Athens, OH, 45701-2345
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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 | 12 | — | — | $10,414 | $10,414 | 0.81× | $10,518 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $14,994 | $14,994 | 0.74× | $15,143 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $7,532.56 | $7,532.56 | 0.70× | $7,607.89 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $5,102.73 | $5,102.73 | 0.67× | $5,153.76 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $11,651 | $11,651 | 0.75× | $11,768 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $8,258.75 | $8,258.75 | 0.74× | $8,341.34 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $6,285.21 | $6,285.21 | 0.71× | $6,348.06 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $4,786.6 | $4,786.6 | 0.68× | $4,834.47 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $6,008.6 | $6,008.6 | 0.71× | $6,068.69 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $4,685.95 | $4,685.95 | 0.70× | $4,732.81 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $11,960 | $11,960 | 0.76× | $12,079 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $6,852.59 | $6,852.59 | 0.71× | $6,921.12 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $5,391.26 | $5,391.26 | 0.69× | $5,445.17 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $9,571.71 | $9,571.71 | 0.75× | $9,667.43 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $6,329.95 | $6,329.95 | 0.71× | $6,393.25 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $4,219.96 | $4,219.96 | 0.68× | $4,262.16 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $8,976.74 | $8,976.74 | 0.74× | $9,066.51 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $5,485.21 | $5,485.21 | 0.71× | $5,540.06 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $4,220.71 | $4,220.71 | 0.68× | $4,262.92 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $7,311.87 | $7,311.87 | 0.73× | $7,384.99 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $4,700.11 | $4,700.11 | 0.69× | $4,747.11 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $5,812.52 | $5,812.52 | 0.72× | $5,870.65 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $11,688 | $11,688 | 0.77× | $11,805 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $8,650.93 | $8,650.93 | 0.75× | $8,737.44 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $6,035.44 | $6,035.44 | 0.73× | $6,095.79 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $14,483 | $14,483 | 0.78× | $14,628 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $7,629.49 | $7,629.49 | 0.74× | $7,705.78 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $34,270 | $34,270 | 0.80× | $34,613 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $17,873 | $17,873 | 0.77× | $18,052 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $12,547 | $12,547 | 0.76× | $12,673 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $12,612 | $12,612 | 0.77× | $12,738 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $10,183 | $10,183 | 0.75× | $10,285 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $25,403 | $25,403 | 0.78× | $25,657 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $22,615 | $22,615 | 0.76× | $22,841 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $14,381 | $14,381 | 0.76× | $14,525 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $21,713 | $21,713 | 0.78× | $21,931 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $15,616 | $15,616 | 0.77× | $15,772 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $12,160 | $12,160 | 0.76× | $12,282 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $21,528 | $21,528 | 0.79× | $21,743 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $11,931 | $11,931 | 0.74× | $12,051 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $11,246 | $11,246 | 0.74× | $11,359 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $9,250.37 | $9,250.37 | 0.75× | $9,342.87 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $15,278 | $15,278 | 0.80× | $15,430 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $9,571.71 |
| allwell | 43 | $9,571.71 |
| Blue Cross Blue Shield | 43 | $9,571.71 |
| CareSource | 43 | $9,667.43 |
| Cigna | 43 | $9,571.71 |
| devoted health | 43 | $9,571.71 |
| Humana | 43 | $9,571.71 |
| medical mutual of ohio | 43 | $9,571.71 |
| medigold | 43 | $9,571.71 |
| Molina | 43 | $9,571.71 |
| the health plan | 43 | $9,571.71 |
| UnitedHealthcare | 43 | $9,571.71 |
