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  5. /Case rate

APR-DRG 179-3

DEFIBRILLATOR IMPLANTS

Reported by 31 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

$11.7k

Average

$36.4k

Median

$32.6k

High

$96.5k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$32.2k$32.5k$32.7k$34.7k$803
2Wesley Health System LLCHattiesburg, MS$32.2k$32.2k$32.6k$34.7k$835
3Jackson HMA LLCMS 39204, MS$32.2k$32.5k$32.6k$34.7k$775
4Vicksburg Healthcare LLCVicksburg, MS$32.2k$32.2k$32.6k$34.7k$835
5Brandon HMA LLCBrandon, MS$32.2k$32.5k$32.7k$34.7k$803
6River Oaks Hospital LLCFlowood, MS$32.2k$32.5k$34.8k$51.5k$5.9k
7Mat-Su Valley Medical Center LLCAK 99645, AK$57.5k$57.5k$57.5k$57.5k—
8McAllen Hospitals, LPMcAllen, TX—$24.5k$24.6k—$206
9McAllen Hospitals, LPMcAllen, TX—$24.5k$24.6k—$206
10McAllen Hospitals, LPEdinburg, TX—$24.5k$24.6k—$206
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