11 FRIENDSHIP STREET, NEWPORT, RI, 410006
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 9 | — | — | $9,106.91 | $12,052 | $20,525 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $13,413 | $13,413 | $36,855 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $9,065.8 | $9,679.54 | $26,124 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $6,958.29 | $7,507.42 | $19,881 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $5,513.18 | $5,858.03 | $15,141 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $6,853.98 | $7,202.98 | $19,006 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $5,229.19 | $5,747.25 | $14,823 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $12,617 | $13,753 | $37,831 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $7,458.52 | $8,131.89 | $21,676 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $5,702.77 | $6,523.53 | $17,054 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $10,244 | $11,125 | $30,277 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $7,003.21 | $7,556.66 | $20,023 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $5,067.77 | $5,234.38 | $13,349 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $9,164.02 | $10,470 | $28,395 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $5,813.17 | $6,626.92 | $17,351 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $4,281.26 | $5,235.2 | $13,351 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $7,539.99 | $8,637.38 | $23,129 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $4,973.36 | $5,762.84 | $14,867 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $5,751.49 | $6,987.17 | $18,386 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $11,653 | $13,454 | $36,973 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $8,463.54 | $10,111 | $27,365 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $6,046.15 | $7,232.52 | $19,091 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $14,134 | $16,530 | $45,812 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $8,016.61 | $8,986.95 | $24,134 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $38,014 | $38,308 | $108,404 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $19,212 | $20,261 | $56,536 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $12,903 | $14,400 | $39,690 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $12,671 | $14,471 | $39,895 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $9,929.97 | $11,797 | $32,211 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $26,782 | $28,548 | $80,353 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $48,613 | $48,613 | $48,613 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $30,741 | $30,741 | $30,741 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $24,168 | $25,480 | $71,535 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $15,150 | $16,418 | $45,491 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $23,073 | $24,488 | $68,684 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $15,702 | $17,777 | $49,397 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $12,673 | $13,974 | $38,466 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $22,238 | $24,284 | $68,096 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $13,722 | $13,722 | $37,741 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $12,017 | $12,968 | $35,574 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $8,494 | $10,771 | $29,261 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $12,870 | $17,405 | $48,326 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 42 | $10,948 |
| Cigna | 40 | $11,461 |
| commonwealth care alliance | 40 | $11,461 |
| neighborhood health plan - ri | 40 | $11,461 |
| tufts health plan | 40 | $11,461 |
| UnitedHealthcare | 40 | $13,863 |
| va community care | 40 | $11,461 |
| Aetna | 40 | $17,796 |
| WellCare | 40 | $11,461 |
