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  5. /Case rate

APR-DRG 321

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

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

$9.0k

Average

$22.3k

Median

$21.2k

High

$37.1k

Hospitals reporting this code

#HospitalLocation
1Sanford Aberdeen Medical CenterAberdeen, SD$26.5k$31.9k$32.3k$37.9k$3.7k
2Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$8.7k$8.9k$9.0k$9.5k$317
3Catholic Health Initiatives-Iowa CorpDes Moines, IA$29.8k$35.3k$37.1k$41.5k$4.4k
4Mount Carmel Grove CityGrove City, OH$20.5k$21.0k$20.9k$21.0k$221
5Mount Carmel St Ann'sWesterville, OH$21.1k$21.7k$21.5k$21.7k$228
6Mount Carmel EastColumbus, OH$11.4k$13.2k$13.3k$15.1k$1.5k

Look up this code directly

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