Thibodaux, LA, 70302
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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 | 6 | — | — | $60.2 | $14,726 | 1.1× | $23,269 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $60.2 | $21,202 | 1.1× | $32,837 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $60.2 | $10,652 | 0.99× | $16,787 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $60.2 | $7,215.63 | 0.95× | $11,362 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $60.2 | $16,476 | 1.1× | $26,685 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $60.2 | $11,678 | 1.0× | $18,538 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $60.2 | $8,887.75 | 1.0× | $14,182 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $60.2 | $6,768.61 | 0.97× | $10,684 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $60.2 | $8,496.6 | 1.0× | $13,536 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $60.2 | $6,626.28 | 0.99× | $10,279 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $60.2 | $16,912 | 1.1× | $27,096 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $60.2 | $9,690.07 | 1.0× | $15,217 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $60.2 | $7,623.64 | 0.98× | $11,970 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $60.2 | $13,535 | 1.1× | $21,539 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $60.2 | $8,951.01 | 1.0× | $14,216 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $60.2 | $5,967.34 | 0.96× | $9,057.79 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $60.2 | $12,694 | 1.0× | $19,907 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $60.2 | $7,756.49 | 1.00× | $12,204 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $60.2 | $5,968.39 | 0.96× | $9,236.07 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $60.2 | $10,340 | 1.0× | $16,275 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $60.2 | $6,646.31 | 0.97× | $10,510 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $60.2 | $8,219.32 | 1.0× | $12,881 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $60.2 | $16,528 | 1.1× | $25,173 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $60.2 | $12,233 | 1.1× | $19,319 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $60.2 | $8,534.56 | 1.0× | $13,249 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $60.2 | $20,480 | 1.1× | $32,390 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $60.2 | $10,789 | 1.0× | $17,019 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $60.2 | $70.1 | 0.78× | $80 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $60.2 | $70.1 | 0.78× | $80 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $60.2 | $70.1 | 0.76× | $80 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $60.2 | $70.1 | 0.07× | $80 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $60.2 | $70.1 | 0.00× | $80 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $60.2 | $70.1 | 0.00× | $80 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $60.2 | $48,461 | 1.1× | $75,802 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $60.2 | $25,274 | 1.1× | $39,019 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $60.2 | $17,743 | 1.1× | $27,254 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $60.2 | $17,835 | 1.1× | $27,376 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $60.2 | $14,400 | 1.1× | $21,751 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $60.2 | $35,921 | 1.1× | $58,264 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $60.2 | $70.1 | 0.00× | $80 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $60.2 | $70.1 | 0.00× | $80 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $60.2 | $31,979 | 1.1× | $53,959 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $60.2 | $20,336 | 1.1× | $31,125 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $60.2 | $30,704 | 1.1× | $48,549 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $60.2 | $22,082 | 1.1× | $34,252 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $60.2 | $17,196 | 1.1× | $26,188 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $60.2 | $30,442 | 1.1× | $45,008 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $60.2 | $16,872 | 1.0× | $26,363 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $60.2 | $15,903 | 1.0× | $24,131 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $60.2 | $13,081 | 1.1× | $19,788 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $60.2 | $21,604 | 1.1× | $32,256 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $60.2 |
| Multiplan | 51 | $80 |
| Blue Cross Blue Shield | 43 | $14,336 |
| First Health | 43 | $21,539 |
| Medicare | 43 | $8,762.96 |
| UnitedHealthcare | 43 | $13,892 |
