Dover, DE, 19901
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 | 11 | — | — | $73 | $13,666 | 1.1× | $17,702 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $73 | $19,284 | 0.96× | $47,475 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $73 | $10,130 | 0.95× | $29,638 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $73 | $7,149.08 | 0.94× | $23,333 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $73 | $15,183 | 0.98× | $36,516 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $73 | $11,021 | 0.98× | $24,951 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $73 | $8,599.88 | 0.97× | $21,950 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $73 | $6,761.22 | 0.97× | $17,500 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $73 | $8,260.51 | 0.97× | $20,500 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $73 | $6,637.73 | 0.99× | $15,342 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $73 | $15,562 | 0.99× | $36,988 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $73 | $9,296.01 | 0.96× | $25,221 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $73 | $7,503.09 | 0.96× | $22,996 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $73 | $12,632 | 0.99× | $28,896 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $73 | $8,654.77 | 0.97× | $19,927 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $73 | $6,066.01 | 0.98× | $17,398 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $73 | $11,902 | 0.98× | $26,704 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $73 | $7,618.35 | 0.98× | $16,791 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $73 | $6,066.92 | 0.98× | $13,217 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $73 | $9,859.5 | 0.98× | $25,929 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $73 | $6,655.11 | 0.97× | $18,579 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $73 | $8,019.93 | 1.00× | $17,365 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $73 | $15,229 | 1.0× | $51,555 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $73 | $11,502 | 0.99× | $31,830 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $73 | $8,293.44 | 1.00× | $16,690 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $73 | $18,658 | 1.00× | $47,070 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $73 | $10,249 | 0.99× | $23,973 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 6 | — | — | $73 | $89 | 0.99× | $92 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 6 | — | — | $73 | $89 | 0.99× | $92 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 6 | — | — | $73 | $89 | 0.97× | $92 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 6 | — | — | $73 | $89 | 0.10× | $92 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $73 | $89 | 0.00× | $92 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $73 | $89 | 0.00× | $92 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $73 | $42,935 | 1.00× | $97,883 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $73 | $22,817 | 0.98× | $59,680 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $73 | $16,283 | 0.99× | $44,440 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $73 | $16,363 | 0.99× | $42,383 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $73 | $13,382 | 0.99× | $35,505 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $73 | $32,055 | 0.99× | $110,594 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $73 | $90 | 0.00× | $131,095 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $73 | $90 | 0.00× | $72,797 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $73 | $28,635 | 0.97× | $73,302 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $73 | $18,533 | 0.98× | $40,360 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $73 | $27,529 | 0.98× | $84,261 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $73 | $20,048 | 0.99× | $59,242 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $73 | $15,808 | 0.99× | $42,956 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $73 | $27,301 | 1.0× | $67,739 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $73 | $15,527 | 0.96× | $42,956 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $73 | $14,687 | 0.97× | $34,729 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $73 | $12,238 | 1.00× | $28,964 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $73 | $19,633 | 1.0× | $31,964 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $92 |
| Ambetter | 51 | $90 |
| amerihealth caritas | 51 | $89 |
| Cigna | 51 | $82.4 |
| vitalcore | 51 | $73 |
| welsh & associates | 51 | $78 |
| Blue Cross Blue Shield | 45 | $23,973 |
| pace your life | 43 | $12,632 |
| UnitedHealthcare | 43 | $12,885 |
| WellCare | 43 | $12,632 |
| health options | 43 | $12,632 |
