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APR-DRG 512-3

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Reported by 31 hospitals in the network under the case rate 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 negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$5.9k

Average

$18.8k

Median

$15.8k

High

$61.8k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$15.6k$15.7k$15.8k$16.8k$389
2Wesley Health System LLCHattiesburg, MS$15.6k$15.6k$15.8k$16.8k$404
3Jackson HMA LLCMS 39204, MS$15.6k$15.7k$15.8k$16.8k$375
4Vicksburg Healthcare LLCVicksburg, MS$15.6k$15.6k$15.8k$16.8k$404
5Brandon HMA LLCBrandon, MS$15.6k$15.7k$15.8k$16.8k$389
6River Oaks Hospital LLCFlowood, MS$15.6k$15.7k$16.8k$24.9k$2.9k
7Mat-Su Valley Medical Center LLCAK 99645, AK$32.0k$32.0k$32.0k$32.0k—
8McAllen Hospitals, LPMcAllen, TX—$15.2k$15.3k—$128
9McAllen Hospitals, LPEdinburg, TX—$15.2k$15.3k—$128
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$15.5k$15.7k—$348
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