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APR-DRG 264-4

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL 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

$8.9k

Average

$44.2k

Median

$35.9k

High

$133.2k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$76.5k$76.5k$76.6k$77.3k$204
2Bluffton Health System LLCBluffton, IN$76.5k$76.5k$76.5k$76.5k—
3Dukes Health System LLCPeru, IN$51.5k$76.5k$74.5k$76.5k$6.9k
4Warsaw Health System LLCWarsaw, IN$51.5k$76.5k$74.5k$76.5k$6.9k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$51.5k$76.5k$74.5k$76.5k$6.9k
6St. Joseph Health System, LLCIN 46802, IN$76.5k$76.5k$76.7k$77.9k$383
7Dupont Hospital LLCIN 46825, IN$76.5k$76.5k$76.5k$76.5k—
8Natchez Hospital Company LLCNatchez, MS$30.2k$30.5k$30.7k$32.7k$755
9Wesley Health System LLCHattiesburg, MS$30.2k$30.2k$30.7k$32.7k$785
10Jackson HMA LLCMS 39204, MS$30.2k$30.5k$30.7k$32.7k$729
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