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APR-DRG 465

URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MODERATE

Reported by 3 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

$4.3k

Average

$5.0k

Median

$5.2k

High

$5.5k

Hospitals reporting this code

#HospitalLocation
1St Mary Mercy LivoniaLivonia, MI$825$5.3k$5.2k$5.3k$164
2St Joseph Mercy OaklandPontiac, MI$700$5.6k$5.5k$5.6k$183
3Mercy Health Saint MarysGrand Rapids, MI$3.4k$4.3k$4.3k$5.2k$900

Look up this code directly

Ask Claude or any MCP client for APR-DRG 465 pricing at a specific hospital — see how to connect.

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