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APR-DRG 206

OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Reported by 7 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

$5.2k

Average

$16.3k

Median

$10.9k

High

$30.9k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$9.2k$10.6k$10.9k$12.3k$1.1k
2The Mercy Hospital IncSpringfield, MA$1.9k$25.0k$24.4k$25.0k$2.3k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$5.1k$5.2k$5.2k$5.6k$185
4Mercy Medical Center - DubuqueDubuque, IA$24.1k$26.5k$26.4k$26.5k$294
5Catholic Health Initiatives-Iowa CorpDes Moines, IA$16.2k$28.9k$30.9k$44.1k$13.2k
6Mount Carmel St Ann'sWesterville, OH$7.4k$7.6k$7.5k$7.6k$80
7Mount Carmel EastColumbus, OH$4.9k$5.0k$8.5k$15.0k$4.6k

Look up this code directly

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