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APR-DRG 542-4

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Reported by 85 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

$5.4k

Average

$21.4k

Median

$18.8k

High

$52.1k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$32.5k$32.5k$32.5k$32.8k$99
2Bluffton Health System LLCBluffton, IN$32.5k$32.5k$32.5k$32.5k—
3Dukes Health System LLCPeru, IN$21.9k$32.5k$31.6k$32.5k$2.9k
4Warsaw Health System LLCWarsaw, IN$21.9k$32.5k$31.6k$32.5k$2.9k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$21.9k$32.5k$31.6k$32.5k$2.9k
6St. Joseph Health System, LLCIN 46802, IN$32.5k$32.5k$32.5k$33.1k$185
7Dupont Hospital LLCIN 46825, IN$32.5k$32.5k$32.5k$32.5k—
8Natchez Hospital Company LLCNatchez, MS$15.8k$15.9k$16.0k$17.0k$394
9Wesley Health System LLCHattiesburg, MS$15.8k$15.8k$16.0k$17.0k$410
10Jackson HMA LLCMS 39204, MS$15.8k$15.9k$16.0k$17.0k$380
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