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MS-DRG MS397

APPENDIX PROCEDURES WITH 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

$27.5k

Average

$42.1k

Median

$44.0k

High

$54.9k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoFrisco, CO$50.9k$54.9k$54.9k$58.9k$4.0k
2Catholic Health Initiatives ColoradoPueblo, CO$41.7k$44.0k$44.0k$46.3k$2.3k
3Catholic Health Initiatives ColoradoLayton, UT$27.5k$27.5k$27.5k$27.5k—

Look up this code directly

Ask Claude or any MCP client for MS-DRG MS397 pricing at a specific hospital — see how to connect.

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