▸ Payer

Empire BCBS

Negotiated rates published by hospitals for Empire BCBS across 7 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

197

States

Rate rows

13,498

Median neg. rate

$995.82

Top procedures for Empire BCBS

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Cardiac arrhythmia w MCC	MS-DRG	308	29	$26,820
Major joint replacement w/o MCC	MS-DRG	470	29	$41,390
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	29	$41,263
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	29	$23,666
Heart failure & shock w MCC	MS-DRG	291	29	$28,962
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	28	$43,759
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	28	$18,870
Cardiac arrhythmia w CC	MS-DRG	309	28	$17,812
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	28	$14,515
AMI discharged alive w CC	MS-DRG	281	28	$21,769
Major small/large bowel procedures w MCC	MS-DRG	329	28	$94,282
Major small/large bowel procedures w CC	MS-DRG	330	28	$49,772
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	28	$36,601
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	28	$36,986
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	28	$30,285
Simple pneumonia & pleurisy w CC	MS-DRG	194	27	$19,416
COPD w MCC	MS-DRG	190	27	$25,253
Kidney/UTI w/o MCC	MS-DRG	690	27	$19,506
Kidney/UTI w MCC	MS-DRG	689	27	$26,430
OR procedure for obesity w/o CC/MCC	MS-DRG	621	27	$32,984
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	27	$28,450
Respiratory infections & inflammations w MCC	MS-DRG	177	27	$34,374
AMI discharged alive w MCC	MS-DRG	280	26	$35,565
Major joint replacement w MCC	MS-DRG	469	26	$64,239
Heart failure & shock w CC	MS-DRG	292	26	$20,414
COPD w CC	MS-DRG	191	26	$20,294
GI hemorrhage w CC	MS-DRG	378	26	$23,057
GI hemorrhage w/o CC/MCC	MS-DRG	379	26	$16,139
Hip & femur procedures except major joint w CC	MS-DRG	481	26	$45,404
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	26	$36,105

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Top 20 cheapest hospitals for Empire BCBS

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Valley Medical Center	Renton	WA	$38.39
Helen Hayes Hospital	West Haverstraw	NY	$118.18
Mercy Rehabilitation Hospital-Spgf	Springfield	MO	$686.57
Memorial Sloan Kettering Commack Nonna’s Garden Foundation Center	—	—	$1,167.59
Memorial Sloan Kettering Nassau	—	—	$1,167.59
Memorial Sloan Kettering Skin Cancer Center Hauppauge	—	—	$1,167.59
Memorial Sloan Kettering Westchester	—	—	$1,167.59
Memorial Sloan Kettering Monmouth	—	—	$1,167.59
Memorial Sloan Kettering Bergen	—	—	$1,167.59
Memorial Sloan Kettering Basking Ridge	—	—	$1,167.59
St. Josephs Medical Center	Yonkers	NY	$1,924.65
North Kansas City Hospital	North Kansas City	MO	$2,376.84
University Of Kansas Hospital Transplant Center	—	—	$2,376.84
University Of Kansas Hospital	Kansas City	KS	$2,376.84
Goshen Surgery Center	—	—	$2,956.89
Memorial Hospital For Cancer And All	New York	NY	$2,991.63
NICHOLAS H NOYES MEMORIAL HOSPITAL	—	—	$3,311.56
Stony Brook University Hospital	Stony Brook	NY	$3,538.51
Montfort Jones Memorial Hospital	Kosciusko	MS	$3,901.33
ST JAMES HOSPITAL	—	—	$4,646.38

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States covered

States with hospitals publishing rates for Empire BCBS.

State	Hospitals	Avg rate
CA	10	$7,523.57
NY	7	$11,955
MO	2	$1,659.93
WA	2	$11,279
MS	1	$3,901.33
KS	1	$2,376.84
AZ	1	$15,968

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