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APR-DRG 2213

MAJOR SMALL & LARGE BOWEL PROCEDURES

Reported by 10 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$17.3k

Average

$43.2k

Median

$42.0k

High

$66.3k

Hospitals reporting this code

#HospitalLocation
1Memorial Health University Medical CenterSavannah, GA$30.3k$30.3k$30.3k$30.3k—
2HCA Healthcare Summerville HospitalSUMMERVILLE, SC$33.2k$33.2k$33.2k$33.2k—
3HCA Healthcare Live Oak Mental Health and WellnessLadson, SC$33.2k$33.2k$33.2k$33.2k—
4HCA Healthcare Trident HospitalMONCKS CORNER, SC$33.2k$33.2k$33.2k$33.2k—
5UPMC ChautauquaJamestown, NY$15.7k$17.3k$17.3k$53.8k$1.6k
6Rhode Island HospitalProvidence, RI$49.9k$50.8k$50.8k$51.7k$929
7Saint Anne's Hospital, Lifespan of Massachusetts - Fall River IncFall River, MA$64.3k$67.4k$66.3k$67.4k$1.4k
8The Miriam HospitalProvidence, RI$52.7k$53.7k$53.7k$54.7k$984
9Morton Hospital and Medical Center, Inc., Lifespan of Massachusetts - Taunton IncTaunton, MA$57.1k$62.3k$60.6k$62.3k$2.5k
10Newport HospitalNewport, RI$52.5k$53.4k$53.4k$54.4k$979

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