APR-DRG 021

Open skull surgery, not for trauma at Avera Specialty Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HEART AND/OR LUNG TRANSPLANT

Sioux Falls, SD

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How this price compares nationally

Avera Specialty Hospital’s median price of $114.0k is 132% above the median hospital's median price ($49.1k), higher than 82% of the 103 hospitals reporting APR-DRG 021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APR-DRG 021 at Avera Specialty Hospital

Negotiated rates from the hospital’s own file: 1 payer, 2 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Wellmark hmo case rate · inpatient	$114,003	$114,003	$114,003 – $114,003
2	Wellmark ppo case rate · inpatient	$114,003	$114,003	$114,003 – $114,003

Last updated: Apr 1, 2026

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