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APR-DRG 139-4

OTHER PNEUMONIA

Reported by 31 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

$5.2k

Average

$20.2k

Median

$20.8k

High

$50.8k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$32.9k$32.9k$32.9k$33.2k$86
2Bluffton Health System LLCBluffton, IN$32.9k$32.9k$32.9k$32.9k—
3Dukes Health System LLCPeru, IN$22.1k$32.9k$32.0k$32.9k$3.0k
4Warsaw Health System LLCWarsaw, IN$22.1k$32.9k$32.0k$32.9k$3.0k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$22.1k$32.9k$32.0k$32.9k$3.0k
6St. Joseph Health System, LLCIN 46802, IN$32.9k$32.9k$32.9k$33.4k$161
7Dupont Hospital LLCIN 46825, IN$32.9k$32.9k$32.9k$32.9k—
8Porter Hospital LLCValparaiso, IN$32.9k$32.9k$32.9k$32.9k—
9Victoria of Texas LPVictoria, TX$7.9k$13.7k$13.7k$20.6k—
10Victoria of Texas LPVictoria, TX$7.9k$13.7k$13.7k$20.6k—
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Look up this code directly

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