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APR-DRG 480-4

MAJOR MALE PELVIC PROCEDURES

Reported by 20 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

$16.5k

Average

$42.1k

Median

$28.1k

High

$165.9k

Hospitals reporting this code

#HospitalLocation
1Northwest Sahurita Hospital LLCAZ 85748, AZ$25.6k$27.8k$28.0k$29.8k$1.1k
2Victoria of Texas LPVictoria, TX$25.9k$44.8k$44.8k$67.1k—
3Victoria of Texas LPVictoria, TX$25.9k$44.8k$44.8k$67.1k—
4Northwest Sahurita Hospital LLCAZ 85629, AZ$25.6k$27.8k$28.0k$29.8k$1.1k
5Oro Valley Hospital LLCTucson, AZ$25.4k$27.6k$27.7k$29.5k$1.1k
6Northwest Hospital LLCAZ 85741, AZ$25.6k$27.8k$28.0k$29.8k$1.1k
7Key West HMA LLCKey West, FL$24.9k$28.2k$28.2k$29.9k—
8Bullhead City Hospital CorporationAZ 86442, AZ$27.9k$28.6k$29.0k$32.1k$1.4k
9East Georgia Regional Medical Center LLCGA 30458, GA$24.0k$24.0k$24.4k$25.2k$565
10HMA Santa Rosa Medical Center LLCMilton, FL$16.5k$16.5k$16.5k$16.5k—
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