APR-DRG 024

Major open procedures on blood vessels outside the skull

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

EXTRACRANIAL VASCULAR PROCEDURES,MINOR

Payers reporting APR-DRG 024

25 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	UnitedHealthcare case rate · inpatient · +7 other terms	22	$300,403	$260,263	$9,069 – $355,066
2	Humana facility · case rate · inpatient · +6 other terms	16	$11,028	$105,317	$5,794 – $317,772
3	Molina facility · case rate · inpatient · +7 other terms	15	$9,445	$127,274	$5,739 – $320,828
4	Aetna case rate · inpatient · +6 other terms	9	$308,349	$250,626	$99,462 – $370,028
5	Blue Cross Blue Shield facility · case rate · inpatient · +4 other terms	9	$19,298	$23,329	$6,324 – $30,605
6	Highmark fee schedule · inpatient · +2 other terms	9	$17,571	$18,791	$8,388 – $37,475
7	Wellmark case rate · inpatient · +1 other terms	9	$304,427	$291,625	$227,918 – $366,183
8	Anthem facility · case rate · inpatient · +6 other terms	7	$27,063	$26,112	$5,849 – $191,832
9	Aetna Better Health facility · case rate · inpatient · +2 other terms	6	$9,445	$11,314	$6,669 – $27,319
10	Kaiser case rate · inpatient · +2 other terms	5	$179,789	$189,782	$176,509 – $217,960
11	Caresource facility · case rate · inpatient · +2 other terms	4	$85,475	$92,158	$5,849 – $191,832
12	Amerihealth Caritas case rate · inpatient · +1 other terms	3	$250,942	$250,942	$250,942 – $250,942
13	Carefirst facility · case rate · inpatient	3	$27,063	$23,874	$13,388 – $30,605
14	Excellus facility · case rate · inpatient · +2 other terms	3	$27,063	$23,874	$13,388 – $30,605
15	Medicaid case rate · inpatient · +1 other terms	3	$343,911	$343,911	$343,911 – $343,911
16	Premera facility · case rate · inpatient	3	$27,063	$23,874	$13,388 – $30,605
17	Regence facility · case rate · inpatient	3	$27,063	$23,874	$13,388 – $30,605
18	Medical Mutual per diem · both · +4 other terms	2	$3,906	$3,906	$3,588 – $4,224
19	WellCare case rate · inpatient · +1 other terms	2	$57,439	$36,645	$9,695 – $92,094
20	Bcbs Ny case rate · inpatient · +1 other terms	1	$67,007	$67,007	$28,514 – $128,994
21	Cigna case rate · inpatient · +3 other terms	1	$56,390	$56,390	$23,996 – $108,555
22	Magellan fee schedule · inpatient	1	$18,435	$18,435	$10,817 – $26,054
23	Sanford Health Plan case rate · inpatient	1	$44,386	$44,386	$38,115 – $51,130
24	Superior Healthplan facility · case rate · inpatient	1	$8,252	$8,252	$6,542 – $9,962
25	Ucare facility · case rate · inpatient	1	$10,560	$10,560	$9,419 – $11,702