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MS-DRG MS-131

CRANIAL/FACIAL PROCEDURES W CC/MCC

Reported by 3 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

$11.6k

Average

$36.0k

Median

$45.2k

High

$51.3k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$41.3k$45.2k$45.2k$49.1k$3.9k
2Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$11.6k$11.6k$11.6k$11.6k—
3St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$51.3k$51.3k$51.3k$51.3k—

Look up this code directly

Ask Claude or any MCP client for MS-DRG MS-131 pricing at a specific hospital — see how to connect.

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