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APR-DRG 972

TONSIL AND ADENOID PROCEDURES

Reported by 13 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

$3.2k

Average

$5.7k

Median

$5.9k

High

$7.2k

Hospitals reporting this code

#HospitalLocation
1Wellington Regional Medical CenterWellington, FL—$3.1k$3.2k—$194
2Manatee Memorial HospitalBradenton, FL—$3.2k$3.3k—$190
3Lakewood RanchLakewood Ranch, FL—$3.2k$3.3k—$189
4Catholic Health Initiatives ColoradoColorado Springs, CO$5.8k$5.8k$5.8k$5.8k—
5Catholic Health Initiatives ColoradoColorado Springs, CO$6.3k$6.3k$6.3k$6.3k—
6St Francis HospitalColorado Springs, CO$5.8k$5.8k$5.8k$5.8k—
7Longmont United HospitalLongmont, CO$5.8k$5.8k$5.8k$5.8k—
8Catholic Health Initiatives ColoradoFrisco, CO$6.9k$6.9k$6.9k$6.9k—
9Catholic Health Initiatives ColoradoPueblo, CO$7.0k$7.0k$7.0k$7.0k—
10Catholic Health Initiatives ColoradoFort Morgan, CO$6.8k$6.8k$6.8k$6.8k—
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Look up this code directly

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