Napa, CA, 94558
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 | 12 | — | — | $90 | $15,794 | 1.2× | $63,877 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $90 | $22,514 | 1.1× | $90,144 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $90 | $11,565 | 1.1× | $46,089 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $90 | $7,999.92 | 1.0× | $31,193 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $90 | $17,609 | 1.1× | $73,258 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $90 | $12,631 | 1.1× | $50,907 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $90 | $9,735.11 | 1.1× | $38,934 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $90 | $7,536.04 | 1.1× | $29,330 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $90 | $9,329.21 | 1.1× | $37,162 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $90 | $7,388.34 | 1.1× | $28,225 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $90 | $18,062 | 1.2× | $74,391 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $90 | $10,568 | 1.1× | $41,775 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $90 | $8,423.33 | 1.1× | $32,861 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $90 | $14,558 | 1.1× | $59,137 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $90 | $9,800.76 | 1.1× | $39,033 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $90 | $6,704.55 | 1.1× | $24,880 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $90 | $13,685 | 1.1× | $54,655 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $90 | $8,561.18 | 1.1× | $33,504 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $90 | $6,705.64 | 1.1× | $25,356 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $90 | $11,242 | 1.1× | $44,680 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $90 | $7,409.13 | 1.1× | $28,850 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $90 | $9,041.47 | 1.1× | $35,362 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $90 | $17,664 | 1.2× | $69,102 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $90 | $13,207 | 1.1× | $53,041 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $90 | $9,368.6 | 1.1× | $36,373 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $90 | $21,764 | 1.2× | $88,929 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $90 | $11,708 | 1.1× | $46,724 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $90 | $90 | 1.00× | $90 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $90 | $90 | 1.00× | $90 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $90 | $90 | 0.98× | $90 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $90 | $90 | 0.10× | $90 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $90 | $21,567 | 0.78× | $72,716 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $90 | $21,567 | 1.2× | $46,253 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $90 | $50,801 | 1.2× | $208,091 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $90 | $26,739 | 1.2× | $107,121 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $90 | $18,924 | 1.2× | $74,822 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $90 | $19,019 | 1.2× | $75,162 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $90 | $15,455 | 1.1× | $59,712 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $90 | $37,788 | 1.2× | $159,940 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $90 | $30,727 | 0.62× | $156,609 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $90 | $30,727 | 0.92× | $91,490 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $90 | $33,697 | 1.1× | $148,125 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $90 | $21,616 | 1.1× | $85,449 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $90 | $32,375 | 1.2× | $133,283 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $90 | $23,427 | 1.2× | $94,032 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $90 | $18,356 | 1.1× | $71,894 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $90 | $32,102 | 1.2× | $123,558 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $90 | $18,020 | 1.1× | $72,370 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $90 | $17,015 | 1.1× | $66,243 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $90 | $14,086 | 1.1× | $54,319 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $90 | $22,931 | 1.2× | $88,549 |
| Payer | Codes covered | Median rate |
|---|---|---|
| First Health | 51 | $90 |
| Blue Cross Blue Shield | 47 | $21,647 |
| Cigna | 45 | $14,086 |
| Humana | 43 | $14,558 |
| Kaiser Permanente | 43 | $14,558 |
| Molina | 43 | $14,558 |
| providence health plan | 43 | $14,558 |
| UnitedHealthcare | 43 | $27,525 |
| Aetna | 43 | $30,262 |
| western health advantage | 43 | $14,558 |
| devoted health | 43 | $14,558 |
| Health Net | 43 | $18,503 |
