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MS-DRG MS424

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

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

$27.7k

Average

$33.0k

Median

$27.7k

High

$51.3k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$21.2k$28.4k$27.7k$33.0k$4.5k
2Catholic Health Initiatives ColoradoLehi, UT$21.2k$28.4k$27.7k$33.0k$4.5k
3Catholic Health Initiatives ColoradoFrisco, CO$48.3k$51.3k$51.3k$54.3k$3.0k
4Catholic Health Initiatives ColoradoPueblo, CO$38.4k$40.5k$40.5k$42.7k$2.1k
5Catholic Health Initiatives ColoradoLayton, UT$21.2k$29.0k$28.0k$33.0k$4.1k
6Catholic Health Initiatives ColoradoWest Jordan, UT$21.2k$28.4k$27.7k$33.0k$4.5k
7Catholic Health Initiatives ColoradoWest Valley City, UT$21.2k$28.4k$27.7k$33.0k$4.5k

Look up this code directly

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