Plainview, TX, 79072
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 | 11 | — | — | $65 | $16,630 | 1.3× | $26,393 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $65 | $21,161 | 1.0× | $37,760 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $65 | $13,780 | 1.3× | $19,161 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $65 | $11,376 | 1.5× | $12,961 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $65 | $17,854 | 1.2× | $31,980 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $65 | $14,498 | 1.3× | $21,034 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $65 | $12,546 | 1.4× | $16,087 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $65 | $11,063 | 1.6× | $12,119 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $65 | $12,272 | 1.4× | $15,500 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $65 | $10,963 | 1.6× | $11,794 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $65 | $18,159 | 1.2× | $30,737 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $65 | $13,107 | 1.4× | $17,261 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $65 | $11,661 | 1.5× | $13,578 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $65 | $15,797 | 1.2× | $26,924 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $65 | $12,590 | 1.4× | $17,771 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $65 | $10,363 | 1.7× | $11,327 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $65 | $15,208 | 1.3× | $22,664 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $65 | $11,754 | 1.5× | $14,039 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $65 | $10,293 | 1.7× | $11,081 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $65 | $13,561 | 1.4× | $18,546 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $65 | $10,977 | 1.6× | $11,937 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $65 | $12,078 | 1.5× | $14,810 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $65 | $17,891 | 1.2× | $30,755 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $65 | $14,886 | 1.3× | $22,140 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $65 | $12,298 | 1.5× | $15,212 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $65 | $20,656 | 1.1× | $37,376 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $65 | $13,875 | 1.3× | $19,415 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 3 | — | — | $65 | $72 | 0.80× | $85 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 3 | — | — | $65 | $72 | 0.80× | $85 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $65 | $72 | 0.78× | $85 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $65 | $72 | 0.08× | $85 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | — | — | $65 | $30,096 | 1.1× | $56,469 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | — | — | $65 | $19,822 | 1.1× | $35,998 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $65 | $40,231 | 0.93× | $85,981 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $65 | $24,009 | 1.0× | $44,718 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $65 | $18,741 | 1.1× | $31,520 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $65 | $18,805 | 1.1× | $34,219 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $65 | $16,402 | 1.2× | $27,186 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $65 | $31,458 | 0.97× | $66,085 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $65 | $97,218 | 2.0× | $122,404 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $65 | $53,618 | 1.6× | $67,509 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $65 | $28,701 | 0.97× | $62,773 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $65 | $20,555 | 1.1× | $43,140 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $65 | $27,809 | 0.99× | $55,592 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $65 | $21,777 | 1.1× | $39,116 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $65 | $18,358 | 1.1× | $29,944 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $65 | $28,316 | 1.0× | $51,052 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $65 | $18,585 | 1.1× | $47,036 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $65 | $17,890 | 1.2× | $47,036 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $65 | $15,479 | 1.3× | $24,730 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $65 | $21,442 | 1.1× | $36,587 |
| Payer | Codes covered | Median rate |
|---|---|---|
| capstar | 51 | $72 |
| omni | 51 | $85 |
| Cigna | 51 | $65 |
| Blue Cross Blue Shield | 47 | $18,773 |
| Aetna | 45 | $16,099 |
| baylor scott and white | 43 | $19,268 |
| Humana | 43 | $15,797 |
| imagine health | 43 | $17,497 |
| amerigroup | 43 | $15,797 |
| superior | 43 | $16,327 |
| UnitedHealthcare | 43 | $12,961 |
