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APR-DRG 181

RESPIRATORY NEOPLASMS WITH CC

Reported by 6 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

$10.9k

Average

$19.1k

Median

$17.9k

High

$32.4k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$10.4k$12.5k$12.7k$14.8k$1.4k
2Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$9.1k$11.1k$10.9k$13.3k$1.6k
3Catholic Health Initiatives-Iowa CorpDes Moines, IA$18.3k$31.6k$32.4k$45.5k$10.4k
4Mount Carmel Grove CityGrove City, OH$12.8k$16.6k$16.8k$20.8k$3.6k
5Mount Carmel St Ann'sWesterville, OH$13.2k$13.9k$22.7k$34.8k$10.4k
6Mount Carmel EastColumbus, OH$9.0k$16.6k$19.1k$34.4k$9.3k

Look up this code directly

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