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APR-DRG 351

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

Reported by 9 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

$4.2k

Average

$10.7k

Median

$9.5k

High

$20.1k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$14.9k$17.4k$17.7k$20.0k$1.8k
2The Mercy Hospital IncSpringfield, MA$392$2.5k$9.8k$24.1k$10.0k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$4.1k$4.2k$4.2k$4.5k$150
4Catholic Health Initiatives-Iowa CorpDes Moines, IA$9.3k$18.7k$20.1k$30.0k$9.9k
5Covenant Medical Center IncWaterloo, IA$7.6k$8.4k$8.4k$8.4k$93
6Mercy Medical Center-Clinton IncClinton, IA$9.3k$10.2k$10.2k$10.2k$114
7Mount Carmel Grove CityGrove City, OH$4.0k$7.1k$9.5k$17.7k$5.7k
8Mount Carmel St Ann'sWesterville, OH$7.1k$7.3k$7.3k$7.3k$77
9Mount Carmel EastColumbus, OH$3.5k$7.1k$9.3k$17.7k$5.8k

Look up this code directly

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