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APR-DRG 466

REVISION OF HIP OR KNEE REPLACEMENT WITH MCC

Reported by 16 hospitals in the network.

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.

National pricing summary

Low

$2.3k

Average

$13.6k

Median

$7.5k

High

$60.4k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$50.7k$59.1k$60.4k$68.0k$6.0k
2St Joseph Mercy Ann ArborYpsilanti, MI$4.2k$7.6k$7.7k$11.2k$2.5k
3St Mary Mercy LivoniaLivonia, MI$3.3k$4.7k$5.0k$7.0k$1.4k
4Mercy Health Hackley CampusMuskogen, MI$4.6k$7.0k$7.3k$10.3k$2.3k
5St Joseph Mercy OaklandPontiac, MI$700$942$2.3k$4.9k$1.9k
6Mercy Health Saint MarysGrand Rapids, MI$4.6k$6.9k$7.2k$10.1k$2.3k
7Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.8k$3.7k$3.7k$4.8k$833
8Mercy Health Services-Iowa Corp.Mason City, IA$30.6k$33.6k$33.6k$33.6k$373
9Catholic Health Initiatives-Iowa CorpDes Moines, IA$8.8k$9.7k$9.7k$9.7k$107
10Covenant Medical Center IncWaterloo, IA$14.5k$16.0k$16.0k$16.0k$178
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