APR-DRG 041
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
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.
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| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · inpatient · +6 other terms | 24 | $62,046 | $55,390 | $5,232 – $74,903 |
| 2 | Humana facility · case rate · inpatient · +5 other terms | 18 | $6,159 | $10,161 | $3,471 – $23,579 |
| 3 | Molina facility · case rate · inpatient · +8 other terms | 18 | $8,164 | $11,698 | $3,471 – $30,502 |
| 4 | Aetna fee schedule · inpatient · +7 other terms | 10 | $9,951 | $10,839 | $6,384 – $27,270 |
| 5 | Highmark fee schedule · inpatient · +3 other terms | 9 | $11,067 | $11,836 | $7,278 – $20,352 |
| 6 | Wellmark case rate · inpatient · +2 other terms | 9 | $105,907 | $101,454 | $79,291 – $127,392 |
| 7 | Blue Cross Blue Shield facility · case rate · inpatient · +5 other terms | 7 | $16,207 | $20,288 | $7,078 – $29,477 |
| 8 | Aetna Better Health facility · case rate · inpatient · +1 other terms | 6 | $5,278 | $7,165 | $3,471 – $40,306 |
| 9 | Anthem facility · case rate · inpatient · +6 other terms | 6 | $12,324 | $20,118 | $4,461 – $30,502 |
| 10 | Caresource facility · case rate · inpatient · +3 other terms | 5 | $5,174 | $17,448 | $4,461 – $42,501 |
| 11 | Kaiser case rate · inpatient · +2 other terms | 5 | $36,680 | $38,718 | $36,010 – $44,467 |
| 12 | Medicaid case rate · inpatient · +2 other terms | 4 | $61,577 | $53,223 | $28,161 – $61,577 |
| 13 | Amerihealth Caritas case rate · inpatient · +1 other terms | 3 | $43,013 | $43,013 | $43,013 – $43,013 |
| 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 | $14,966 | $12,940 | $5,593 – $19,018 |
| 16 | Bcbs Ny case rate · inpatient · +1 other terms | 1 | $32,099 | $32,099 | $16,451 – $51,861 |
| 17 | Carefirst facility · case rate · inpatient · +1 other terms | 1 | $21,061 | $21,061 | $13,813 – $29,477 |
| 18 | Cigna case rate · inpatient · +3 other terms | 1 | $27,013 | $27,013 | $13,844 – $43,643 |
| 19 | Excellus case rate · inpatient · +3 other terms | 1 | $16,344 | $16,344 | $5,232 – $51,861 |
| 20 | Premera facility · case rate · inpatient · +1 other terms | 1 | $21,061 | $21,061 | $13,813 – $29,477 |
| 21 | Regence facility · case rate · inpatient · +1 other terms | 1 | $21,061 | $21,061 | $13,813 – $29,477 |
| 22 | Sanford Health Plan case rate · inpatient | 1 | $24,948 | $24,948 | $21,423 – $28,738 |
| 23 | Superior Healthplan facility · case rate · inpatient | 1 | $9,830 | $9,830 | $6,228 – $14,698 |
| 24 | Ucare facility · case rate · inpatient | 1 | $8,256 | $8,256 | $7,108 – $9,403 |
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