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APR-DRG 468

REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

Reported by 13 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

$898

Average

$8.5k

Median

$4.8k

High

$31.6k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$26.8k$31.0k$31.6k$35.9k$3.1k
2The Mercy Hospital IncSpringfield, MA$6.4k$16.3k$15.6k$16.3k$2.3k
3St Joseph Mercy ChelseaChelsea, MI$825$924$898$950$53
4St Joseph Mercy Ann ArborYpsilanti, MI$4.1k$5.0k$4.7k$5.0k$335
5Mercy Health Hackley CampusMuskogen, MI$6.4k$6.6k$6.5k$6.6k$93
6St Joseph Mercy OaklandPontiac, MI$6.4k$8.7k$8.9k$11.3k$2.2k
7Mercy Health Saint MarysGrand Rapids, MI$923$1.3k$3.6k$10.6k$3.4k
8Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$4.2k$4.4k$4.4k$4.7k$155
9Catholic Health Initiatives-Iowa CorpDes Moines, IA$10.8k$11.9k$11.9k$11.9k$132
10Mount Carmel DublinDublin, OH$4.7k$4.8k$4.8k$4.8k$51
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