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APR-DRG 160-4

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Reported by 86 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

$25.7k

Average

$118.7k

Median

$100.4k

High

$322.7k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$242.4k$242.4k$242.5k$243.9k$434
2Bluffton Health System LLCBluffton, IN$242.4k$242.4k$242.4k$242.4k—
3Dukes Health System LLCPeru, IN$162.8k$242.4k$235.7k$242.4k$22.0k
4Warsaw Health System LLCWarsaw, IN$162.8k$242.4k$235.7k$242.4k$22.0k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$162.8k$242.4k$235.7k$242.4k$22.0k
6St. Joseph Health System, LLCIN 46802, IN$242.4k$242.4k$242.6k$245.2k$813
7Dupont Hospital LLCIN 46825, IN$242.4k$242.4k$242.4k$242.4k—
8Natchez Hospital Company LLCNatchez, MS$68.0k$68.6k$69.1k$73.4k$1.7k
9Wesley Health System LLCHattiesburg, MS$68.0k$68.0k$68.9k$73.4k$1.8k
10Jackson HMA LLCMS 39204, MS$68.0k$68.6k$68.9k$73.4k$1.6k
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