Titusville, PA, 16354
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 | 5 | — | — | $8,962.84 | $14,520 | 1.1× | $20,050 |
| inpatient | |||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $10,278 | $16,652 | 1.1× | $22,992 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $7,140.52 | $11,568 | 1.0× | $15,973 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $5,462.53 | $8,849.66 | 1.0× | $12,220 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $4,115.18 | $6,666.86 | 0.95× | $9,205.53 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $5,213.91 | $8,446.89 | 1.00× | $11,663 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $3,959.39 | $6,414.49 | 0.96× | $8,857.05 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $10,437 | $16,908 | 1.1× | $23,347 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $5,861.2 | $9,495.54 | 0.98× | $13,111 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $4,610.5 | $7,469.32 | 0.96× | $10,314 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $8,296.48 | $13,441 | 1.1× | $18,559 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $5,475.88 | $8,871.29 | 0.99× | $12,249 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $3,488.87 | $5,652.21 | 0.91× | $7,804.5 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $7,667.63 | $12,422 | 1.0× | $17,152 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $4,700.79 | $7,615.59 | 0.98× | $10,516 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $3,557.54 | $5,763.46 | 0.93× | $7,958.12 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $6,268.78 | $10,156 | 1.0× | $14,023 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $4,048.41 | $6,558.7 | 0.96× | $9,056.18 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $4,961.48 | $8,037.93 | 1.00× | $11,099 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $9,695.97 | $15,708 | 1.0× | $21,690 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $7,441.27 | $12,055 | 1.0× | $16,646 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $5,103.28 | $8,267.65 | 1.00× | $11,416 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $12,476 | $20,212 | 1.1× | $27,908 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $6,555.54 | $10,620 | 1.0× | $14,665 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $29,197 | $47,302 | 1.1× | $65,313 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $15,029 | $24,349 | 1.0× | $33,620 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $10,498 | $17,007 | 1.0× | $23,483 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $10,545 | $17,083 | 1.0× | $23,588 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $8,377.87 | $13,573 | 1.0× | $18,741 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $22,442 | $36,358 | 1.1× | $50,202 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $20,784 | $33,671 | 1.1× | $46,493 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $11,989 | $19,423 | 1.0× | $26,819 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $18,700 | $30,295 | 1.1× | $41,832 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $13,193 | $21,374 | 1.1× | $29,513 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $10,087 | $16,342 | 1.0× | $22,564 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $17,336 | $28,086 | 1.0× | $38,781 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $10,154 | $16,451 | 1.0× | $22,715 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $9,294.75 | $15,058 | 0.99× | $20,792 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $7,621.85 | $12,348 | 1.0× | $17,050 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $12,424 | $20,128 | 1.1× | $27,793 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 40 | $13,912 |
| Blue Cross Blue Shield | 40 | $15,053 |
| Cigna | 40 | $13,102 |
| UnitedHealthcare | 40 | $11,351 |
| upmc | 40 | $8,337.18 |
