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MS-DRG MS423

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Reported by 7 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

$47.6k

Average

$58.1k

Median

$47.6k

High

$92.7k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$35.1k$47.1k$47.6k$61.1k$9.6k
2Catholic Health Initiatives ColoradoLehi, UT$35.1k$47.1k$47.6k$61.1k$9.6k
3Catholic Health Initiatives ColoradoFrisco, CO$88.6k$92.7k$92.7k$96.8k$4.1k
4Catholic Health Initiatives ColoradoPueblo, CO$68.4k$72.2k$72.2k$76.0k$3.8k
5Catholic Health Initiatives ColoradoLayton, UT$35.1k$50.9k$51.6k$67.4k$11.7k
6Catholic Health Initiatives ColoradoWest Jordan, UT$35.1k$47.1k$47.6k$61.1k$9.6k
7Catholic Health Initiatives ColoradoWest Valley City, UT$35.1k$47.1k$47.6k$61.1k$9.6k

Look up this code directly

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