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APR-DRG 420

HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC

Reported by 21 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

$1.6k

Average

$8.3k

Median

$5.8k

High

$40.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$33.2k$39.8k$40.3k$46.9k$4.5k
2The Mercy Hospital IncSpringfield, MA$392$14.4k$19.6k$53.0k$14.1k
3Mercy Health Lakeshore CampusShelby, MI$1.6k$1.6k$1.6k$1.7k$14
4St Joseph Mercy ChelseaChelsea, MI$4.3k$4.5k$4.4k$4.5k$65
5St Joseph Mercy Ann ArborYpsilanti, MI$2.8k$4.7k$4.8k$6.8k$1.4k
6St Mary Mercy LivoniaLivonia, MI$825$946$2.0k$4.4k$1.4k
7Mercy Health Hackley CampusMuskogen, MI$3.0k$5.2k$5.8k$9.6k$2.4k
8St Joseph Mercy OaklandPontiac, MI$1.6k$3.2k$3.7k$6.5k$2.0k
9St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$1.6k$4.2k$4.9k$9.3k$3.1k
10Mercy Health Saint MarysGrand Rapids, MI$923$1.3k$3.2k$9.5k$2.9k
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Look up this code directly

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