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  5. /Case rate

APR-DRG 440-1

KIDNEY TRANSPLANT

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

$11.6k

Average

$43.1k

Median

$39.9k

High

$189.5k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$44.1k$44.5k$44.9k$47.6k$1.1k
2Wesley Health System LLCHattiesburg, MS$44.1k$44.1k$44.8k$47.6k$1.2k
3Jackson HMA LLCMS 39204, MS$44.1k$44.5k$44.9k$47.6k$1.1k
4Vicksburg Healthcare LLCVicksburg, MS$44.1k$44.1k$44.8k$47.6k$1.2k
5Brandon HMA LLCBrandon, MS$44.1k$44.5k$44.9k$47.6k$1.1k
6River Oaks Hospital LLCFlowood, MS$44.1k$44.5k$48.1k$70.5k$8.5k
7Mat-Su Valley Medical Center LLCAK 99645, AK$71.2k$71.2k$71.2k$71.2k—
8McAllen Hospitals, LPMcAllen, TX—$27.1k$27.2k—$228
9McAllen Hospitals, LPEdinburg, TX—$27.1k$27.2k—$228
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$27.6k$28.1k—$620
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