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APR-DRG 138

MOUTH PROCEDURES WITHOUT CC/MCC

Reported by 10 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

$2.1k

Average

$7.4k

Median

$7.5k

High

$10.1k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$8.6k$10.0k$10.1k$11.6k$957
2St Joseph Mercy Ann ArborYpsilanti, MI$3.8k$6.5k$7.0k$10.1k$2.7k
3St Mary Mercy LivoniaLivonia, MI$6.6k$7.1k$6.9k$7.1k$218
4Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.1k$2.1k$2.1k$2.3k$76
5Mercy Medical Center - DubuqueDubuque, IA$7.0k$8.8k$9.3k$10.9k$1.6k
6Mercy Health Services-Iowa Corp.Mason City, IA$5.8k$6.7k$7.0k$7.7k$690
7Catholic Health Initiatives-Iowa CorpDes Moines, IA$5.8k$8.1k$8.6k$10.9k$2.3k
8Mercy Medical Center-Clinton IncClinton, IA$7.1k$7.8k$7.8k$7.8k$86
9Mount Carmel EastColumbus, OH$7.0k$7.2k$7.2k$7.4k$105
10Kaiser Foundation Hospital - MoanaluaHONOLULU$3.3k$6.3k$8.1k$16.6k$5.2k

Look up this code directly

Ask Claude or any MCP client for APR-DRG 138 pricing at a specific hospital — see how to connect.

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