Atlanta, GA, 30302
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 | 14 | — | — | $14,537 | $17,992 | 1.4× | $32,861 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 14 | — | — | $20,392 | $24,604 | 1.2× | $43,232 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 14 | — | — | $10,489 | $13,638 | 1.3× | $26,335 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 14 | — | — | $7,098.72 | $10,367 | 1.4× | $20,833 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | — | $16,672 | $20,128 | 1.3× | $35,662 |
| COPD w MCC | MS-DRG | 190 | 14 | — | — | $11,585 | $14,786 | 1.3× | $27,980 |
| COPD w CC | MS-DRG | 191 | 14 | — | — | $8,860.25 | $11,836 | 1.3× | $23,510 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | — | $6,674.84 | $10,011 | 1.4× | $20,117 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | — | $8,457 | $11,409 | 1.3× | $22,884 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | — | $6,423.19 | $9,897.45 | 1.5× | $19,889 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | — | $16,929 | $20,476 | 1.3× | $36,361 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | — | $9,506.9 | $12,592 | 1.3× | $24,795 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | — | $7,478.25 | $10,692 | 1.4× | $21,486 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | — | $13,458 | $16,789 | 1.3× | $30,953 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | — | $8,882.94 | $11,877 | 1.3× | $23,612 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | — | $5,662.06 | $9,181.55 | 1.5× | $18,833 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | — | $12,438 | $15,766 | 1.3× | $29,606 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | — | $7,624.7 | $10,798 | 1.4× | $21,699 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | — | $5,770.35 | $9,328.71 | 1.5× | $18,835 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | — | $10,168 | $13,297 | 1.3× | $25,835 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | — | $6,565.52 | $9,913.42 | 1.4× | $19,921 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 14 | — | — | $8,047.55 | $11,167 | 1.4× | $22,440 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | — | $15,726 | $19,513 | 1.3× | $35,747 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | — | $12,071 | $15,335 | 1.3× | $28,868 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | — | $8,277.54 | $11,418 | 1.4× | $22,945 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | — | $19,847 | $24,129 | 1.3× | $42,075 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | — | $10,633 | $13,790 | 1.3× | $26,555 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | — | $40,984 | $55,526 | 1.3× | $97,482 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | — | $23,468 | $28,833 | 1.2× | $50,181 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | — | $17,027 | $20,874 | 1.3× | $37,692 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | — | $17,105 | $20,963 | 1.3× | $37,839 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | — | $13,589 | $17,223 | 1.3× | $32,338 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | — | $31,511 | $42,678 | 1.3× | $74,925 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | — | $28,533 | $39,525 | 1.3× | $69,390 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 14 | — | — | $19,446 | $23,539 | 1.2× | $41,845 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | — | $27,571 | $35,565 | 1.3× | $62,437 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | — | $21,057 | $25,552 | 1.3× | $44,641 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | — | $16,361 | $20,207 | 1.3× | $36,815 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 14 | — | — | $27,372 | $33,418 | 1.2× | $58,029 |
| OR procedure for obesity w CC | MS-DRG | 620 | 14 | — | — | $16,469 | $20,150 | 1.2× | $36,297 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 14 | — | — | $15,075 | $18,825 | 1.2× | $34,745 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 14 | — | — | $12,362 | $15,870 | 1.3× | $30,225 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | — | $20,151 | $24,521 | 1.3× | $43,875 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $20,073 |
| Ambetter | 43 | $30,953 |
| Blue Cross Blue Shield | 43 | $17,068 |
| Cigna | 43 | $18,100 |
| clover health | 43 | $15,331 |
| devoted health | 43 | $14,601 |
| Humana | 43 | $21,823 |
| Kaiser Permanente | 43 | $14,601 |
| optum | 43 | $14,601 |
| Oscar Health | 43 | $18,102 |
| sonder health plans | 43 | $15,331 |
| UnitedHealthcare | 43 | $19,847 |
| va community care network | 43 | $14,601 |
| WellCare | 43 | $15,477 |
