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MS-DRG 594

SKIN ULCERS WITHOUT CC/MCC

Reported by 327 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

$3.1k

Average

$12.0k

Median

$10.4k

High

$37.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.7k$6.6k$7.5k$12.7k$1.9k
2Northwest Iowa Hospital CorporationSioux City, IA$6.0k$7.2k$8.1k$12.7k$1.8k
3St Luke'sJones Regional Medical CenterAnamosa, IA$11.4k$12.1k$12.1k$12.7k$652
4Medical Ctiy ArgyleArgyle, TX$927$7.2k$7.4k$25.6k$1.8k
5St Luke's Methodist HospitalCedar Rapids, IA$6.1k$6.5k$8.1k$12.7k$2.2k
6Trinity Medical CenterRock Island, IL$4.7k$7.2k$7.7k$12.7k$1.9k
7Trinity Medical CenterBettendorf, IA$6.1k$7.1k$8.2k$12.7k$2.2k
8University of Iowa Health Care Medical Center DowntownIowa City, IA$4.2k$11.3k$10.4k$19.5k$4.6k
9Unity HealthcareMuscatine, IA$4.7k$9.4k$9.1k$12.7k$2.2k
10Trinity Regional Medical CenterFort Dodge, IA$6.5k$7.5k$8.4k$12.7k$2.1k
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Look up this code directly

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