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APR-DRG 380

COMPLICATED PEPTIC ULCER WITH MCC

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

$1.6k

Average

$11.5k

Median

$8.0k

High

$30.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$19.1k$22.3k$22.8k$25.6k$2.3k
2The Mercy Hospital IncSpringfield, MA$7.3k$17.6k$30.0k$45.9k$13.9k
3St Joseph Mercy OaklandPontiac, MI$700$1.6k$1.6k$1.6k$14
4Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.8k$2.9k$2.9k$3.1k$103
5Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$14.2k$15.6k$15.6k$15.6k$174
6Mercy Medical Center-Clinton IncClinton, IA$11.6k$12.8k$12.8k$12.8k$142
7Mount Carmel Grove CityGrove City, OH$3.3k$4.3k$3.9k$4.5k$536
8Mount Carmel St Ann'sWesterville, OH$4.4k$7.9k$8.0k$11.7k$3.5k
9Mount Carmel EastColumbus, OH$4.3k$5.7k$5.8k$7.3k$1.4k

Look up this code directly

Ask Claude or any MCP client for APR-DRG 380 pricing at a specific hospital — see how to connect.

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