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APR-DRG 175

PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE

Reported by 8 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

$9.3k

Average

$23.2k

Median

$15.9k

High

$55.7k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$13.4k$16.0k$16.2k$18.7k$1.8k
2The Mercy Hospital IncSpringfield, MA$8.2k$58.8k$55.7k$58.8k$9.9k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$10.3k$11.6k$11.5k$13.1k$885
4Mercy Health Services-Iowa Corp.Mason City, IA$29.9k$32.9k$33.7k$34.7k$935
5Catholic Health Initiatives-Iowa CorpDes Moines, IA$29.9k$32.9k$33.7k$34.7k$935
6Mount Carmel Grove CityGrove City, OH$9.1k$9.4k$9.3k$9.5k$135
7Mount Carmel St Ann'sWesterville, OH$9.4k$9.7k$9.6k$9.7k$101
8Mount Carmel EastColumbus, OH$9.1k$14.6k$15.6k$25.1k$6.0k

Look up this code directly

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