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APR-DRG 207

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

Reported by 10 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

$2.5k

Average

$17.3k

Median

$10.8k

High

$75.4k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$62.7k$74.0k$75.4k$86.0k$7.8k
2The Mercy Hospital IncSpringfield, MA$392$2.5k$2.5k$2.5k$261
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$2.2k$5.0k$5.1k$8.5k$2.9k
4Mercy Medical Center - DubuqueDubuque, IA$15.3k$16.8k$16.8k$16.8k$187
5Mercy Health Services-Iowa Corp.Mason City, IA$10.5k$24.9k$26.8k$42.1k$15.2k
6Catholic Health Initiatives-Iowa CorpDes Moines, IA$7.0k$11.5k$12.2k$16.8k$4.6k
7Covenant Medical Center IncWaterloo, IA$7.0k$9.1k$9.6k$11.6k$2.0k
8Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$7.0k$11.6k$12.0k$16.8k$3.7k
9Mount Carmel Grove CityGrove City, OH$6.3k$6.4k$6.4k$6.6k$93
10Mount Carmel EastColumbus, OH$6.3k$6.4k$6.4k$6.6k$93

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