Spokane, WA, 99202
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 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 5 | — | — | $73.9 | $80.76 | 0.90× | $84.3 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 5 | — | — | $73.9 | $80.76 | 0.90× | $84.3 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 5 | — | — | $73.9 | $80.76 | 0.88× | $84.3 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 5 | — | — | $73.9 | $80.76 | 0.09× | $84.3 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $73.9 | $80.76 | 0.01× | $84.3 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $73.9 | $80.76 | 0.00× | $84.3 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 51 | $83.6 |
| Cigna | 51 | $84.3 |
| first choice health network | 51 | $75 |
| providence health plan | 51 | $73.9 |
| UnitedHealthcare | 51 | $80.76 |
