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APR-DRG 443-1

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

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

$2.9k

Average

$9.0k

Median

$8.0k

High

$26.3k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$7.8k$8.0k$8.0k$8.5k$196
2Wesley Health System LLCHattiesburg, MS$7.9k$7.9k$8.0k$8.5k$196
3Jackson HMA LLCMS 39204, MS$7.9k$8.0k$8.0k$8.5k$190
4Vicksburg Healthcare LLCVicksburg, MS$7.9k$7.9k$8.0k$8.5k$196
5Brandon HMA LLCBrandon, MS$7.9k$8.0k$8.0k$8.5k$190
6River Oaks Hospital LLCFlowood, MS$7.9k$8.0k$8.5k$12.6k$1.4k
7Mat-Su Valley Medical Center LLCAK 99645, AK$16.7k$16.7k$16.7k$16.7k—
8McAllen Hospitals, LPMcAllen, TX—$5.9k$5.9k—$50
9McAllen Hospitals, LPEdinburg, TX—$5.9k$5.9k—$50
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$6.0k$6.1k—$135
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