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  4. /974

APR-DRG 974

TONSIL AND ADENOID PROCEDURES

Reported by 14 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

$9.2k

Average

$20.6k

Median

$21.6k

High

$34.2k

Hospitals reporting this code

#HospitalLocation
1Wellington Regional Medical CenterWellington, FL—$9.1k$9.2k—$563
2Manatee Memorial HospitalBradenton, FL—$9.3k$9.5k—$551
3Lakewood RanchLakewood Ranch, FL—$9.3k$9.5k—$551
4Sanford Aberdeen Medical CenterAberdeen, SD$28.1k$33.7k$34.2k$39.7k$3.8k
5Catholic Health Initiatives ColoradoColorado Springs, CO$20.5k$20.5k$20.5k$20.5k—
6Catholic Health Initiatives ColoradoColorado Springs, CO$22.3k$22.3k$22.3k$22.3k—
7St Francis HospitalColorado Springs, CO$20.5k$20.5k$20.5k$20.5k—
8Longmont United HospitalLongmont, CO$20.5k$20.5k$20.5k$20.5k—
9Catholic Health Initiatives ColoradoFrisco, CO$24.4k$24.4k$24.4k$24.4k—
10Catholic Health Initiatives ColoradoPueblo, CO$24.8k$24.8k$24.8k$24.8k—
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