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APR-DRG 420

DIABETES,MODERATE

Reported by 7 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

$3.7k

Average

$5.2k

Median

$4.8k

High

$6.6k

Hospitals reporting this code

#HospitalLocation
1St Joseph Mercy ChelseaChelsea, MI$4.3k$4.5k$4.4k$4.5k$65
2St Joseph Mercy Ann ArborYpsilanti, MI$2.8k$4.7k$4.8k$6.8k$1.4k
3St Mary Mercy LivoniaLivonia, MI$825$3.6k$3.7k$4.4k$630
4Mercy Health Hackley CampusMuskogen, MI$3.0k$5.2k$5.8k$9.6k$2.4k
5St Joseph Mercy OaklandPontiac, MI$1.6k$4.6k$4.8k$6.5k$1.6k
6St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$1.6k$6.3k$6.5k$9.3k$2.5k
7Mercy Health Saint MarysGrand Rapids, MI$923$6.1k$6.6k$9.5k$2.1k

Look up this code directly

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