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APR-DRG 055-3

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Reported by 29 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$6.9k

Average

$22.7k

Median

$14.1k

High

$47.9k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$38.2k$38.2k$38.2k$38.5k$96
2Bluffton Health System LLCBluffton, IN$38.2k$38.2k$38.2k$38.2k—
3Dukes Health System LLCPeru, IN$25.7k$38.2k$37.1k$38.2k$3.4k
4Warsaw Health System LLCWarsaw, IN$25.7k$38.2k$37.1k$38.2k$3.4k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$25.7k$38.2k$37.1k$38.2k$3.4k
6St. Joseph Health System, LLCIN 46802, IN$38.2k$38.2k$38.2k$38.8k$180
7Dupont Hospital LLCIN 46825, IN$38.2k$38.2k$38.2k$38.2k—
8Porter Hospital LLCValparaiso, IN$38.2k$38.2k$38.2k$38.2k—
9Victoria of Texas LPVictoria, TX$7.5k$12.9k$12.9k$19.4k—
10Victoria of Texas LPVictoria, TX$7.5k$12.9k$12.9k$19.4k—
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