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APR-DRG 315

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

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

$5.3k

Average

$17.8k

Median

$13.2k

High

$37.3k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$9.4k$11.0k$11.3k$12.8k$1.2k
2The Mercy Hospital IncSpringfield, MA$392$39.7k$37.3k$39.7k$7.6k
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$14.7k$15.1k$15.1k$16.1k$536
4Catholic Health Initiatives-Iowa CorpDes Moines, IA$21.6k$27.0k$28.4k$33.1k$4.7k
5Mount Carmel St Ann'sWesterville, OH$5.1k$5.3k$5.3k$5.4k$76
6Mount Carmel EastColumbus, OH$9.0k$9.3k$9.2k$9.3k$97

Look up this code directly

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