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  4. /401-3
  5. /Case rate

APR-DRG 401-3

ADRENAL PROCEDURES

Reported by 31 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

$6.9k

Average

$25.6k

Median

$26.7k

High

$72.7k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$19.4k$19.6k$19.7k$21.0k$485
2Wesley Health System LLCHattiesburg, MS$19.4k$19.4k$19.7k$21.0k$504
3Jackson HMA LLCMS 39204, MS$19.4k$19.6k$19.7k$21.0k$468
4Vicksburg Healthcare LLCVicksburg, MS$19.4k$19.4k$19.7k$21.0k$504
5Brandon HMA LLCBrandon, MS$19.4k$19.6k$19.7k$21.0k$485
6River Oaks Hospital LLCFlowood, MS$19.4k$19.6k$21.0k$31.1k$3.6k
7Mat-Su Valley Medical Center LLCAK 99645, AK$40.9k$40.9k$40.9k$40.9k—
8McAllen Hospitals, LPMcAllen, TX—$30.8k$30.9k—$259
9McAllen Hospitals, LPEdinburg, TX—$30.8k$30.9k—$259
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$31.4k$31.9k—$704
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