☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /APR-DRG
  4. /136
  5. /Case rate

APR-DRG 136

SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC

Reported by 10 hospitals in the network under the case rate methodology.

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.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$5.1k

Average

$16.2k

Median

$16.7k

High

$31.0k

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$31.0k$50.0k$11.7k
3St Mary Mercy LivoniaLivonia, MI$7.8k$8.4k$8.3k$8.4k$260
4Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$5.1k$5.2k$5.3k$5.6k$186
5Mercy Medical Center - DubuqueDubuque, IA$19.8k$21.8k$21.7k$21.8k$242
6Mercy Health Services-Iowa Corp.Mason City, IA$23.5k$25.9k$25.8k$25.9k$288
7Catholic Health Initiatives-Iowa CorpDes Moines, IA$19.8k$22.6k$23.8k$25.9k$2.1k
8Covenant Medical Center IncWaterloo, IA$19.8k$21.8k$21.7k$21.8k$242
9Mount Carmel Grove CityGrove City, OH$7.3k$7.5k$7.5k$7.7k$109
10Mount Carmel EastColumbus, OH$5.0k$5.2k$5.1k$5.3k$75

Look up this code directly

Ask Claude or any MCP client for APR-DRG 136 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC