124 SOUTH MEMORIAL DRIVE, PRATTVILLE, AL, 36067-
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $9,789.81 | $10,779 | $33,562 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $47,362 | $47,362 | $47,362 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $24,212 | $24,212 | $24,212 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $16,388 | $16,388 | $16,388 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $11,102 | $12,223 | $38,488 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $7,972.65 | $8,777.97 | $26,738 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $6,299.41 | $6,935.71 | $20,455 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $4,955.87 | $5,456.46 | $15,410 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $6,051.5 | $6,662.77 | $19,524 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $4,800.53 | $5,285.43 | $14,826 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $11,260 | $12,397 | $39,081 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $6,696.95 | $7,373.42 | $21,948 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $5,449.79 | $6,000.28 | $17,264 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $9,125.33 | $10,047 | $31,067 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $6,312.73 | $6,950.38 | $20,505 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $4,331.34 | $4,768.85 | $13,064 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $8,498.27 | $9,356.68 | $28,712 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $5,539.82 | $6,099.4 | $17,602 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $4,399.82 | $4,844.25 | $13,321 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $7,103.38 | $7,820.89 | $23,474 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $4,889.3 | $5,383.18 | $15,160 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $5,799.79 | $6,385.63 | $18,579 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $10,521 | $11,584 | $36,307 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $8,272.55 | $9,108.16 | $27,864 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $5,941.18 | $6,541.3 | $19,109 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $13,293 | $14,636 | $46,717 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $7,389.33 | $8,135.73 | $24,548 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $29,967 | $32,994 | $109,331 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $15,839 | $17,439 | $56,278 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $11,320 | $12,464 | $39,309 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $11,367 | $12,516 | $39,486 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $9,206.5 | $10,136 | $31,371 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $23,231 | $25,577 | $84,036 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $21,577 | $23,757 | $77,826 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $12,807 | $14,101 | $44,893 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $19,500 | $21,469 | $70,024 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $14,008 | $15,423 | $49,402 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $10,911 | $12,013 | $37,771 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $18,140 | $19,972 | $64,917 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $10,978 | $12,087 | $38,024 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $10,121 | $11,143 | $34,805 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $8,452.62 | $9,306.42 | $28,540 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $13,242 | $14,579 | $46,524 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Cigna | 43 | $31,067 |
| Ambetter | 40 | $12,962 |
| Blue Cross Blue Shield | 40 | $9,165.92 |
| Humana | 40 | $9,721.43 |
| UnitedHealthcare | 40 | $10,184 |
| viva health | 40 | $9,999.18 |
