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APR-DRG 469

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Reported by 20 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

$3.0k

Average

$12.6k

Median

$8.4k

High

$39.7k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$29.6k$36.1k$36.4k$43.5k$4.4k
2The Mercy Hospital IncSpringfield, MA$3.5k$15.5k$18.8k$24.2k$5.3k
3St Joseph Mercy ChelseaChelsea, MI$4.2k$4.4k$4.4k$4.4k$64
4St Joseph Mercy Ann ArborYpsilanti, MI$825$3.4k$3.0k$7.0k$1.8k
5St Mary Mercy LivoniaLivonia, MI$4.0k$9.4k$9.8k$15.6k$5.5k
6Mercy Health Hackley CampusMuskogen, MI$3.0k$4.3k$5.0k$7.8k$2.0k
7St Joseph Mercy OaklandPontiac, MI$700$3.3k$3.6k$8.1k$2.6k
8St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$2.7k$4.1k$3.8k$4.1k$508
9Mercy Health Saint MarysGrand Rapids, MI$3.0k$5.9k$7.5k$15.2k$4.7k
10Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$1.9k$3.7k$4.6k$9.6k$2.8k
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