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APR-DRG 192

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Reported by 12 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

$1.6k

Average

$14.2k

Median

$13.0k

High

$30.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$6.3k$7.4k$7.5k$8.6k$788
2The Mercy Hospital IncSpringfield, MA$8.2k$31.9k$30.3k$31.9k$5.2k
3St Joseph Mercy Ann ArborYpsilanti, MI$825$1.6k$1.6k$19.6k$20
4Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$5.1k$6.5k$6.4k$8.2k$1.2k
5Mercy Medical Center - DubuqueDubuque, IA$10.2k$11.2k$11.2k$11.2k$124
6Mercy Health Services-Iowa Corp.Mason City, IA$14.5k$19.6k$20.7k$25.5k$4.8k
7Catholic Health Initiatives-Iowa CorpDes Moines, IA$10.2k$16.0k$23.2k$42.6k$13.8k
8Covenant Medical Center IncWaterloo, IA$14.5k$16.0k$15.9k$16.0k$177
9Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$14.5k$16.0k$15.9k$16.0k$177
10Mount Carmel Grove CityGrove City, OH$4.8k$11.0k$11.2k$17.8k$6.3k
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