Estherville, IA, 51334
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 | — | — | $75 | $19,565 | 1.5× | $33,116 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 13 | — | — | $75 | $27,777 | 1.4× | $46,734 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 13 | — | — | $75 | $14,398 | 1.3× | $23,894 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 13 | — | — | $75 | $10,040 | 1.3× | $16,172 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 13 | — | — | $75 | $21,783 | 1.4× | $38,217 |
| COPD w MCC | MS-DRG | 190 | 13 | — | — | $75 | $15,700 | 1.4× | $26,392 |
| COPD w CC | MS-DRG | 191 | 13 | — | — | $75 | $12,161 | 1.4× | $20,185 |
| COPD w/o CC/MCC | MS-DRG | 192 | 13 | — | — | $75 | $9,422.27 | 1.3× | $15,206 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | — | $75 | $11,665 | 1.4× | $19,266 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 13 | — | — | $75 | $9,184.43 | 1.4× | $14,633 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $75 | $22,337 | 1.4× | $38,567 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | — | $75 | $13,178 | 1.4× | $21,658 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | — | $75 | $10,542 | 1.4× | $17,036 |
| Heart failure & shock w MCC | MS-DRG | 291 | 13 | — | — | $75 | $18,054 | 1.4× | $30,659 |
| Heart failure & shock w CC | MS-DRG | 292 | 13 | — | — | $75 | $12,241 | 1.4× | $20,236 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 13 | — | — | $75 | $8,243.38 | 1.3× | $12,899 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 13 | — | — | $75 | $16,987 | 1.4× | $28,335 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 13 | — | — | $75 | $10,726 | 1.4× | $17,370 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 13 | — | — | $75 | $8,118.59 | 1.3× | $13,145 |
| GI hemorrhage w CC | MS-DRG | 378 | 13 | — | — | $75 | $14,002 | 1.4× | $23,164 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 13 | — | — | $75 | $9,296.01 | 1.4× | $14,957 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | — | $75 | $11,313 | 1.4× | $18,333 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 13 | — | — | $75 | $21,850 | 1.4× | $36,752 |
| Kidney/UTI w MCC | MS-DRG | 689 | 13 | — | — | $75 | $16,403 | 1.4× | $27,499 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 13 | — | — | $75 | $11,713 | 1.4× | $18,857 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | — | $75 | $26,861 | 1.4× | $46,104 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 13 | — | — | $75 | $14,571 | 1.4× | $24,223 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $75 | $75 | 0.83× | $75 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $75 | $75 | 0.83× | $75 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $75 | $75 | 0.82× | $75 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $75 | $75 | 0.08× | $75 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $75 | $59,261 | 2.1× | $70,377 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $75 | $37,778 | 2.1× | $44,864 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 13 | — | — | $75 | $62,346 | 1.4× | $107,882 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 13 | — | — | $75 | $32,941 | 1.4× | $55,535 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 13 | — | — | $75 | $23,390 | 1.4× | $38,790 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 13 | — | — | $75 | $23,507 | 1.4× | $38,966 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 13 | — | — | $75 | $19,151 | 1.4× | $30,957 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 13 | — | — | $75 | $46,444 | 1.4× | $82,919 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $75 | $126,014 | 2.5× | $155,826 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $75 | $70,264 | 2.1× | $85,942 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | — | $75 | $34,969 | 1.2× | $76,793 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | — | $75 | $26,523 | 1.4× | $44,300 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | — | $75 | $39,828 | 1.4× | $69,099 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | — | $75 | $28,894 | 1.4× | $48,750 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | — | $75 | $22,697 | 1.4× | $37,272 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | — | $75 | $38,207 | 1.4× | $64,057 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | — | $75 | $22,286 | 1.4× | $37,519 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | — | $75 | $21,057 | 1.4× | $34,343 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 13 | — | — | $75 | $17,059 | 1.4× | $28,161 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 13 | — | — | $75 | $27,636 | 1.4× | $45,907 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 51 | $75 |
| Aetna | 47 | $29,585 |
| Cigna | 47 | $28,401 |
| first choice | 47 | $25,818 |
| Kaiser Permanente | 47 | $13,161 |
| providence health plan | 47 | $15,550 |
| UnitedHealthcare | 47 | $23,831 |
| Blue Cross Blue Shield | 45 | $14,611 |
| Molina | 43 | $11,883 |
| amerigroup | 43 | $12,412 |
| community health plan | 43 | $18,054 |
| community health plan of washington | 43 | $12,412 |
| coordinated care | 43 | $19,603 |
