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MS-DRG MS616

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 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

$45.3k

Average

$55.4k

Median

$45.3k

High

$90.8k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$33.6k$45.1k$45.3k$57.4k$8.8k
2Catholic Health Initiatives ColoradoLehi, UT$33.6k$45.1k$45.3k$57.4k$8.8k
3Catholic Health Initiatives ColoradoFrisco, CO$89.7k$90.8k$90.8k$91.9k$1.1k
4Catholic Health Initiatives ColoradoPueblo, CO$65.0k$68.6k$68.6k$72.2k$3.6k
5Catholic Health Initiatives ColoradoLayton, UT$33.6k$48.8k$47.0k$57.4k$8.6k
6Catholic Health Initiatives ColoradoWest Jordan, UT$33.6k$45.1k$45.3k$57.4k$8.8k
7Catholic Health Initiatives ColoradoWest Valley City, UT$33.6k$45.1k$45.3k$57.4k$8.8k

Look up this code directly

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