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APR-DRG 138-4

BRONCHIOLITIS AND RSV PNEUMONIA

Reported by 85 hospitals in the network.

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.

National pricing summary

Low

$3.8k

Average

$18.6k

Median

$17.1k

High

$43.3k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$35.8k$35.8k$35.8k$36.2k$111
2Bluffton Health System LLCBluffton, IN$35.8k$35.8k$35.8k$35.8k—
3Dukes Health System LLCPeru, IN$24.1k$35.8k$34.8k$35.8k$3.2k
4Warsaw Health System LLCWarsaw, IN$24.1k$35.8k$34.8k$35.8k$3.2k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$24.1k$35.8k$34.8k$35.8k$3.2k
6St. Joseph Health System, LLCIN 46802, IN$35.8k$35.8k$35.9k$36.5k$209
7Dupont Hospital LLCIN 46825, IN$35.8k$35.8k$35.8k$35.8k—
8Natchez Hospital Company LLCNatchez, MS$9.4k$9.6k$9.6k$10.2k$235
9Wesley Health System LLCHattiesburg, MS$9.5k$9.5k$9.6k$10.2k$235
10Jackson HMA LLCMS 39204, MS$9.5k$9.6k$9.6k$10.2k$228
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