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APR-DRG 385

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE

Reported by 5 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$3.8k

Average

$4.6k

Median

$4.7k

High

$4.9k

Hospitals reporting this code

#HospitalLocation
1St Joseph Mercy ChelseaChelsea, MI$4.7k$4.9k$4.9k$4.9k$71
2St Joseph Mercy Ann ArborYpsilanti, MI$825$5.1k$4.7k$7.5k$713
3St Mary Mercy LivoniaLivonia, MI$4.5k$4.8k$4.7k$4.8k$148
4Mercy Health Hackley CampusMuskogen, MI$4.6k$4.8k$4.8k$4.8k$68
5St Joseph Mercy OaklandPontiac, MI$3.5k$3.8k$3.8k$3.8k$126

Look up this code directly

Ask Claude or any MCP client for APR-DRG 385 pricing at a specific hospital — see how to connect.

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