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APR-DRG 139-1

OTHER PNEUMONIA

Reported by 33 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$2.1k

Average

$5.1k

Median

$4.3k

High

$12.0k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$8.0k$8.0k$8.0k$8.2k$34
2Bluffton Health System LLCBluffton, IN$8.0k$8.0k$8.0k$8.0k—
3Dukes Health System LLCPeru, IN$5.4k$8.0k$7.8k$8.0k$720
4Warsaw Health System LLCWarsaw, IN$5.4k$8.0k$7.8k$8.0k$720
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$5.4k$8.0k$7.8k$8.0k$720
6St. Joseph Health System, LLCIN 46802, IN$8.0k$8.0k$8.1k$8.3k$63
7Dupont Hospital LLCIN 46825, IN$8.0k$8.0k$8.0k$8.0k—
8Porter Hospital LLCValparaiso, IN$8.0k$8.0k$8.0k$8.0k—
9Northwest Sahurita Hospital LLCAZ 85748, AZ$2.4k$2.6k$2.6k$2.8k$107
10Victoria of Texas LPVictoria, TX$1.9k$3.3k$3.3k$4.9k—
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