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MS-DRG 561

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Reported by 335 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$3.0k

Average

$11.6k

Median

$10.3k

High

$31.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.5k$6.4k$7.2k$12.3k$1.8k
2Northwest Iowa Hospital CorporationSioux City, IA$5.8k$7.2k$7.8k$12.3k$1.7k
3St Luke'sJones Regional Medical CenterAnamosa, IA$11.0k$11.7k$11.7k$12.3k$631
4Medical Ctiy ArgyleArgyle, TX$927$7.2k$7.2k$23.7k$1.5k
5St Luke's Methodist HospitalCedar Rapids, IA$5.9k$6.2k$7.8k$12.3k$2.1k
6Trinity Medical CenterRock Island, IL$4.5k$6.9k$7.4k$12.3k$1.8k
7Trinity Medical CenterBettendorf, IA$5.9k$6.9k$7.9k$12.3k$2.1k
8University of Iowa Health Care Medical Center DowntownIowa City, IA$5.8k$10.9k$11.6k$18.8k$2.7k
9Unity HealthcareMuscatine, IA$4.5k$9.1k$8.8k$12.3k$2.2k
10Trinity Regional Medical CenterFort Dodge, IA$6.3k$7.2k$8.1k$12.3k$2.0k
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