Talladega, AL, 35161
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 9 | — | — | $1,000 | $11,001 | 0.86× | $24,084 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $5,133 | $14,919 | 0.74× | $34,674 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $3,822 | $8,494.31 | 0.79× | $17,420 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $2,876 | $6,426.27 | 0.84× | $11,800 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $2,876 | $12,060 | 0.78× | $26,944 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $2,876 | $9,112.38 | 0.81× | $19,099 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $2,876 | $7,432.69 | 0.84× | $14,535 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $2,876 | $6,157.22 | 0.88× | $11,083 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $2,876 | $7,197.27 | 0.85× | $13,895 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $2,876 | $6,071.55 | 0.91× | $10,929 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $3,822 | $12,324 | 0.79× | $27,658 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $5,133 | $7,915.59 | 0.82× | $15,847 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $5,133 | $6,671.85 | 0.86× | $12,468 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $3,822 | $10,230 | 0.80× | $22,135 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $2,876 | $7,470.76 | 0.84× | $14,638 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $2,876 | $5,674.95 | 0.91× | $10,215 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $3,822 | $9,723.46 | 0.80× | $20,759 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $3,822 | $6,751.8 | 0.87× | $12,685 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $3,822 | $5,675.59 | 0.91× | $10,216 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $3,822 | $8,306.48 | 0.83× | $16,909 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $3,822 | $6,083.61 | 0.89× | $10,951 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $3,822 | $7,030.38 | 0.87× | $13,442 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $3,822 | $12,092 | 0.80× | $27,030 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $2,876 | $9,446.16 | 0.81× | $20,006 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $3,822 | $7,220.11 | 0.87× | $13,957 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $3,822 | $14,482 | 0.78× | $33,493 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $2,876 | $8,576.81 | 0.83× | $17,644 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $3,822 | $3,822 | 42.4× | $3,822 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $2,876 | $2,876 | 31.9× | $2,876 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $3,822 | $3,822 | 41.5× | $3,822 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $2,876 | $2,876 | 3.1× | $2,876 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $14,328 | $14,328 | 0.52× | $14,328 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $14,328 | $14,328 | 0.78× | $14,328 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $6,384 | $31,407 | 0.73× | $79,253 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $6,384 | $17,382 | 0.75× | $41,333 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $5,133 | $12,826 | 0.78× | $29,017 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $6,384 | $12,882 | 0.78× | $29,167 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $8,596 | $10,780 | 0.80× | $23,549 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $5,133 | $23,822 | 0.74× | $58,745 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $14,328 | $14,328 | 0.29× | $14,328 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $14,328 | $14,328 | 0.43× | $14,328 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $14,328 | $21,438 | 0.72× | $52,298 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $13,607 | $14,397 | 0.76× | $33,258 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $8,596 | $20,667 | 0.74× | $50,214 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $8,596 | $15,451 | 0.76× | $36,113 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $8,596 | $12,495 | 0.78× | $28,122 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $8,596 | $20,508 | 0.76× | $49,785 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $11,626 | $12,513 | 0.77× | $27,592 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $11,072 | $11,855 | 0.78× | $26,008 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $8,596 | $9,956.34 | 0.81× | $21,392 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $3,822 | $15,162 | 0.79× | $35,331 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 51 | $6,848.26 |
| Centene | 43 | $18,414 |
| Cigna | 43 | $10,309 |
| devoted health | 43 | $10,230 |
| Humana | 43 | $10,128 |
| simpra | 43 | $10,332 |
| UnitedHealthcare | 43 | $16,827 |
| Aetna | 43 | $10,230 |
| viva helath | 43 | $10,230 |
