Richland, WA, 99352-
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 | 15 | — | — | $60.6 | $13,899 | 1.1× | $38,243 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $60.6 | $19,703 | 0.98× | $53,968 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $60.6 | $10,246 | 0.96× | $27,593 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $60.6 | $7,166.79 | 0.94× | $18,675 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $60.6 | $15,467 | 1.0× | $43,859 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $60.6 | $11,167 | 0.99× | $30,477 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $60.6 | $8,665.53 | 0.98× | $23,309 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $60.6 | $6,766.12 | 0.97× | $17,560 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $60.6 | $8,314.94 | 0.98× | $22,248 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $60.6 | $6,638.55 | 0.99× | $16,898 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $60.6 | $15,858 | 1.0× | $44,537 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $60.6 | $9,384.66 | 0.97× | $25,010 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $60.6 | $7,532.5 | 0.97× | $19,673 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $60.6 | $12,831 | 1.0× | $35,405 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $60.6 | $8,722.23 | 0.98× | $23,369 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $60.6 | $6,047.95 | 0.97× | $14,895 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $60.6 | $12,077 | 1.00× | $32,721 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $60.6 | $7,651.57 | 0.98× | $20,059 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $60.6 | $6,048.89 | 0.98× | $15,180 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $60.6 | $9,966.76 | 1.00× | $26,749 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $60.6 | $6,656.5 | 0.97× | $17,272 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $60.6 | $8,066.41 | 1.0× | $21,171 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $60.6 | $15,514 | 1.0× | $41,371 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $60.6 | $11,664 | 1.0× | $31,755 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $60.6 | $8,348.96 | 1.0× | $21,776 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $60.6 | $19,056 | 1.0× | $53,241 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $60.6 | $10,369 | 1.00× | $27,973 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 6 | — | — | $60.6 | $85.28 | 0.95× | $95 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 6 | — | — | $60.6 | $85.28 | 0.95× | $95 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 6 | — | — | $60.6 | $85.28 | 0.93× | $95 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 6 | — | — | $60.6 | $85.28 | 0.09× | $95 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $60.6 | $85.28 | 0.00× | $95 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $60.6 | $85.28 | 0.00× | $95 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $60.6 | $44,135 | 1.0× | $124,582 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $60.6 | $23,352 | 1.0× | $64,132 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $60.6 | $16,602 | 1.0× | $44,795 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $60.6 | $16,685 | 1.0× | $44,998 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $60.6 | $13,606 | 1.0× | $35,749 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $60.6 | $32,896 | 1.0× | $95,754 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $60.6 | $91.29 | 0.00× | $115,031 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $60.6 | $91.29 | 0.00× | $63,443 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $60.6 | $29,362 | 0.99× | $88,681 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $60.6 | $18,927 | 1.0× | $51,157 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $60.6 | $28,220 | 1.0× | $79,795 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $60.6 | $20,492 | 1.0× | $56,296 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $60.6 | $16,112 | 1.0× | $43,042 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $60.6 | $27,985 | 1.0× | $73,973 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $60.6 | $15,822 | 0.98× | $43,327 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $60.6 | $14,953 | 0.99× | $39,659 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $60.6 | $12,424 | 1.0× | $32,520 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $60.6 | $20,063 | 1.0× | $53,013 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $7,767.66 |
| Blue Cross Blue Shield | 51 | $15,738 |
| first choice | 51 | $62 |
| First Health | 51 | $95 |
| moda | 51 | $90.4 |
| providence health plan | 51 | $60.6 |
| coordinated care | 43 | $21,979 |
| UnitedHealthcare | 43 | $12,712 |
| Molina | 43 | $15,840 |
| Humana | 43 | $13,069 |
| amerigroup | 43 | $13,069 |
| asuris | 43 | $12,831 |
| Kaiser Permanente | 43 | $11,352 |
| Cigna | 43 | $21,474 |
| community health plan | 43 | $13,069 |
