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APR-DRG 136

SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC

Reported by 16 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

$5.1k

Average

$13.9k

Median

$10.8k

High

$31.2k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$9.9k$11.5k$11.7k$13.3k$1.1k
2The Mercy Hospital IncSpringfield, MA$8.2k$21.5k$31.2k$50.0k$11.7k
3St Joseph Mercy ChelseaChelsea, MI$6.7k$7.0k$6.9k$7.0k$101
4St Joseph Mercy Ann ArborYpsilanti, MI$5.6k$7.5k$8.9k$14.0k$2.8k
5St Mary Mercy LivoniaLivonia, MI$7.8k$8.4k$8.3k$8.4k$260
6Mercy Health Hackley CampusMuskogen, MI$12.4k$12.9k$12.8k$12.9k$182
7St Joseph Mercy OaklandPontiac, MI$8.1k$10.6k$10.9k$13.5k$2.3k
8Mercy Health Saint MarysGrand Rapids, MI$8.1k$10.4k$10.4k$12.6k$2.2k
9Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$5.1k$5.2k$5.3k$5.6k$186
10Mercy Medical Center - DubuqueDubuque, IA$19.8k$21.8k$21.7k$21.8k$242
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