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APR-DRG 095-4

CLEFT LIP AND PALATE REPAIR

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

$5.5k

Average

$25.5k

Median

$22.8k

High

$87.6k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$23.1k$23.1k$23.2k$23.3k$44
2Bluffton Health System LLCBluffton, IN$23.1k$23.1k$23.1k$23.1k—
3Dukes Health System LLCPeru, IN$15.6k$23.1k$22.5k$23.1k$2.1k
4Warsaw Health System LLCWarsaw, IN$15.6k$23.1k$22.5k$23.1k$2.1k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$15.6k$23.1k$22.5k$23.1k$2.1k
6St. Joseph Health System, LLCIN 46802, IN$23.1k$23.1k$23.2k$23.4k$82
7Dupont Hospital LLCIN 46825, IN$23.1k$23.1k$23.1k$23.1k—
8Natchez Hospital Company LLCNatchez, MS$14.3k$14.6k$14.6k$15.6k$358
9Wesley Health System LLCHattiesburg, MS$14.4k$14.4k$14.6k$15.6k$358
10Jackson HMA LLCMS 39204, MS$14.4k$14.6k$14.6k$15.6k$347
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