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APR-DRG 194-4

HEART FAILURE

Reported by 86 hospitals in the network.

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.

National pricing summary

Low

$4.8k

Average

$20.6k

Median

$15.1k

High

$77.8k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$49.6k$49.6k$49.7k$50.1k$142
2Bluffton Health System LLCBluffton, IN$49.6k$49.6k$49.6k$49.6k—
3Dukes Health System LLCPeru, IN$33.4k$49.6k$48.3k$49.6k$4.5k
4Warsaw Health System LLCWarsaw, IN$33.4k$49.6k$48.3k$49.6k$4.5k
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$33.4k$49.6k$48.3k$49.6k$4.5k
6St. Joseph Health System, LLCIN 46802, IN$49.6k$49.6k$49.7k$50.6k$267
7Dupont Hospital LLCIN 46825, IN$49.6k$49.6k$49.6k$49.6k—
8Natchez Hospital Company LLCNatchez, MS$9.6k$9.7k$9.8k$10.4k$240
9Wesley Health System LLCHattiesburg, MS$9.6k$9.6k$9.7k$10.4k$249
10Jackson HMA LLCMS 39204, MS$9.6k$9.7k$9.7k$10.4k$231
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