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APR-DRG 139

OTHER PNEUMONIA,MODERATE

Reported by 7 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

$4.1k

Average

$5.7k

Median

$5.7k

High

$7.7k

Hospitals reporting this code

#HospitalLocation
1St Joseph Mercy ChelseaChelsea, MI$1.6k$4.2k$4.1k$4.2k$61
2St Joseph Mercy Ann ArborYpsilanti, MI$825$4.4k$5.7k$10.2k$2.8k
3St Mary Mercy LivoniaLivonia, MI$2.8k$5.0k$5.6k$9.4k$2.4k
4Mercy Health Hackley CampusMuskogen, MI$3.9k$6.4k$6.6k$9.4k$2.1k
5St Joseph Mercy OaklandPontiac, MI$3.0k$5.2k$5.9k$9.8k$2.5k
6St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$942$3.9k$4.1k$5.5k$658
7Mercy Health Saint MarysGrand Rapids, MI$923$7.7k$7.7k$9.2k$1.5k

Look up this code directly

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