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APR-DRG 425

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Reported by 18 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

$1.8k

Average

$9.3k

Median

$7.3k

High

$25.8k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$14.6k$17.5k$17.7k$20.6k$1.9k
2The Mercy Hospital IncSpringfield, MA$5.9k$18.5k$25.8k$47.6k$10.2k
3St Joseph Mercy Ann ArborYpsilanti, MI$825$1.8k$2.1k$3.8k$1.2k
4St Mary Mercy LivoniaLivonia, MI$4.0k$6.1k$7.3k$11.9k$3.2k
5Mercy Health Hackley CampusMuskogen, MI$4.1k$5.1k$5.1k$6.1k$891
6St Joseph Mercy OaklandPontiac, MI$2.9k$3.6k$3.7k$4.5k$669
7St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$942$1.8k$1.8k$2.6k$821
8Mercy Health Saint MarysGrand Rapids, MI$2.9k$5.0k$6.2k$11.7k$3.3k
9Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.4k$2.5k$2.5k$2.6k$88
10Mercy Medical Center - DubuqueDubuque, IA$8.6k$9.6k$10.1k$10.7k$617
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