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APR-DRG 344

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Reported by 7 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

$1.6k

Average

$10.7k

Median

$4.9k

High

$30.7k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$25.2k$30.3k$30.7k$35.8k$3.5k
2The Mercy Hospital IncSpringfield, MA$8.2k$21.7k$25.4k$32.9k$5.9k
3Mercy Health Hackley CampusMuskogen, MI$1.6k$1.6k$1.6k$7.9k$14
4Mercy Health Saint MarysGrand Rapids, MI$923$1.6k$1.6k$5.8k$14
5Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.8k$4.3k$4.3k$6.1k$1.4k
6Mount Carmel St Ann'sWesterville, OH$4.8k$4.9k$4.9k$5.0k$71
7Mount Carmel EastColumbus, OH$5.3k$7.3k$6.6k$7.7k$1.1k

Look up this code directly

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