Galesburg, IL, 61401
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 | 13 | — | — | $90 | $12,303 | 0.96× | $22,621 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 13 | — | — | $90 | $17,484 | 0.87× | $32,568 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 13 | — | — | $90 | $9,042.7 | 0.84× | $16,362 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 13 | — | — | $90 | $6,293.66 | 0.83× | $11,365 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 13 | — | — | $90 | $13,702 | 0.89× | $25,308 |
| COPD w MCC | MS-DRG | 190 | 13 | — | — | $90 | $9,864.29 | 0.88× | $17,939 |
| COPD w CC | MS-DRG | 191 | 13 | — | — | $90 | $7,631.49 | 0.86× | $13,781 |
| COPD w/o CC/MCC | MS-DRG | 192 | 13 | — | — | $90 | $5,936.01 | 0.85× | $10,719 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | — | $90 | $7,318.54 | 0.86× | $13,216 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 13 | — | — | $90 | $5,822.14 | 0.87× | $10,514 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $90 | $14,052 | 0.90× | $25,978 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | — | $90 | $8,273.4 | 0.86× | $14,940 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | — | $90 | $6,620.11 | 0.85× | $11,955 |
| Heart failure & shock w MCC | MS-DRG | 291 | 13 | — | — | $90 | $11,350 | 0.89× | $20,791 |
| Heart failure & shock w CC | MS-DRG | 292 | 13 | — | — | $90 | $7,682.1 | 0.86× | $13,873 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 13 | — | — | $90 | $5,294.93 | 0.85× | $9,561.72 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 13 | — | — | $90 | $10,677 | 0.88× | $19,499 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 13 | — | — | $90 | $6,726.38 | 0.87× | $12,147 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 13 | — | — | $90 | $5,295.78 | 0.85× | $9,563.25 |
| GI hemorrhage w CC | MS-DRG | 378 | 13 | — | — | $90 | $8,793.02 | 0.88× | $15,882 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 13 | — | — | $90 | $5,838.16 | 0.85× | $10,543 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | — | $90 | $7,096.69 | 0.88× | $12,815 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 13 | — | — | $90 | $13,744 | 0.90× | $25,389 |
| Kidney/UTI w MCC | MS-DRG | 689 | 13 | — | — | $90 | $10,308 | 0.89× | $18,791 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 13 | — | — | $90 | $7,348.91 | 0.88× | $13,271 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | — | $90 | $16,906 | 0.91× | $31,459 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 13 | — | — | $90 | $9,152.35 | 0.88× | $16,572 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $90 | $90 | 1.00× | $90 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $90 | $90 | 1.00× | $90 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $90 | $90 | 0.98× | $90 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $90 | $90 | 0.10× | $90 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $90 | $31,494 | 1.1× | $48,511 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $90 | $20,076 | 1.1× | $30,924 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 13 | — | — | $90 | $39,293 | 0.91× | $74,440 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 13 | — | — | $90 | $20,741 | 0.89× | $38,823 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 13 | — | — | $90 | $14,716 | 0.90× | $27,255 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 13 | — | — | $90 | $14,790 | 0.90× | $27,395 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 13 | — | — | $90 | $12,041 | 0.89× | $22,119 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 13 | — | — | $90 | $29,260 | 0.90× | $55,178 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $90 | $69,732 | 1.4× | $107,410 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $90 | $38,459 | 1.1× | $59,240 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | — | $90 | $26,106 | 0.88× | $49,123 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | — | $90 | $16,791 | 0.89× | $31,239 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | — | $90 | $25,086 | 0.90× | $47,165 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | — | $90 | $18,188 | 0.90× | $33,920 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | — | $90 | $14,278 | 0.89× | $26,414 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | — | $90 | $24,876 | 0.92× | $46,761 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | — | $90 | $14,019 | 0.86× | $25,917 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | — | $90 | $13,244 | 0.87× | $24,429 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 13 | — | — | $90 | $10,986 | 0.89× | $20,093 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 13 | — | — | $90 | $17,805 | 0.93× | $33,185 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Multiplan | 51 | $90 |
| Aetna | 47 | $13,937 |
| Cigna | 47 | $10,358 |
| healthlink | 47 | $22,621 |
| Humana | 47 | $13,611 |
| imagine health | 47 | $13,270 |
| UnitedHealthcare | 47 | $13,918 |
| illinicare health plan | 43 | $13,223 |
| Blue Cross Blue Shield | 43 | $16,528 |
| WellCare | 43 | $11,129 |
| clear spring | 43 | $11,019 |
| Molina | 43 | $15,427 |
| allwell | 43 | $11,019 |
