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APR-DRG 403-3

PROCEDURES FOR OBESITY

Reported by 33 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

$9.7k

Average

$21.6k

Median

$19.2k

High

$65.2k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$29.1k$29.1k$29.1k$29.3k$54
2Bluffton Health System LLCBluffton, IN$29.1k$29.1k$29.1k$29.1k—
3Dukes Health System LLCPeru, IN$19.6k$29.1k$28.3k$29.1k$2.6k
4Warsaw Health System LLCWarsaw, IN$19.6k$29.1k$28.3k$29.1k$2.6k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$19.6k$29.1k$28.3k$29.1k$2.6k
6St. Joseph Health System, LLCIN 46802, IN$29.1k$29.1k$29.2k$29.5k$100
7Dupont Hospital LLCIN 46825, IN$29.1k$29.1k$29.1k$29.1k—
8Porter Hospital LLCValparaiso, IN$29.1k$29.1k$29.1k$29.1k—
9Northwest Sahurita Hospital LLCAZ 85748, AZ$10.8k$11.8k$11.8k$12.6k$486
10Victoria of Texas LPVictoria, TX$10.2k$17.6k$17.6k$26.4k—
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