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APR-DRG 631-4

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Reported by 102 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

$51.5k

Average

$190.3k

Median

$140.4k

High

$470.0k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$469.1k$469.1k$469.6k$474.4k$1.5k
2Bluffton Health System LLCBluffton, IN$469.1k$469.1k$469.1k$469.1k—
3Dukes Health System LLCPeru, IN$316.2k$469.1k$456.4k$469.1k$42.3k
4Warsaw Health System LLCWarsaw, IN$316.2k$469.1k$456.4k$469.1k$42.3k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$316.2k$469.1k$456.4k$469.1k$42.3k
6St. Joseph Health System, LLCIN 46802, IN$469.1k$469.1k$470.0k$479.0k$2.8k
7Dupont Hospital LLCIN 46825, IN$469.1k$469.1k$469.1k$469.1k—
8Natchez Hospital Company LLCNatchez, MS$160.0k$163.1k$163.6k$174.4k$4.0k
9Wesley Health System LLCHattiesburg, MS$161.5k$161.5k$163.4k$174.4k$4.0k
10Jackson HMA LLCMS 39204, MS$161.5k$163.1k$163.8k$174.4k$3.9k
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