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  5. /Case rate
MS-DRG MS637

DIABETES 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

$16.4k

Average

$20.3k

Median

$16.4k

High

$33.7k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$12.5k$16.7k$16.4k$19.8k$2.8k
2Catholic Health Initiatives ColoradoLehi, UT$12.5k$16.7k$16.4k$19.8k$2.8k
3Catholic Health Initiatives ColoradoFrisco, CO$32.8k$33.7k$33.7k$34.6k$903
4Catholic Health Initiatives ColoradoPueblo, CO$24.5k$25.9k$25.9k$27.2k$1.4k
5Catholic Health Initiatives ColoradoLayton, UT$12.5k$18.1k$17.1k$19.8k$2.8k
6Catholic Health Initiatives ColoradoWest Jordan, UT$12.5k$16.7k$16.4k$19.8k$2.8k
7Catholic Health Initiatives ColoradoWest Valley City, UT$12.5k$16.7k$16.4k$19.8k$2.8k

Look up this code directly

Ask Claude or any MCP client for MS-DRG MS637 pricing at a specific hospital — see how to connect.

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