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APR-DRG 316

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Reported by 5 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

$5.0k

Average

$13.3k

Median

$11.4k

High

$30.9k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$6.6k$7.8k$8.0k$9.1k$823
2The Mercy Hospital IncSpringfield, MA$8.2k$20.9k$30.9k$43.6k$11.9k
3Covenant Medical Center IncWaterloo, IA$10.4k$11.5k$11.4k$11.5k$127
4Sartori Memorial Hospital IncCedar Falls, IA$10.4k$11.5k$11.4k$11.5k$127
5Mount Carmel EastColumbus, OH$4.8k$5.0k$5.0k$5.1k$72

Look up this code directly

Ask Claude or any MCP client for APR-DRG 316 pricing at a specific hospital — see how to connect.

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