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APR-DRG 130-4

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

$13.8k

Average

$40.8k

Median

$44.1k

High

$72.7k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$34.2k$34.5k$34.8k$36.9k$854
2Wesley Health System LLCHattiesburg, MS$34.2k$34.2k$34.7k$36.9k$887
3Jackson HMA LLCMS 39204, MS$34.2k$34.5k$34.7k$36.9k$824
4Vicksburg Healthcare LLCVicksburg, MS$34.2k$34.2k$34.7k$36.9k$887
5Brandon HMA LLCBrandon, MS$34.2k$34.5k$34.8k$36.9k$854
6River Oaks Hospital LLCFlowood, MS$34.2k$34.5k$37.0k$54.7k$6.3k
7Mat-Su Valley Medical Center LLCAK 99645, AK$72.7k$72.7k$72.7k$72.7k—
8McAllen Hospitals, LPMcAllen, TX—$43.9k$44.1k—$369
9McAllen Hospitals, LPEdinburg, TX—$43.9k$44.1k—$369
10Northwest Texas Healthcare System, Inc.Amarillo, TX—$44.7k$45.4k—$1.0k
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