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EAPG 00582

INTERSTITIAL AND ALVEOLAR LUNG DIAGNOSES

Reported by 7 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

$57

Average

$204.8k

Median

$185

High

$716.6k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$648.5k$716.6k$716.6k$784.7k$68.1k
2University of Iowa Health Care Medical CenterIowa City, IA$648.5k$716.6k$716.6k$784.7k$68.1k
3UPMC Horizon - GreenvilleGreenville, PA$55$57$57$59$2
4UPMC HamotErie, PA$59$249$226$345$124
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$59$59$59$59—
6UPMC ChautauquaJamestown, NY$153$153$185$345$63
7UPMC JamesonNew Castle, PA$59$59$59$59—

Look up this code directly

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