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APR-DRG 252

OTHER VASCULAR PROCEDURES WITH MCC

Reported by 6 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

$3.3k

Average

$14.4k

Median

$11.0k

High

$40.6k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$34.0k$39.7k$40.6k$45.6k$4.1k
2The Mercy Hospital IncSpringfield, MA$392$9.3k$10.3k$18.1k$7.6k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$3.2k$3.3k$3.3k$3.5k$117
4Covenant Medical Center IncWaterloo, IA$10.3k$11.3k$11.8k$12.2k$465
5Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$11.1k$12.2k$12.2k$12.2k$136
6Mount Carmel EastColumbus, OH$7.9k$8.2k$8.1k$8.3k$118

Look up this code directly

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