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APR-DRG 197

INTERSTITIAL LUNG DISEASE WITH CC

Reported by 8 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

$4.1k

Average

$8.8k

Median

$8.0k

High

$15.0k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$9.2k$11.1k$11.3k$13.2k$1.3k
2The Mercy Hospital IncSpringfield, MA$392$12.3k$12.3k$23.6k$8.1k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$4.6k$4.8k$4.8k$5.1k$170
4Catholic Health Initiatives-Iowa CorpDes Moines, IA$11.4k$12.8k$14.2k$17.4k$2.2k
5Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$11.4k$14.2k$15.0k$17.4k$2.4k
6Mount Carmel Grove CityGrove City, OH$4.0k$4.1k$4.1k$4.2k$60
7Mount Carmel St Ann'sWesterville, OH$4.1k$4.2k$4.2k$4.3k$61
8Mount Carmel EastColumbus, OH$4.0k$4.7k$4.8k$5.5k$662

Look up this code directly

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