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MS-DRG 642

INBORN AND OTHER DISORDERS OF METABOLISM

Reported by 59 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$1

Average

$18.6k

Median

$9.6k

High

$126.0k

Hospitals reporting this code

#HospitalLocation
1Medical Ctiy ArgyleArgyle, TX$927$54.1k$54.1k$41.9k—
2Medical City DentonArgyle, TX$927$54.1k$54.1k$41.9k—
3Northwestern Medicine Central DuPage HospitalIL 60190, IL$10.1k$28.3k$33.4k$15.1k$20.2k
4Northwestern Memorial HospitalChicago, IL—$34.5k$27.9k—$11.1k
5Northwestern Medicine Kishwaukee HospitalDeKalb, IL$10.1k$25.0k$21.4k$26.7k$7.4k
6Northwestern Medicine Valley West HospitalSandwich, IL$30.3k$5.0k$4.7k$39.2k$1.7k
7Northwestern Lake Forest HospitalLake Forest, IL$7.3k$28.2k$26.9k$14.9k$11.5k
8Palos Community HospitalPalos Heights, IL$10.1k$21.8k$18.6k$20.7k$6.7k
9IOM Health System LPFort Wayne, IN$1.1k$1.4k$1.4k$35.6k$240
10Bluffton Health System LLCBluffton, IN$396$2.4k$2.4k$35.5k—
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