APR-DRG 042
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 Molina 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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40 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC facility · other · inpatient | 1 | $5,369 | $5,369 – $5,369 |
| 2 | AnMed Health Cannon Pickens, SC facility · other · inpatient | 1 | $5,410 | $5,410 – $5,410 |
| 3 | AnMed Piedmont Piedmont, SC facility · other · inpatient | 1 | $5,369 | $5,369 – $5,369 |
| 4 | Avita Ontario Hospital Ontario, OH per diem · inpatient | 2 | $4,573 | $3,518 – $5,629 |
| 5 | Avita Ontario Hospital Ontario, OH percent of total billed charges · inpatientfrom % of charges | 3 | $11,512 | $57.94 – $21,218 |
| 6 | BRONXCARE HEALTH SYSTEM Bronx, NY case rate · inpatient | 2 | $29,736 | $17,346 – $39,029 |
| 7 | BRONXCARE HEALTH SYSTEM Bronx, NY case rate · inpatient | 2 | $29,736 | $17,346 – $39,029 |
| 8 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · inpatient | 1 | $39,059 | $30,999 – $47,118 |
| 9 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 2 | $4,573 | $3,518 – $5,629 |
| 10 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 3 | $11,512 | $57.94 – $21,218 |
| 11 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · case rate · inpatient | 1 | $5,730 | $3,081 – $10,301 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · inpatient | 1 | $30,502 | $30,502 – $30,502 |
| 13 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · case rate · inpatient | 1 | $5,730 | $3,081 – $10,301 |
| 14 | Galion Community Hospital S., OH per diem · both | 2 | $4,885 | $4,142 – $5,629 |
| 15 | Galion Community Hospital S., OH percent of total billed charges · bothfrom % of charges | 3 | $12,231 | $59.10 – $22,544 |
| 16 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · case rate · inpatient | 1 | $5,730 | $3,081 – $10,301 |
| 17 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · case rate · inpatient | 1 | $5,730 | $3,081 – $10,301 |
| 18 | McLeod Health Beach, SC case rate · inpatient | 1 | $91,257 | $91,257 – $91,257 |
| 19 | McLeod Health Loris, SC case rate · inpatient | 1 | $91,257 | $91,257 – $91,257 |
| 20 | McLeod Health River, SC case rate · inpatient | 1 | $91,257 | $91,257 – $91,257 |
| 21 | Mercy Health Saint Marys Rockford, MI facility · other · inpatient | 1 | $7,115 | $5,884 – $9,139 |
| 22 | Mercy Hospital Jefferson Imperial, MO facility · per diem · inpatient | 1 | $685.68 | $685.68 – $685.68 |
| 23 | Morton Plant Hospital Clearwater, FL facility · case rate · inpatient | 1 | $39,059 | $30,999 – $47,118 |
| 24 | Morton Plant NorthBay Hospital Lutz, FL facility · case rate · inpatient | 1 | $39,059 | $30,999 – $47,118 |
| 25 | Mount Carmel Grove City Grove City, OH facility · case rate · inpatient | 1 | $10,595 | $10,595 – $10,595 |
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