▸ Payer

Oscar Health

Negotiated rates published by hospitals for Oscar Health across 22 states. Data sourced from federally-mandated machine-readable files.

Hospitals

264

Procedures

600

States

Rate rows

23,685

Median neg. rate

$8,343

Top procedures for Oscar Health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	86	$24,093
Heart failure & shock w MCC	MS-DRG	291	85	$16,764
Respiratory infections & inflammations w MCC	MS-DRG	177	85	$20,063
COPD w MCC	MS-DRG	190	85	$14,761
Heart failure & shock w CC	MS-DRG	292	85	$11,837
GI hemorrhage w CC	MS-DRG	378	85	$13,281
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	85	$10,998
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	85	$13,939
Kidney/UTI w MCC	MS-DRG	689	85	$15,317
Cardiac arrhythmia w MCC	MS-DRG	308	85	$15,776
Cardiac arrhythmia w CC	MS-DRG	309	85	$10,521
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	85	$8,566.23
AMI discharged alive w MCC	MS-DRG	280	85	$20,437
AMI discharged alive w CC	MS-DRG	281	85	$12,582
Simple pneumonia & pleurisy w CC	MS-DRG	194	85	$11,363
AMI discharged alive w/o CC/MCC	MS-DRG	282	85	$10,372
Major joint replacement w/o MCC	MS-DRG	470	84	$23,751
Major joint replacement w MCC	MS-DRG	469	84	$37,434
Heart failure & shock w/o CC/MCC	MS-DRG	293	84	$8,546.75
Kidney/UTI w/o MCC	MS-DRG	690	84	$11,320
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	84	$9,485.27
COPD w CC	MS-DRG	191	84	$11,807
COPD w/o CC/MCC	MS-DRG	192	84	$9,501.7
Major small/large bowel procedures w CC	MS-DRG	330	84	$29,056
Hip & femur procedures except major joint w CC	MS-DRG	481	83	$25,716
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	83	$20,401
Major small/large bowel procedures w MCC	MS-DRG	329	83	$53,922
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	83	$21,129
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	83	$21,040
GI hemorrhage w/o CC/MCC	MS-DRG	379	83	$9,393.14

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St.francis Health Center	Topeka	KS	$239.05
Ascension St. Vincent Dunn	Bedford	IN	$356.63
Great Plains Of Ottawa County Inc	Minneapolis	KS	$356.63
St. Vincents East	Birmingham	AL	$356.63
Hillcrest Hospital Cushing	Cushing	OK	$591.1
Hillcrest Hospital Cushing	—	—	$591.1
Hillcrest Hospital Pryor	Pryor	OK	$616.33
Hillcrest Hospital Pryor	—	—	$616.33
Bailey Medical Center	Owasso	OK	$807.32
Hillcrest Hospital South	Tulsa	OK	$827.36
Hillcrest Hospital South	—	—	$827.36
Methodist Hospital For Surgery	Addison	TX	$1,000.08
Hillcrest Medical Center	Tulsa	OK	$1,082.33
Hillcrest Medical Center	—	—	$1,082.33
Hillcrest Hospital Claremore	—	—	$1,126.32
Hillcrest Hospital Claremore	Claremore	OK	$1,126.32
Seton Medical Center Harker Heights	Harker Heights	TX	$1,325.66
Oklahoma Heart Hospital	Oklahoma City	OK	$2,355.57
Oklahoma Heart Hospital South	Oklahoma City	OK	$2,433.81
Saint Thomas Midtown Hospital	Nashville	TN	$2,607.26

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States with hospitals publishing rates for Oscar Health.

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