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  4. /091-4

APR-DRG 091-4

OTHER MAJOR HEAD AND NECK PROCEDURES

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

$12.1k

Average

$64.1k

Median

$51.5k

High

$166.8k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$143.9k$143.9k$144.0k$145.1k$345
2Bluffton Health System LLCBluffton, IN$143.9k$143.9k$143.9k$143.9k—
3Dukes Health System LLCPeru, IN$96.8k$143.9k$139.9k$143.9k$13.0k
4Warsaw Health System LLCWarsaw, IN$96.8k$143.9k$139.9k$143.9k$13.0k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$96.8k$143.9k$139.9k$143.9k$13.0k
6St. Joseph Health System, LLCIN 46802, IN$143.9k$143.9k$144.1k$146.1k$647
7Dupont Hospital LLCIN 46825, IN$143.9k$143.9k$143.9k$143.9k—
8Natchez Hospital Company LLCNatchez, MS$41.5k$41.9k$42.2k$44.8k$1.0k
9Wesley Health System LLCHattiesburg, MS$41.5k$41.5k$42.1k$44.8k$1.1k
10Jackson HMA LLCMS 39204, MS$41.5k$41.9k$42.1k$44.8k$1.0k
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