Duluth, MN, 55805-
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 | 14 | — | — | $76 | $11,077 | 0.86× | $25,161 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 14 | — | — | $76 | $15,822 | 0.78× | $36,224 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 14 | — | — | $76 | $8,091.68 | 0.75× | $18,199 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 14 | — | — | $76 | $5,574.27 | 0.73× | $12,328 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | — | $76 | $12,359 | 0.80× | $28,149 |
| COPD w MCC | MS-DRG | 190 | 14 | — | — | $76 | $8,844.04 | 0.79× | $19,953 |
| COPD w CC | MS-DRG | 191 | 14 | — | — | $76 | $6,799.37 | 0.77× | $15,185 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | — | $76 | $5,246.75 | 0.75× | $11,564 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | — | $76 | $6,512.79 | 0.77× | $14,517 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | — | $76 | $5,142.47 | 0.77× | $11,321 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | — | $76 | $12,678 | 0.81× | $28,895 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | — | $76 | $7,387.2 | 0.76× | $16,556 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | — | $76 | $5,873.21 | 0.75× | $13,025 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | — | $76 | $10,204 | 0.80× | $23,125 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | — | $76 | $6,845.72 | 0.77× | $15,293 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | — | $76 | $4,659.69 | 0.75× | $10,195 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | — | $76 | $9,587.91 | 0.79× | $21,688 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | — | $76 | $5,970.53 | 0.77× | $13,252 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | — | $76 | $4,660.46 | 0.75× | $10,197 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | — | $76 | $7,863.03 | 0.79× | $17,665 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | — | $76 | $5,157.15 | 0.75× | $11,355 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $76 | $6,309.64 | 0.78× | $14,043 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | — | $76 | $12,397 | 0.82× | $28,239 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | — | $76 | $9,250.35 | 0.80× | $20,900 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | — | $76 | $6,540.6 | 0.79× | $14,582 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | — | $76 | $15,292 | 0.82× | $34,990 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | — | $76 | $8,192.1 | 0.79× | $18,433 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 4 | — | — | $76 | $85 | 0.94× | $85 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 4 | — | — | $76 | $85 | 0.94× | $85 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 4 | — | — | $76 | $85 | 0.92× | $85 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 4 | — | — | $76 | $85 | 0.09× | $85 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 4 | — | — | $76 | $85 | 0.00× | $85 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 4 | — | — | $76 | $85 | 0.00× | $85 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | — | $76 | $35,793 | 0.83× | $82,797 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | — | $76 | $18,805 | 0.81× | $43,181 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | — | $76 | $13,287 | 0.81× | $30,314 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | — | $76 | $13,354 | 0.81× | $30,471 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | — | $76 | $10,838 | 0.80× | $24,602 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | — | $76 | $26,606 | 0.82× | $61,372 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $76 | $85 | 0.00× | $85 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $76 | $85 | 0.00× | $85 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | — | $76 | $23,718 | 0.80× | $54,637 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $76 | $15,187 | 0.80× | $41,015 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | — | $76 | $22,784 | 0.81× | $52,459 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | — | $76 | $16,467 | 0.81× | $37,728 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | — | $76 | $12,886 | 0.81× | $29,379 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 14 | — | — | $76 | $22,591 | 0.83× | $52,011 |
| OR procedure for obesity w CC | MS-DRG | 620 | 14 | — | — | $76 | $12,649 | 0.78× | $28,826 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 14 | — | — | $76 | $11,939 | 0.79× | $27,171 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $76 | $9,871.4 | 0.80× | $22,349 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | — | $76 | $16,116 | 0.84× | $36,910 |
| Payer | Codes covered | Median rate |
|---|---|---|
| First Health | 51 | $85 |
| group health cooperative of eau claire | 51 | $85 |
| Multiplan | 51 | $76 |
| america's ppo | 51 | $85 |
| healthpartners | 43 | $13,766 |
| Humana | 43 | $10,715 |
| medica | 43 | $10,641 |
| security health plan of wisconsin, inc. | 43 | $10,510 |
| UnitedHealthcare | 43 | $12,886 |
| Anthem BCBS | 43 | $12,678 |
| aspirus health plan, inc. | 43 | $14,973 |
| Blue Cross Blue Shield | 43 | $10,204 |
| Aetna | 43 | $10,510 |
| ucare | 43 | $10,204 |
| the alliance (f/k/a employer health care alliance cooperative) | 3 | $18,440 |
