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MS-DRG 598

MALIGNANT BREAST DISORDERS WITH CC

Reported by 333 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

$3.8k

Average

$14.3k

Median

$13.0k

High

$42.4k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$6.0k$8.4k$9.4k$15.7k$2.3k
2Northwest Iowa Hospital CorporationSioux City, IA$7.6k$9.5k$10.2k$15.7k$2.2k
3St Luke'sJones Regional Medical CenterAnamosa, IA$14.1k$14.9k$14.9k$15.7k$807
4Medical Ctiy ArgyleArgyle, TX$927$7.2k$8.2k$34.4k$2.9k
5St Luke's Methodist HospitalCedar Rapids, IA$7.8k$8.2k$10.2k$15.7k$2.7k
6Trinity Medical CenterRock Island, IL$6.0k$9.0k$9.7k$15.7k$2.3k
7Trinity Medical CenterBettendorf, IA$7.7k$9.0k$10.3k$15.7k$2.7k
8University of Iowa Health Care Medical Center DowntownIowa City, IA$7.0k$14.4k$13.7k$24.7k$5.2k
9Unity HealthcareMuscatine, IA$6.0k$12.0k$11.5k$15.7k$2.8k
10Trinity Regional Medical CenterFort Dodge, IA$8.3k$9.5k$10.7k$15.7k$2.6k
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