terms	9	$140,459	$111,505	$40,643 – $168,555
5	Highmark fee schedule · inpatient · +2 other terms	9	$22,238	$23,782	$11,935 – $48,304
6	Wellmark case rate · inpatient · +1 other terms	9	$138,672	$132,841	$103,821 – $166,803
7	Blue Cross Blue Shield facility · case rate · inpatient · +4 other terms	7	$14,037	$22,145	$7,724 – $40,057
8	Aetna Better Health facility · case rate · inpatient · +1 other terms	6	$7,794	$10,150	$5,692 – $45,464
9	Kaiser case rate · inpatient · +2 other terms	5	$82,507	$87,092	$81,002 – $100,024
10	Amerihealth Caritas case rate · inpatient	3	$103,509	$103,509	$103,509 – $103,509
11	Medicaid case rate · inpatient · +1 other terms	3	$143,547	$143,547	$143,547 – $143,547
12	Anthem per diem · both · +5 other terms	2	$3,830	$3,830	$3,518 – $4,142
13	Caresource facility · case rate · inpatient · +3 other terms	2	$81,644	$81,644	$78,258 – $85,030
14	Medical Mutual per diem · both · +4 other terms	2	$3,906	$3,906	$3,588 – $4,224
15	WellCare case rate · inpatient · +1 other terms	2	$22,931	$22,931	$8,230 – $37,632
16	Bcbs Ny case rate · inpatient · +1 other terms	1	$24,205	$24,205	$24,205 – $24,205
17	Carefirst facility · case rate · inpatient	1	$25,432	$25,432	$25,432 – $25,432
18	Cigna case rate · inpatient · +3 other terms	1	$20,370	$20,370	$20,370 – $20,370
19	Excellus case rate · inpatient · +2 other terms	1	$12,325	$12,325	$7,698 – $24,205
20	Premera facility · case rate · inpatient	1	$25,432	$25,432	$25,432 – $25,432
21	Regence facility · case rate · inpatient	1	$25,432	$25,432	$25,432 – $25,432
22	Sanford Health Plan case rate · inpatient	1	$36,052	$36,052	$30,958 – $41,530
23	Superior Healthplan facility · case rate · inpatient	1	$13,853	$13,853	$11,126 – $16,579
24	Ucare facility · case rate · inpatient	1	$16,703	$16,703	$13,974 – $19,432