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APR-DRG 196

INTERSTITIAL LUNG DISEASE WITH MCC

Reported by 5 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

$16.2k

Median

$12.8k

High

$41.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$18.4k$21.6k$22.1k$25.1k$2.3k
2Mercy Health Saint MarysGrand Rapids, MI$1.6k$1.6k$1.6k$14.1k$14
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.2k$3.1k$3.1k$4.1k$788
4Catholic Health Initiatives-Iowa CorpDes Moines, IA$37.6k$41.3k$41.3k$41.3k$459
5Mount Carmel St Ann'sWesterville, OH$12.5k$12.9k$12.8k$12.9k$136

Look up this code directly

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