Milford, DE, 19963
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 | $12,584 | 0.98× | $17,415 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $73 | $17,756 | 0.88× | $46,704 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $73 | $9,329.14 | 0.87× | $29,157 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $73 | $6,584.82 | 0.86× | $22,954 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $73 | $13,981 | 0.91× | $35,924 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $73 | $10,149 | 0.90× | $24,546 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $73 | $7,920.35 | 0.90× | $21,594 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $73 | $6,227.78 | 0.89× | $17,215 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $73 | $7,607.94 | 0.90× | $20,168 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $73 | $6,114.1 | 0.91× | $15,093 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $73 | $14,329 | 0.91× | $36,388 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $73 | $8,561.17 | 0.89× | $24,812 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $73 | $6,910.7 | 0.89× | $22,622 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $73 | $11,632 | 0.91× | $28,427 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $73 | $7,970.87 | 0.89× | $19,604 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $73 | $5,587.81 | 0.90× | $17,116 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $73 | $10,960 | 0.91× | $26,271 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $73 | $7,016.8 | 0.90× | $16,519 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $73 | $5,588.65 | 0.90× | $13,003 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $73 | $9,079.88 | 0.91× | $25,508 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $73 | $6,130.1 | 0.90× | $18,277 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $73 | $7,386.47 | 0.92× | $17,083 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $73 | $14,023 | 0.92× | $50,718 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $73 | $10,592 | 0.91× | $31,313 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $73 | $7,638.25 | 0.92× | $16,419 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $73 | $17,179 | 0.92× | $46,306 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $73 | $9,438.61 | 0.91× | $23,584 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 6 | — | — | $73 | $85.7 | 0.95× | $92 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 6 | — | — | $73 | $85.7 | 0.95× | $92 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 6 | — | — | $73 | $85.7 | 0.93× | $92 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 6 | — | — | $73 | $85.7 | 0.09× | $92 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $73 | $85.7 | 0.00× | $92 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $73 | $85.7 | 0.00× | $92 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $73 | $39,528 | 0.92× | $96,294 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $73 | $21,008 | 0.90× | $58,712 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $73 | $14,993 | 0.91× | $43,719 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $73 | $15,066 | 0.91× | $41,695 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $73 | $12,323 | 0.91× | $34,929 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $73 | $29,512 | 0.91× | $108,799 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $73 | $89.5 | 0.00× | $128,967 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $73 | $89.5 | 0.00× | $71,615 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $73 | $26,363 | 0.89× | $72,113 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $73 | $17,064 | 0.90× | $39,705 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $73 | $25,345 | 0.91× | $82,893 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $73 | $18,459 | 0.91× | $58,281 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $73 | $14,556 | 0.91× | $42,259 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $73 | $25,136 | 0.93× | $66,639 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $73 | $14,297 | 0.88× | $42,259 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $73 | $13,524 | 0.89× | $34,166 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $73 | $11,269 | 0.92× | $28,493 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $73 | $18,077 | 0.95× | $31,446 |
| 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 | $23,584 |
| pace your life | 43 | $11,632 |
| UnitedHealthcare | 43 | $11,865 |
| WellCare | 43 | $11,632 |
| health options | 43 | $11,632 |
