Bellevue, WA, 98004-
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 | — | — | $12,441 | $26,082 | 2.0× | $34,920 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $17,651 | $37,576 | 1.9× | $50,275 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $9,162.92 | $19,209 | 1.8× | $25,396 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $6,398.59 | $13,002 | 1.7× | $17,453 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $13,848 | $30,536 | 2.0× | $44,473 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $9,989.09 | $21,213 | 1.9× | $27,693 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $7,743.86 | $16,228 | 1.8× | $21,593 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $6,038.95 | $12,226 | 1.7× | $16,293 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $7,429.17 | $15,490 | 1.8× | $20,993 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $5,924.44 | $11,763 | 1.8× | $16,036 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $14,200 | $31,006 | 2.0× | $40,138 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $8,389.35 | $17,413 | 1.8× | $22,978 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $6,726.85 | $13,697 | 1.8× | $18,078 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $11,483 | $24,648 | 1.9× | $32,095 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $7,794.75 | $16,268 | 1.8× | $21,558 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $5,394.31 | $10,432 | 1.7× | $14,150 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $10,806 | $22,779 | 1.9× | $30,100 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $6,833.73 | $13,965 | 1.8× | $18,430 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $5,395.15 | $10,571 | 1.7× | $14,153 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $8,911.85 | $18,624 | 1.9× | $24,611 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $5,940.56 | $12,027 | 1.8× | $15,836 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $7,206.09 | $14,740 | 1.8× | $19,679 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $13,891 | $28,805 | 1.9× | $39,193 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $10,435 | $22,107 | 1.9× | $29,008 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $7,459.71 | $15,161 | 1.8× | $20,238 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $17,070 | $37,064 | 2.0× | $48,903 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $9,273.19 | $19,476 | 1.9× | $25,686 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $74,843 | $74,843 | 2.7× | $74,843 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $47,711 | $47,711 | 2.6× | $47,711 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $39,582 | $86,741 | 2.0× | $123,646 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $20,927 | $44,763 | 1.9× | $64,485 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $14,868 | $31,373 | 1.9× | $45,270 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $14,942 | $31,516 | 1.9× | $45,504 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $12,178 | $25,038 | 1.9× | $36,740 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $29,493 | $65,224 | 2.0× | $91,651 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $132,660 | $165,732 | 3.4× | $165,732 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $75,320 | $94,097 | 2.8× | $94,097 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $26,321 | $59,739 | 2.0× | $81,593 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $16,955 | $35,829 | 1.9× | $51,887 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $25,296 | $55,555 | 2.0× | $78,341 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $18,359 | $39,195 | 1.9× | $56,342 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $14,428 | $30,146 | 1.9× | $43,874 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $25,085 | $51,809 | 1.9× | $77,671 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $14,167 | $30,167 | 1.9× | $43,048 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $13,388 | $27,776 | 1.8× | $40,576 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $11,117 | $22,777 | 1.9× | $33,375 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $17,974 | $37,129 | 1.9× | $55,121 |
| Payer | Codes covered | Median rate |
|---|---|---|
| first choice | 47 | $32,607 |
| Kaiser Permanente | 45 | $17,270 |
| Cigna | 43 | $27,077 |
| coordinated care | 43 | $11,483 |
| Humana | 43 | $11,827 |
| Molina | 43 | $20,669 |
| Multiplan | 43 | $27,477 |
| phcs | 43 | $19,189 |
| Aetna | 43 | $15,213 |
| UnitedHealthcare | 43 | $18,543 |
| Blue Cross Blue Shield | 43 | $19,209 |
