Alton, IL, 62002-4568
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 | — | — | $70 | $11,883 | 0.93× | $53,935 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $70 | $16,753 | 0.83× | $77,651 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $70 | $8,818.49 | 0.82× | $39,011 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $70 | $6,234.28 | 0.82× | $26,427 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $70 | $13,199 | 0.86× | $60,341 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $70 | $9,590.81 | 0.85× | $42,772 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $70 | $7,491.89 | 0.85× | $32,551 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $70 | $5,898.08 | 0.84× | $24,790 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $70 | $7,197.71 | 0.85× | $31,118 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $70 | $5,791.03 | 0.87× | $24,268 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $70 | $13,527 | 0.86× | $61,939 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $70 | $8,095.32 | 0.84× | $35,489 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $70 | $6,541.15 | 0.84× | $27,921 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $70 | $10,987 | 0.86× | $49,571 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $70 | $7,539.47 | 0.84× | $32,782 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $70 | $5,295.44 | 0.85× | $21,855 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $70 | $10,354 | 0.86× | $46,490 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $70 | $6,641.06 | 0.85× | $28,408 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $70 | $5,296.23 | 0.85× | $21,859 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $70 | $8,583.77 | 0.86× | $37,868 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $70 | $5,806.09 | 0.85× | $24,342 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $70 | $6,989.17 | 0.87× | $30,103 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $70 | $13,238 | 0.87× | $60,534 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $70 | $10,008 | 0.86× | $44,803 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $70 | $7,226.26 | 0.87× | $31,257 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $70 | $16,210 | 0.87× | $75,006 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $70 | $8,921.57 | 0.86× | $39,513 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $70 | $75 | 0.83× | $80 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $70 | $75 | 0.83× | $80 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $70 | $75 | 0.82× | $80 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $70 | $75 | 0.08× | $80 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $70 | $75 | 0.00× | $80 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $70 | $75 | 0.00× | $80 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $70 | $37,255 | 0.87× | $177,485 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $70 | $19,816 | 0.85× | $92,563 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $70 | $14,152 | 0.86× | $64,982 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $70 | $14,221 | 0.86× | $65,318 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $70 | $11,637 | 0.86× | $52,738 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $70 | $27,824 | 0.86× | $131,558 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $70 | $75 | 0.00× | $80 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $70 | $75 | 0.00× | $80 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $70 | $24,859 | 0.84× | $117,121 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $70 | $16,102 | 0.85× | $74,481 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $70 | $23,900 | 0.85× | $112,453 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $70 | $17,416 | 0.86× | $80,875 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $70 | $13,740 | 0.86× | $62,978 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $70 | $23,703 | 0.87× | $111,491 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $70 | $13,497 | 0.83× | $61,792 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $70 | $12,768 | 0.84× | $58,244 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $70 | $10,645 | 0.87× | $47,907 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $70 | $17,056 | 0.89× | $79,122 |
| Payer | Codes covered | Median rate |
|---|---|---|
| phcs | 51 | $70 |
| Aetna | 51 | $6,803.41 |
| Cigna | 43 | $16,967 |
| essence | 43 | $10,987 |
| Humana | 43 | $10,987 |
| medica | 43 | $49,571 |
| meridian | 43 | $10,987 |
| Molina | 43 | $10,987 |
| UnitedHealthcare | 43 | $10,401 |
| WellCare | 43 | $11,097 |
| Blue Cross Blue Shield | 43 | $11,207 |
