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APR-DRG 465

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Reported by 7 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

$3.2k

Average

$9.1k

Median

$8.4k

High

$21.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$17.8k$20.6k$21.0k$23.8k$2.0k
2The Mercy Hospital IncSpringfield, MA$5.0k$15.7k$14.9k$15.7k$2.5k
3Mercy Health Services-Iowa Corp.Mason City, IA$7.7k$8.4k$8.4k$8.4k$94
4Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$7.7k$8.4k$8.4k$8.4k$94
5Mount Carmel Grove CityGrove City, OH$3.8k$3.9k$3.9k$4.0k$57
6Mount Carmel St Ann'sWesterville, OH$3.9k$4.0k$4.0k$4.0k$43
7Mount Carmel EastColumbus, OH$3.2k$3.3k$3.2k$3.3k$34

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