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APR-DRG 470

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Reported by 11 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

$2.9k

Average

$9.3k

Median

$7.9k

High

$22.4k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$18.8k$21.9k$22.4k$25.2k$2.2k
2The Mercy Hospital IncSpringfield, MA$6.9k$13.6k$13.7k$32.9k$3.1k
3St Joseph Mercy Ann ArborYpsilanti, MI$825$4.5k$6.8k$15.8k$5.3k
4St Joseph Mercy OaklandPontiac, MI$7.4k$8.1k$7.9k$8.1k$265
5St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$942$3.8k$3.8k$6.7k$2.9k
6Mercy Health Saint MarysGrand Rapids, MI$4.0k$5.8k$5.8k$7.6k$1.7k
7Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.8k$2.9k$2.9k$3.1k$102
8Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$14.7k$16.1k$16.1k$16.1k$179
9Mount Carmel St Ann'sWesterville, OH$7.7k$13.1k$10.9k$13.7k$2.8k
10Mount Carmel EastColumbus, OH$4.3k$4.4k$4.4k$4.4k$46
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