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  5. /Case rate

APR-DRG 539

OSTEOMYELITIS WITH MCC

Reported by 9 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

$4.9k

Average

$13.9k

Median

$11.1k

High

$33.8k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$19.2k$22.9k$23.3k$26.9k$2.5k
2The Mercy Hospital IncSpringfield, MA$8.2k$16.9k$16.2k$16.9k$2.1k
3Mercy Medical Center - DubuqueDubuque, IA$10.1k$11.1k$11.1k$11.1k$123
4Mercy Health Services-Iowa Corp.Mason City, IA$10.1k$11.9k$12.6k$14.0k$1.5k
5Catholic Health Initiatives-Iowa CorpDes Moines, IA$18.9k$31.7k$33.8k$46.9k$13.0k
6Covenant Medical Center IncWaterloo, IA$10.1k$11.1k$11.1k$11.1k$123
7Mount Carmel Grove CityGrove City, OH$4.6k$4.9k$4.9k$4.9k$54
8Mount Carmel St Ann'sWesterville, OH$4.3k$5.0k$5.6k$7.3k$1.2k
9Mount Carmel EastColumbus, OH$6.5k$6.9k$6.9k$7.0k$76

Look up this code directly

Ask Claude or any MCP client for APR-DRG 539 pricing at a specific hospital — see how to connect.

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