Circleville, OH, 43113
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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 | 10 | — | — | $10,942 | $10,942 | 0.85× | $29,584 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $15,235 | $15,235 | 0.75× | $41,749 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $8,240.52 | $8,240.52 | 0.77× | $21,346 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $5,962.45 | $5,962.45 | 0.78× | $14,447 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $12,102 | $12,102 | 0.78× | $33,929 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $8,921.35 | $8,921.35 | 0.79× | $23,577 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $7,071.08 | $7,071.08 | 0.80× | $18,032 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $5,666.07 | $5,666.07 | 0.81× | $13,584 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $6,811.75 | $6,811.75 | 0.80× | $17,211 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $5,571.71 | $5,571.71 | 0.83× | $13,072 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $12,391 | $12,391 | 0.79× | $34,453 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $7,603.02 | $7,603.02 | 0.79× | $19,348 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $6,232.97 | $6,232.97 | 0.80× | $15,219 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $10,152 | $10,152 | 0.79× | $27,389 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $7,113.02 | $7,113.02 | 0.80× | $18,078 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $5,134.83 | $5,134.83 | 0.83× | $11,523 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $9,594.49 | $9,594.49 | 0.79× | $25,313 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $6,321.04 | $6,321.04 | 0.81× | $15,517 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $5,135.53 | $5,135.53 | 0.83× | $11,743 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $8,033.61 | $8,033.61 | 0.80× | $20,693 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $5,584.99 | $5,584.99 | 0.82× | $13,362 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $6,627.91 | $6,627.91 | 0.82× | $16,378 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $12,137 | $12,137 | 0.80× | $32,004 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $9,289.03 | $9,289.03 | 0.80× | $24,566 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $6,836.91 | $6,836.91 | 0.82× | $16,846 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $14,757 | $14,757 | 0.79× | $41,187 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $8,331.39 | $8,331.39 | 0.80× | $21,640 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $33,308 | $33,308 | 0.77× | $96,375 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $17,935 | $17,935 | 0.77× | $49,612 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $12,942 | $12,942 | 0.79× | $34,653 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $13,003 | $13,003 | 0.79× | $34,810 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $10,725 | $10,725 | 0.79× | $27,655 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $24,994 | $24,994 | 0.77× | $74,074 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $22,381 | $22,381 | 0.76× | $68,603 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $14,662 | $14,662 | 0.78× | $39,575 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $21,536 | $21,536 | 0.77× | $61,729 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $15,819 | $15,819 | 0.78× | $43,550 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $12,579 | $12,579 | 0.79× | $33,297 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $21,362 | $21,362 | 0.79× | $57,224 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $12,365 | $12,365 | 0.76× | $33,517 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $11,722 | $11,722 | 0.77× | $30,680 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $9,851.03 | $9,851.03 | 0.80× | $25,157 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $15,502 | $15,502 | 0.81× | $41,010 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $10,152 |
| allwell | 43 | $10,152 |
| Blue Cross Blue Shield | 43 | $10,152 |
| CareSource | 43 | $10,152 |
| devoted health | 43 | $10,152 |
| Humana | 43 | $10,152 |
| medical mutual of ohio | 43 | $10,152 |
| medigold | 43 | $10,152 |
| Molina | 43 | $10,152 |
| UnitedHealthcare | 43 | $15,509 |
