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  5. /Case rate
MS-DRG MS534

FRACTURES OF FEMUR WITHOUT 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

$9.2k

Average

$11.4k

Median

$9.2k

High

$18.9k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$7.1k$9.5k$9.2k$10.5k$1.4k
2Catholic Health Initiatives ColoradoLehi, UT$7.1k$9.5k$9.2k$10.5k$1.4k
3Catholic Health Initiatives ColoradoFrisco, CO$18.4k$18.9k$18.9k$19.4k$505
4Catholic Health Initiatives ColoradoPueblo, CO$13.7k$14.4k$14.4k$15.2k$760
5Catholic Health Initiatives ColoradoLayton, UT$7.1k$10.3k$9.4k$10.5k$1.3k
6Catholic Health Initiatives ColoradoWest Jordan, UT$7.1k$9.5k$9.2k$10.5k$1.4k
7Catholic Health Initiatives ColoradoWest Valley City, UT$7.1k$9.5k$9.2k$10.5k$1.4k

Look up this code directly

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