Mansfield, OH, 44903-2265
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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 | 8 | — | — | $10,480 | $10,480 | 0.82× | $10,899 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $14,734 | $14,734 | 0.73× | $15,323 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $7,803.55 | $7,803.55 | 0.73× | $8,115.69 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $5,546.64 | $5,546.64 | 0.73× | $5,768.51 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $11,629 | $11,629 | 0.75× | $12,094 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $8,478.05 | $8,478.05 | 0.76× | $8,817.17 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $6,644.97 | $6,644.97 | 0.75× | $6,910.77 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $5,253.02 | $5,253.02 | 0.75× | $5,463.14 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $6,388.05 | $6,388.05 | 0.75× | $6,643.57 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $5,159.53 | $5,159.53 | 0.77× | $5,365.91 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $11,916 | $11,916 | 0.76× | $12,392 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $7,171.97 | $7,171.97 | 0.74× | $7,458.85 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $5,814.65 | $5,814.65 | 0.75× | $6,047.24 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $9,697.57 | $9,697.57 | 0.76× | $10,085 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $6,686.52 | $6,686.52 | 0.75× | $6,953.98 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $4,726.71 | $4,726.71 | 0.76× | $4,915.78 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $9,144.94 | $9,144.94 | 0.76× | $9,510.74 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $5,901.9 | $5,901.9 | 0.76× | $6,137.98 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $4,727.4 | $4,727.4 | 0.76× | $4,916.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $7,598.56 | $7,598.56 | 0.76× | $7,902.5 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $5,172.69 | $5,172.69 | 0.76× | $5,379.6 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $6,205.92 | $6,205.92 | 0.77× | $6,454.16 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $11,664 | $11,664 | 0.77× | $12,130 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $8,842.32 | $8,842.32 | 0.76× | $9,196.01 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $6,412.98 | $6,412.98 | 0.77× | $6,669.5 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $14,259 | $14,259 | 0.76× | $14,830 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $7,893.57 | $7,893.57 | 0.76× | $8,209.31 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $32,638 | $32,638 | 0.76× | $33,944 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $17,408 | $17,408 | 0.75× | $18,104 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $12,461 | $12,461 | 0.76× | $12,960 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $12,522 | $12,522 | 0.76× | $13,023 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $10,265 | $10,265 | 0.76× | $10,676 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $24,402 | $24,402 | 0.75× | $25,378 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $21,812 | $21,812 | 0.74× | $22,685 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $14,165 | $14,165 | 0.75× | $14,732 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $20,975 | $20,975 | 0.75× | $21,814 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $15,312 | $15,312 | 0.75× | $15,924 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $12,102 | $12,102 | 0.76× | $12,586 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $20,803 | $20,803 | 0.77× | $21,635 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $11,889 | $11,889 | 0.73× | $12,365 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $11,253 | $11,253 | 0.74× | $11,703 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $9,399.1 | $9,399.1 | 0.77× | $9,775.06 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $14,997 | $14,997 | 0.78× | $15,597 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $9,697.57 |
| allwell | 43 | $9,697.57 |
| Blue Cross Blue Shield | 43 | $9,697.57 |
| CareSource | 43 | $9,794.55 |
| Humana | 43 | $9,697.57 |
| medical mutual of ohio | 43 | $9,697.57 |
| Molina | 43 | $10,085 |
| UnitedHealthcare | 43 | $9,697.57 |
