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MS-DRG MS475

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 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

$25.8k

Average

$31.1k

Median

$25.8k

High

$50.0k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$19.8k$26.6k$25.8k$30.1k$4.0k
2Catholic Health Initiatives ColoradoLehi, UT$19.8k$26.6k$25.8k$30.1k$4.0k
3Catholic Health Initiatives ColoradoFrisco, CO$48.6k$50.0k$50.0k$51.3k$1.4k
4Catholic Health Initiatives ColoradoPueblo, CO$36.3k$38.3k$38.3k$40.3k$2.0k
5Catholic Health Initiatives ColoradoLayton, UT$19.8k$28.8k$26.5k$30.1k$3.9k
6Catholic Health Initiatives ColoradoWest Jordan, UT$19.8k$26.6k$25.8k$30.1k$4.0k
7Catholic Health Initiatives ColoradoWest Valley City, UT$19.8k$26.6k$25.8k$30.1k$4.0k

Look up this code directly

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