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APR-DRG 325-4

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Reported by 78 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

$7.7k

Average

$37.7k

Median

$30.5k

High

$114.7k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$57.9k$57.9k$57.9k$58.3k$130
2Bluffton Health System LLCBluffton, IN$57.9k$57.9k$57.9k$57.9k—
3Dukes Health System LLCPeru, IN$38.9k$57.9k$56.3k$57.9k$5.2k
4Warsaw Health System LLCWarsaw, IN$38.9k$57.9k$56.3k$57.9k$5.2k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$38.9k$57.9k$56.3k$57.9k$5.2k
6St. Joseph Health System, LLCIN 46802, IN$57.9k$57.9k$58.0k$58.7k$243
7Dupont Hospital LLCIN 46825, IN$57.9k$57.9k$57.9k$57.9k—
8Natchez Hospital Company LLCNatchez, MS$30.0k$30.3k$30.5k$32.5k$750
9Wesley Health System LLCHattiesburg, MS$30.0k$30.0k$30.5k$32.5k$780
10Jackson HMA LLCMS 39204, MS$30.0k$30.3k$30.5k$32.5k$724
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