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APR-DRG 446

DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC

Reported by 6 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

$5.5k

Average

$13.7k

Median

$10.0k

High

$31.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$8.1k$9.3k$9.6k$10.8k$932
2The Mercy Hospital IncSpringfield, MA$6.6k$21.4k$20.2k$21.4k$3.7k
3Catholic Health Initiatives-Iowa CorpDes Moines, IA$9.5k$10.5k$10.5k$10.5k$116
4Mercy Medical Center-Clinton IncClinton, IA$28.2k$31.1k$31.0k$31.1k$345
5Mount Carmel St Ann'sWesterville, OH$5.5k$5.7k$5.7k$5.8k$82
6Mount Carmel EastColumbus, OH$5.3k$5.5k$5.5k$5.6k$80

Look up this code directly

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