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  5. /Per diem

APR-DRG 540

CESAREAN SECTION WITHOUT STERILIZATION,MAJOR

Reported by 2 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$898

Average

$1.4k

Median

$1.4k

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1The Mercy Hospital IncSpringfield, MA$1.9k$2.0k$1.9k$25.6k$34
2St Mary Mercy LivoniaLivonia, MI$825$924$898$6.1k$53

Look up this code directly

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