Winder, GA, 30680
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 | 6 | — | — | $11,903 | $17,366 | 1.4× | $42,573 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $19,177 | $25,979 | 1.3× | $60,080 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $9,804.9 | $18,200 | 1.7× | $30,718 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $6,635.9 | $15,175 | 2.0× | $20,790 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $15,585 | $28,206 | 1.8× | $48,826 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $10,830 | $17,536 | 1.6× | $33,929 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $8,282.58 | $14,383 | 1.6× | $25,949 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $6,239.66 | $12,456 | 1.8× | $19,548 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $7,905.62 | $15,652 | 1.8× | $24,768 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $6,004.41 | $12,843 | 1.9× | $18,811 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $15,826 | $26,596 | 1.7× | $49,581 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $8,887.07 | $20,074 | 2.1× | $27,842 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $6,990.69 | $15,987 | 2.1× | $21,901 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $12,581 | $20,100 | 1.6× | $39,414 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $8,303.79 | $15,498 | 1.7× | $26,015 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,292.91 | $12,104 | 1.9× | $16,582 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $11,627 | $17,604 | 1.5× | $36,427 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $7,127.59 | $12,591 | 1.6× | $22,330 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $5,394.14 | $10,195 | 1.6× | $16,899 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $9,505.06 | $15,711 | 1.6× | $29,779 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $6,137.46 | $12,962 | 1.9× | $19,228 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $7,522.87 | $12,104 | 1.5× | $23,569 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $14,701 | $19,430 | 1.3× | $46,056 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $11,284 | $17,192 | 1.5× | $35,351 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $7,737.87 | $12,561 | 1.5× | $24,242 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $18,919 | $28,391 | 1.5× | $59,270 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,939.87 | $21,078 | 2.0× | $31,141 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $15,206 | $15,206 | 168.6× | $17,086 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $11,721 | $11,721 | 130.1× | $13,170 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $9,044.28 | $9,044.28 | 98.3× | $10,163 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $6,822.21 | $6,822.21 | 7.3× | $7,665.78 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $44,420 | $44,420 | 1.6× | $49,913 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $32,505 | $32,505 | 1.8× | $36,525 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $39,372 | $71,321 | 1.7× | $138,690 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $22,788 | $44,250 | 1.9× | $71,394 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $15,917 | $28,162 | 1.7× | $49,868 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $15,990 | $26,395 | 1.6× | $50,094 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $12,703 | $20,061 | 1.5× | $39,797 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $30,639 | $54,985 | 1.7× | $106,598 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $74,445 | $74,445 | 1.5× | $83,650 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $53,327 | $53,327 | 1.6× | $59,921 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $27,894 | $43,758 | 1.5× | $98,723 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $18,178 | $30,389 | 1.6× | $56,951 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $27,006 | $39,403 | 1.4× | $88,831 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $20,004 | $30,017 | 1.5× | $62,671 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $15,294 | $24,699 | 1.5× | $47,916 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $26,285 | $43,014 | 1.6× | $82,349 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $15,396 | $29,506 | 1.8× | $48,234 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $14,092 | $25,808 | 1.7× | $44,150 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $11,556 | $15,417 | 1.3× | $36,203 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $18,193 | $23,551 | 1.2× | $59,017 |
| Payer | Codes covered | Median rate |
|---|---|---|
| healthpartners | 51 | $20,238 |
| Aetna | 43 | $20,170 |
| Blue Cross Blue Shield | 43 | $26,823 |
| Cigna | 43 | $20,607 |
| Humana | 43 | $20,926 |
| UnitedHealthcare | 43 | $15,049 |
