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APR-DRG 130-3

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Reported by 19 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

$10.3k

Average

$30.4k

Median

$29.9k

High

$55.4k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$26.4k$26.7k$26.8k$28.5k$659
2Wesley Health System LLCHattiesburg, MS$26.4k$26.4k$26.8k$28.5k$685
3Jackson HMA LLCMS 39204, MS$26.4k$26.7k$26.8k$28.5k$636
4Vicksburg Healthcare LLCVicksburg, MS$26.4k$26.4k$26.8k$28.5k$685
5Brandon HMA LLCBrandon, MS$26.4k$26.7k$26.8k$28.5k$659
6River Oaks Hospital LLCFlowood, MS$26.4k$26.7k$28.5k$42.2k$4.9k
7Mat-Su Valley Medical Center LLCAK 99645, AK$55.4k$55.4k$55.4k$55.4k—
8McAllen Hospitals, LPMcAllen, TX—$29.8k$29.9k—$251
9McAllen Hospitals, LPEdinburg, TX—$29.8k$29.9k—$251
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$30.4k$30.9k—$682
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