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APR-DRG 194-4

HEART FAILURE

Reported by 33 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$5.2k

Average

$28.1k

Median

$23.5k

High

$79.8k

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—
8Porter Hospital LLCValparaiso, IN$49.6k$49.6k$49.6k$49.6k—
9Northwest Sahurita Hospital LLCAZ 85748, AZ$8.3k$9.1k$9.1k$9.7k$374
10Victoria of Texas LPVictoria, TX$12.4k$21.5k$21.5k$32.3k—
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