Decatur, GA, 30030-
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 | 5 | — | — | $19,553 | $27,251 | 2.1× | $28,146 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | — | — | $27,593 | $38,457 | 1.9× | $39,720 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | — | — | $14,108 | $19,663 | 1.8× | $20,308 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | — | — | $9,548.1 | $13,308 | 1.7× | $13,745 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $22,424 | $31,254 | 2.0× | $32,280 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $15,582 | $21,718 | 1.9× | $22,431 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $11,917 | $16,610 | 1.9× | $17,155 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $8,977.96 | $12,513 | 1.8× | $12,924 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $11,375 | $15,854 | 1.9× | $16,375 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $8,639.48 | $12,041 | 1.8× | $12,437 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $22,771 | $31,737 | 2.0× | $32,779 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $12,787 | $17,822 | 1.8× | $18,407 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $10,059 | $14,019 | 1.8× | $14,480 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $18,102 | $25,229 | 2.0× | $26,058 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $11,948 | $16,652 | 1.9× | $17,199 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $7,615.73 | $10,614 | 1.7× | $10,963 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $16,730 | $23,317 | 1.9× | $24,083 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $10,256 | $14,294 | 1.8× | $14,763 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $7,761.38 | $10,817 | 1.7× | $11,173 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $13,676 | $19,061 | 1.9× | $19,687 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $8,830.92 | $12,308 | 1.8× | $12,712 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $10,824 | $15,086 | 1.9× | $15,582 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $21,152 | $29,481 | 1.9× | $30,449 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $16,236 | $22,629 | 1.9× | $23,372 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $11,134 | $15,518 | 1.9× | $16,027 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $27,221 | $37,939 | 2.0× | $39,185 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $14,302 | $19,933 | 1.9× | $20,588 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $63,696 | $88,776 | 2.1× | $91,692 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $32,789 | $45,700 | 2.0× | $47,201 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $22,903 | $31,921 | 1.9× | $32,969 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $23,007 | $32,066 | 1.9× | $33,119 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $18,278 | $25,475 | 1.9× | $26,311 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $48,957 | $68,234 | 2.1× | $70,475 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $45,341 | $63,193 | 2.1× | $65,269 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $26,156 | $36,454 | 1.9× | $37,652 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $40,798 | $56,861 | 2.0× | $58,729 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $28,783 | $40,116 | 2.0× | $41,434 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $22,007 | $30,672 | 1.9× | $31,679 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $37,821 | $52,712 | 1.9× | $54,443 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $22,152 | $30,875 | 1.9× | $31,889 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $20,277 | $28,261 | 1.9× | $29,189 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $16,627 | $23,174 | 1.9× | $23,935 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $27,105 | $37,777 | 2.0× | $39,017 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $25,679 |
| Blue Cross Blue Shield | 43 | $25,229 |
| Cigna | 43 | $26,058 |
| Humana | 43 | $21,823 |
| Oscar Health | 43 | $18,102 |
