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APR-DRG 130-2

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Reported by 18 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

$8.4k

Average

$25.0k

Median

$24.7k

High

$46.7k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$21.6k$21.8k$21.9k$23.3k$538
2Wesley Health System LLCHattiesburg, MS$21.6k$21.6k$21.9k$23.3k$560
3Jackson HMA LLCMS 39204, MS$21.6k$21.8k$21.9k$23.3k$520
4Vicksburg Healthcare LLCVicksburg, MS$21.6k$21.6k$21.9k$23.3k$560
5Brandon HMA LLCBrandon, MS$21.6k$21.8k$21.9k$23.3k$538
6River Oaks Hospital LLCFlowood, MS$21.6k$21.8k$23.3k$34.5k$4.0k
7Mat-Su Valley Medical Center LLCAK 99645, AK$46.7k$46.7k$46.7k$46.7k—
8McAllen Hospitals, LPMcAllen, TX—$26.1k$26.2k—$219
9McAllen Hospitals, LPEdinburg, TX—$26.1k$26.2k—$219
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$26.6k$27.0k—$596
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