Laurium, MI, 49913-
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 | 1 | — | — | $1,253.31 | $1,253.31 | 0.10× | $1,253.31 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $36,248 | $36,248 | 1.8× | $36,248 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | — | — | $5,379.7 | $13,077 | 1.2× | $29,204 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | — | — | $10,205 | $11,900 | 0.77× | $62,599 |
| COPD w MCC | MS-DRG | 190 | 2 | — | — | $2,905 | $4,071.21 | 0.36× | $8,714.59 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $7,428.48 | $7,428.48 | 0.84× | $7,428.48 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $5,924 | $5,924 | 0.85× | $5,924 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $6,069.32 | $6,069.32 | 0.72× | $6,069.32 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | — | — | $2,720.49 | $5,703.16 | 0.85× | $9,654.76 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | — | — | $1,487.3 | $3,617.42 | 0.23× | $5,747.53 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $4,095 | $4,095 | 0.53× | $4,095 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | — | — | $5,879.66 | $10,769 | 0.84× | $12,126 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $13,001 | $13,001 | 1.1× | $13,001 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | — | $2,681.22 | $8,072.29 | 1.0× | $12,042 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | — | $2,681.22 | $4,954.11 | 0.80× | $7,226.99 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | — | — | $7,275.08 | $11,547 | 1.2× | $15,819 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | — | — | $4,482.96 | $9,486.11 | 1.2× | $49,056 |
| Kidney/UTI w MCC | MS-DRG | 689 | 3 | — | — | $3,476.33 | $7,868.41 | 0.68× | $13,594 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $7,307.63 | $11,277 | 1.4× | $12,617 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $8,912.74 | $13,182 | 0.71× | $33,128 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 2 | — | — | $7,689.36 | $11,690 | 1.1× | $14,961 |
| maternity | |||||||||
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $4,371.97 | $4,371.97 | 4.7× | $4,371.97 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | — | — | $29,610 | $41,942 | 0.97× | $54,274 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | — | — | $21,696 | $26,864 | 1.2× | $32,032 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $6,254.08 | $6,254.08 | 0.38× | $6,254.08 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | — | — | $2,701.14 | $3,820.84 | 0.12× | $4,940.53 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $2,986.35 | $2,986.35 | 0.10× | $2,986.35 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | — | — | $7,453.96 | $8,249.44 | 0.44× | $9,044.92 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 4 | — | — | $10,616 | $18,921 | 0.93× | $24,653 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $26,503 | $26,503 | 1.7× | $26,503 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 19 | $13,297 |
| UnitedHealthcare | 15 | $5,996.66 |
| Humana | 13 | $8,714.59 |
| upper pennisula health plan | 12 | $8,176.28 |
| Aetna | 3 | $13,587 |
| health partners | 1 | $13,363 |
| aspirus health plan, inc. | 1 | $9,654.76 |
| Anthem BCBS | 1 | $4,940.53 |
