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APR-DRG 222-4

OTHER 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

$8.0k

Average

$38.9k

Median

$30.2k

High

$110.1k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$59.1k$59.1k$59.1k$59.7k$182
2Bluffton Health System LLCBluffton, IN$59.1k$59.1k$59.1k$59.1k—
3Dukes Health System LLCPeru, IN$39.8k$59.1k$57.5k$59.1k$5.3k
4Warsaw Health System LLCWarsaw, IN$39.8k$59.1k$57.5k$59.1k$5.3k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$39.8k$59.1k$57.5k$59.1k$5.3k
6St. Joseph Health System, LLCIN 46802, IN$59.1k$59.1k$59.2k$60.3k$341
7Dupont Hospital LLCIN 46825, IN$59.1k$59.1k$59.1k$59.1k—
8Natchez Hospital Company LLCNatchez, MS$27.3k$27.6k$27.7k$29.5k$682
9Wesley Health System LLCHattiesburg, MS$27.3k$27.3k$27.7k$29.5k$708
10Jackson HMA LLCMS 39204, MS$27.3k$27.6k$27.7k$29.5k$658
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