Urbana, IL, 61801
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 | 10 | — | — | $64 | $11,576 | 0.90× | $24,126 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $64 | $16,343 | 0.81× | $34,734 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $64 | $8,575.77 | 0.80× | $17,450 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $64 | $6,046.07 | 0.79× | $11,821 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $64 | $12,864 | 0.83× | $26,991 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $64 | $9,331.81 | 0.83× | $19,132 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $64 | $7,277.16 | 0.82× | $14,560 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $64 | $5,716.95 | 0.82× | $11,089 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $64 | $6,989.18 | 0.82× | $13,920 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $64 | $5,612.16 | 0.84× | $10,855 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $64 | $13,185 | 0.84× | $27,706 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $64 | $7,867.86 | 0.81× | $15,875 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $64 | $6,346.47 | 0.81× | $12,489 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $64 | $10,699 | 0.84× | $22,174 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $64 | $7,323.73 | 0.82× | $14,664 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $64 | $5,127.03 | 0.83× | $9,775.95 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $64 | $10,079 | 0.83× | $20,795 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $64 | $6,444.27 | 0.83× | $12,707 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $64 | $5,127.8 | 0.83× | $9,777.68 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $64 | $8,346.01 | 0.83× | $16,939 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $64 | $5,626.91 | 0.82× | $10,888 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $64 | $6,785.03 | 0.84× | $13,465 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $64 | $12,902 | 0.85× | $27,077 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $64 | $9,740.1 | 0.84× | $20,041 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $64 | $7,017.12 | 0.84× | $13,982 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $64 | $15,812 | 0.85× | $33,551 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $64 | $8,676.68 | 0.84× | $17,674 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $64 | $64 | 0.71× | $64 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $64 | $64 | 0.71× | $64 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $64 | $64 | 0.70× | $64 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $64 | $64 | 0.07× | $64 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | — | — | $64 | $41,260 | 1.5× | $51,737 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | — | — | $64 | $26,302 | 1.4× | $32,981 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $64 | $36,413 | 0.85× | $79,391 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $64 | $19,341 | 0.83× | $41,404 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $64 | $13,797 | 0.84× | $29,067 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $64 | $13,864 | 0.84× | $29,217 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $64 | $11,335 | 0.84× | $23,590 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $64 | $27,180 | 0.84× | $58,847 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $64 | $91,357 | 1.8× | $114,553 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $64 | $50,386 | 1.5× | $63,179 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $64 | $24,278 | 0.82× | $52,389 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $64 | $15,706 | 0.83× | $33,316 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $64 | $23,339 | 0.83× | $50,301 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $64 | $16,992 | 0.84× | $36,176 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $64 | $13,394 | 0.84× | $28,171 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $64 | $23,146 | 0.85× | $49,871 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $64 | $13,155 | 0.81× | $27,640 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $64 | $12,442 | 0.82× | $26,053 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $64 | $10,364 | 0.84× | $21,429 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $64 | $16,639 | 0.87× | $35,392 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $6,785.03 |
| community partners health plans | 47 | $19,953 |
| Blue Cross Blue Shield | 47 | $14,106 |
| healthlink | 47 | $19,181 |
| UnitedHealthcare | 47 | $12,442 |
| WellCare | 43 | $10,806 |
| health alliance plan | 43 | $10,699 |
| Humana | 43 | $10,699 |
| meridian | 43 | $10,699 |
| Molina | 43 | $10,699 |
