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APR-DRG 140

MAJOR HEAD AND NECK PROCEDURES WITH MCC

Reported by 15 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

$1.6k

Average

$10.4k

Median

$4.8k

High

$49.7k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$41.6k$48.7k$49.7k$56.2k$5.0k
2The Mercy Hospital IncSpringfield, MA$6.2k$20.6k$21.8k$42.1k$6.7k
3St Mary Mercy LivoniaLivonia, MI$825$1.6k$1.6k$9.5k$14
4St Joseph Mercy OaklandPontiac, MI$700$1.6k$1.6k$9.9k$14
5Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$3.4k$4.8k$4.8k$6.6k$1.4k
6Mercy Medical Center - DubuqueDubuque, IA$10.6k$11.6k$11.6k$11.6k$129
7Catholic Health Initiatives-Iowa CorpDes Moines, IA$10.6k$11.6k$11.6k$11.6k$129
8Covenant Medical Center IncWaterloo, IA$10.6k$13.7k$14.4k$17.3k$2.8k
9Mercy Medical Center-Clinton IncClinton, IA$10.6k$11.7k$11.7k$11.7k$130
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$4.1k$4.2k$4.2k$4.2k$44
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