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APR-DRG 254

OTHER VASCULAR PROCEDURES WITHOUT CC/MCC

Reported by 11 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

$4.4k

Average

$11.1k

Median

$11.3k

High

$20.7k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$17.4k$20.3k$20.7k$23.3k$2.1k
2The Mercy Hospital IncSpringfield, MA$392$17.6k$14.9k$25.3k$9.2k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.3k$3.9k$4.4k$8.2k$2.1k
4Mercy Medical Center - DubuqueDubuque, IA$7.1k$9.0k$9.5k$11.3k$1.8k
5Catholic Health Initiatives-Iowa CorpDes Moines, IA$10.3k$15.3k$16.3k$21.3k$5.0k
6Covenant Medical Center IncWaterloo, IA$10.3k$14.2k$15.0k$18.7k$3.7k
7Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$10.3k$14.2k$15.0k$18.7k$3.7k
8Mount Carmel DublinDublin, OH$5.0k$5.1k$5.1k$5.1k$54
9Mount Carmel Grove CityGrove City, OH$4.8k$5.0k$4.9k$5.0k$52
10Mount Carmel St Ann'sWesterville, OH$5.0k$8.1k$11.3k$21.1k$6.7k
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