Birmingham, AL, 35211
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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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 | — | — | $56 | $12,284 | 0.96× | $24,195 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $56 | $16,801 | 0.83× | $34,835 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $56 | $9,440.8 | 0.88× | $17,500 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $56 | $7,008.73 | 0.92× | $12,616 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $56 | $13,504 | 0.87× | $27,069 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $56 | $10,157 | 0.90× | $19,188 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $56 | $8,210.29 | 0.93× | $14,705 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $56 | $6,698.43 | 0.96× | $12,057 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $56 | $7,937.42 | 0.94× | $14,216 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $56 | $6,599.63 | 0.99× | $11,879 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $56 | $13,808 | 0.88× | $27,786 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $56 | $8,770.01 | 0.91× | $15,921 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $56 | $7,291.96 | 0.94× | $13,126 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $56 | $11,452 | 0.90× | $22,238 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $56 | $8,254.42 | 0.92× | $14,784 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $56 | $6,142.22 | 0.99× | $11,056 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $56 | $10,865 | 0.90× | $20,856 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $56 | $7,384.17 | 0.95× | $13,292 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $56 | $6,142.95 | 0.99× | $11,057 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $56 | $9,223.09 | 0.92× | $16,988 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $56 | $6,613.53 | 0.97× | $11,904 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $56 | $7,743.98 | 0.96× | $13,870 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $56 | $13,541 | 0.89× | $27,156 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $56 | $10,544 | 0.91× | $20,099 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $56 | $7,963.89 | 0.96× | $14,264 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $56 | $16,297 | 0.87× | $33,648 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $56 | $9,536.42 | 0.92× | $17,726 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $56 | $1,818.5 | 20.2× | $3,581 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $56 | $1,375.5 | 15.3× | $2,695 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $56 | $1,818.5 | 19.8× | $3,581 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $56 | $1,375.5 | 1.5× | $2,695 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $56 | $6,740.5 | 0.24× | $13,425 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $56 | $6,740.5 | 0.37× | $13,425 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $56 | $35,818 | 0.83× | $79,621 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $56 | $19,642 | 0.85× | $41,524 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $56 | $14,388 | 0.88× | $29,151 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $56 | $14,452 | 0.88× | $29,302 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $56 | $12,056 | 0.89× | $23,658 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $56 | $27,069 | 0.84× | $59,018 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $56 | $6,740.5 | 0.14× | $13,425 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $56 | $6,740.5 | 0.20× | $13,425 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $56 | $24,319 | 0.82× | $52,541 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $56 | $16,197 | 0.86× | $33,412 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $56 | $23,430 | 0.84× | $50,447 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $56 | $17,415 | 0.86× | $36,281 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $56 | $14,006 | 0.88× | $28,252 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $56 | $23,247 | 0.86× | $50,016 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $56 | $13,780 | 0.85× | $27,720 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $56 | $13,297 | 0.88× | $26,129 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $56 | $11,135 | 0.91× | $21,491 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $56 | $17,081 | 0.89× | $35,495 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $56 |
| Blue Cross Blue Shield | 51 | $7,515.55 |
| Centene | 43 | $20,512 |
| Cigna | 43 | $14,351 |
| devoted health | 43 | $11,395 |
| Humana | 43 | $11,281 |
| simpra | 43 | $11,509 |
| UnitedHealthcare | 43 | $16,873 |
| viva helath | 43 | $11,395 |
