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APR-DRG 056-2

BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Reported by 84 hospitals in the network.

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.

National pricing summary

Low

$1.9k

Average

$8.2k

Median

$6.6k

High

$25.0k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$14.1k$14.1k$14.1k$14.2k$39
2Bluffton Health System LLCBluffton, IN$14.1k$14.1k$14.1k$14.1k—
3Dukes Health System LLCPeru, IN$9.5k$14.1k$13.7k$14.1k$1.3k
4Warsaw Health System LLCWarsaw, IN$9.5k$14.1k$13.7k$14.1k$1.3k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$9.5k$14.1k$13.7k$14.1k$1.3k
6St. Joseph Health System, LLCIN 46802, IN$14.1k$14.1k$14.1k$14.3k$74
7Dupont Hospital LLCIN 46825, IN$14.1k$14.1k$14.1k$14.1k—
8Natchez Hospital Company LLCNatchez, MS$5.7k$5.8k$5.8k$6.2k$143
9Wesley Health System LLCHattiesburg, MS$5.7k$5.7k$5.8k$6.2k$148
10Jackson HMA LLCMS 39204, MS$5.7k$5.8k$5.8k$6.2k$138
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