900 HOSPITAL DR, MADISONVILLE, KY, 42431
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 0 | $165 | $165 | — | — | — |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | $89,725 | $89,725 | $1,500 | $1,754.5 | $67,294 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | $44,972 | $44,972 | $1,500 | $1,754.5 | $33,729 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | $33,470 | $33,470 | $1,500 | $1,754.5 | $25,103 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | $10,454 | $10,454 | $1,500 | $1,754.5 | $7,841 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | $112,615 | $112,615 | $1,500 | $1,754.5 | $84,461 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 5 | $1,809 |
| alliance coal direct opt-in | 5 | $2,171 |
| Anthem BCBS | 5 | $1,700 |
| baptist health community health | 5 | $1,500 |
| center care | 5 | $1,500 |
| Cigna | 5 | $1,500 |
| Molina | 5 | $1,809 |
| muiltiplan | 5 | $31,480 |
| united - center care | 5 | $1,654.5 |
| WellCare | 5 | $1,809 |
