Rosiclare, IL, 62982
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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 | 9 | — | — | $7,136.25 | $11,317 | 0.88× | $23,815 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $10,274 | $22,775 | 1.1× | $34,288 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $5,161.62 | $11,442 | 1.1× | $17,226 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $3,496.6 | $7,750.83 | 1.0× | $13,443 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $7,983.83 | $17,698 | 1.1× | $30,248 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $5,659.24 | $12,545 | 1.1× | $18,886 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $4,306.89 | $9,546.98 | 1.1× | $14,373 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $3,279.98 | $7,270.65 | 1.0× | $10,946 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $4,117.34 | $9,126.82 | 1.1× | $13,741 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $3,211.01 | $7,117.76 | 1.1× | $10,716 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $8,195.35 | $18,166 | 1.2× | $37,364 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $4,695.68 | $10,409 | 1.1× | $28,319 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $3,694.32 | $8,189.11 | 1.1× | $27,380 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $6,558.93 | $14,539 | 1.1× | $21,889 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $4,337.54 | $9,614.92 | 1.1× | $14,475 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $2,891.69 | $6,409.95 | 1.0× | $9,650.3 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $6,151.24 | $13,635 | 1.1× | $26,448 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $3,758.69 | $8,331.8 | 1.1× | $15,529 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $2,892.2 | $6,411.08 | 1.0× | $11,272 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $5,010.4 | $11,106 | 1.1× | $16,721 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $3,220.71 | $7,139.28 | 1.0× | $10,748 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $3,982.98 | $8,096.73 | 1.0× | $13,292 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $8,009.38 | $17,754 | 1.2× | $49,061 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $5,927.97 | $12,738 | 1.1× | $19,783 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $4,135.74 | $7,644.73 | 0.92× | $13,802 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $9,924.23 | $21,999 | 1.2× | $33,120 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $5,228.04 | $11,589 | 1.1× | $17,447 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $23,484 | $52,055 | 1.2× | $78,370 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $12,247 | $27,148 | 1.2× | $40,872 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $8,597.94 | $19,059 | 1.2× | $28,693 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $8,642.38 | $19,157 | 1.2× | $35,129 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $6,977.87 | $15,468 | 1.1× | $23,287 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $17,407 | $27,405 | 0.85× | $58,091 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $15,497 | $34,351 | 1.2× | $60,497 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $9,854.75 | $21,845 | 1.2× | $50,904 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $14,879 | $32,982 | 1.2× | $52,385 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $10,701 | $23,720 | 1.2× | $46,573 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $8,332.78 | $18,471 | 1.2× | $35,197 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $14,752 | $32,700 | 1.2× | $52,592 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $8,175.93 | $18,123 | 1.1× | $38,049 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $7,706.42 | $17,083 | 1.1× | $32,549 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $6,338.74 | $12,617 | 1.0× | $21,154 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $10,469 | $18,030 | 0.94× | $34,937 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $14,539 |
| Blue Cross Blue Shield | 43 | $13,119 |
| celtic insurance company | 43 | $15,540 |
| choicecare | 43 | $10,026 |
| Cigna | 43 | $10,402 |
| oscar | 43 | $14,816 |
| river valley plan | 43 | $6,558.93 |
| UnitedHealthcare | 43 | $21,889 |
| VA Health | 43 | $10,026 |
