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APR-DRG 220-4

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Reported by 85 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

$10.6k

Average

$58.3k

Median

$55.6k

High

$231.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$97.1k$97.1k$97.1k$97.9k$227
2Bluffton Health System LLCBluffton, IN$97.1k$97.1k$97.1k$97.1k—
3Dukes Health System LLCPeru, IN$65.3k$97.1k$94.4k$97.1k$8.8k
4Warsaw Health System LLCWarsaw, IN$65.3k$97.1k$94.4k$97.1k$8.8k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$65.3k$97.1k$94.4k$97.1k$8.8k
6St. Joseph Health System, LLCIN 46802, IN$97.1k$97.1k$97.2k$98.5k$425
7Dupont Hospital LLCIN 46825, IN$97.1k$97.1k$97.1k$97.1k—
8Natchez Hospital Company LLCNatchez, MS$37.2k$37.5k$37.8k$40.1k$928
9Wesley Health System LLCHattiesburg, MS$37.2k$37.2k$37.7k$40.1k$965
10Jackson HMA LLCMS 39204, MS$37.2k$37.5k$37.7k$40.1k$895
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