Two Harbors, MN, 55616-1298
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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 | 5 | — | — | $46 | $89.5 | 0.01× | $29,053 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | — | — | $46 | $89.5 | 0.00× | $41,829 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | — | — | $46 | $89.5 | 0.01× | $21,014 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | — | — | $46 | $89.5 | 0.01× | $14,236 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $46 | $89.5 | 0.01× | $32,504 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $46 | $89.5 | 0.01× | $23,040 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $46 | $89.5 | 0.01× | $17,534 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $46 | $89.5 | 0.01× | $13,354 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $46 | $89.5 | 0.01× | $16,763 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $46 | $89.5 | 0.01× | $13,073 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $46 | $89.5 | 0.01× | $33,365 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $46 | $89.5 | 0.01× | $19,117 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $46 | $89.5 | 0.01× | $15,040 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $46 | $89.5 | 0.01× | $26,703 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $46 | $89.5 | 0.01× | $17,659 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $46 | $89.5 | 0.01× | $11,773 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $46 | $89.5 | 0.01× | $25,043 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $46 | $89.5 | 0.01× | $15,303 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $46 | $89.5 | 0.01× | $11,775 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $46 | $89.5 | 0.01× | $20,399 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $46 | $89.5 | 0.01× | $13,112 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $46 | $95.5 | 0.01× | $16,216 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $46 | $89.5 | 0.01× | $32,608 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $46 | $89.5 | 0.01× | $24,134 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $46 | $89.5 | 0.01× | $16,838 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $46 | $89.5 | 0.00× | $40,404 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $46 | $89.5 | 0.01× | $21,285 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 4 | — | — | $46 | $83.5 | 0.93× | $100 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 4 | — | — | $46 | $83.5 | 0.93× | $100 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 4 | — | — | $46 | $83.5 | 0.91× | $100 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 4 | — | — | $46 | $83.5 | 0.09× | $100 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 4 | — | — | $46 | $83.5 | 0.00× | $100 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 4 | — | — | $46 | $83.5 | 0.00× | $100 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $46 | $89.5 | 0.00× | $95,607 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $46 | $89.5 | 0.00× | $49,862 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $46 | $89.5 | 0.01× | $35,004 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $46 | $89.5 | 0.01× | $35,185 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $46 | $89.5 | 0.01× | $28,409 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $46 | $89.5 | 0.00× | $70,868 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $46 | $83.5 | 0.00× | $100 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $46 | $83.5 | 0.00× | $100 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $46 | $89.5 | 0.00× | $63,091 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $46 | $95.5 | 0.01× | $41,015 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $46 | $89.5 | 0.00× | $60,576 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $46 | $89.5 | 0.00× | $43,566 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $46 | $89.5 | 0.01× | $33,925 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $46 | $89.5 | 0.00× | $60,058 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $46 | $89.5 | 0.01× | $33,286 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $46 | $89.5 | 0.01× | $31,375 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $46 | $95.5 | 0.01× | $25,807 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $46 | $89.5 | 0.00× | $42,621 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 51 | $100 |
| healthpartners | 51 | $81.5 |
| medica | 51 | $70.75 |
| UnitedHealthcare | 51 | $83.5 |
| security health plan of wisconsin, inc. | 43 | $26,703 |
| the alliance (f/k/a employer health care alliance cooperative) | 3 | $18,440 |
