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APR-DRG 363.4

Breast Procedures Except Mastectomy, Severe

Reported by 35 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

$15.3k

Average

$27.0k

Median

$17.7k

High

$70.4k

Hospitals reporting this code

#HospitalLocation
1Santa Rosa Hospital - Westover HillsSan Antonio, TX$16.0k$16.0k$16.2k$16.8k$337
2Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$16.5k$17.3k$17.2k$17.8k$459
3Christus Health Southeast TexasPort Arthur, TX$16.5k$17.3k$17.2k$17.8k$459
4Christus Health Southeast TexasBeaumont, TX$16.5k$17.3k$17.2k$17.8k$459
5CHRISTUS Hospital - OrangeOrange, TX$16.5k$17.3k$17.2k$17.8k$459
6CHRISTUS West BeaumontBeaumont, TX$16.5k$17.3k$17.2k$17.8k$459
7Santa Rosa Hospital - Alamo HeightsSan Antonio, TX$16.0k$16.0k$16.2k$16.8k$337
8Santa Rosa Emergency Center - AlonSan Antonio, TX$16.0k$16.0k$16.2k$16.8k$337
9Southeast Texas - Jasper MemorialJasper, TX$58.0k$60.9k$60.5k$62.6k$1.6k
10St. Michael Hospital - AtlantaAtlanta, TX$16.2k$16.2k$16.5k$17.0k$384
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