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APR-DRG 057-1

CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Reported by 85 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

$1.3k

Average

$5.0k

Median

$3.8k

High

$13.1k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$8.4k$8.4k$8.4k$8.5k$21
2Bluffton Health System LLCBluffton, IN$8.4k$8.4k$8.4k$8.4k—
3Dukes Health System LLCPeru, IN$5.7k$8.4k$8.2k$8.4k$759
4Warsaw Health System LLCWarsaw, IN$5.7k$8.4k$8.2k$8.4k$759
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$5.7k$8.4k$8.2k$8.4k$759
6St. Joseph Health System, LLCIN 46802, IN$8.4k$8.4k$8.4k$8.5k$40
7Dupont Hospital LLCIN 46825, IN$8.4k$8.4k$8.4k$8.4k—
8Natchez Hospital Company LLCNatchez, MS$3.6k$3.6k$3.7k$3.9k$90
9Wesley Health System LLCHattiesburg, MS$3.6k$3.6k$3.6k$3.9k$93
10Jackson HMA LLCMS 39204, MS$3.6k$3.6k$3.6k$3.9k$87
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