☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /APR-DRG
  4. /462-4
  5. /Other

APR-DRG 462-4

NEPHRITIS AND NEPHROSIS

Reported by 33 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

$11.8k

Average

$31.6k

Median

$28.8k

High

$135.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$29.6k$29.6k$29.7k$30.4k$213
2Bluffton Health System LLCBluffton, IN$29.6k$29.6k$29.6k$29.6k—
3Dukes Health System LLCPeru, IN$20.1k$29.6k$28.8k$29.6k$2.6k
4Warsaw Health System LLCWarsaw, IN$20.1k$29.6k$28.8k$29.6k$2.6k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$20.1k$29.6k$28.8k$29.6k$2.6k
6St. Joseph Health System, LLCIN 46802, IN$29.6k$29.6k$29.7k$31.0k$399
7Dupont Hospital LLCIN 46825, IN$29.6k$29.6k$29.6k$29.6k—
8Porter Hospital LLCValparaiso, IN$29.6k$29.6k$29.6k$29.6k—
9Northwest Sahurita Hospital LLCAZ 85748, AZ$17.7k$19.3k$19.4k$20.6k$795
10Victoria of Texas LPVictoria, TX$21.1k$36.5k$36.5k$54.8k—
Page 1 of 4

Look up this code directly

Ask Claude or any MCP client for APR-DRG 462-4 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC