▸ Payer

WellCare

Negotiated rates published by hospitals for WellCare across 34 states. Data sourced from federally-mandated machine-readable files.

Hospitals

425

Procedures

208

States

Rate rows

90,460

Median neg. rate

$210.39

Top procedures for WellCare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Heart failure & shock w MCC	MS-DRG	291	368	$13,815
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	367	$11,012
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	367	$19,747
Respiratory infections & inflammations w MCC	MS-DRG	177	366	$16,404
Kidney/UTI w/o MCC	MS-DRG	690	363	$8,936.72
Simple pneumonia & pleurisy w CC	MS-DRG	194	363	$9,240.21
Kidney/UTI w MCC	MS-DRG	689	363	$12,508
Cardiac arrhythmia w MCC	MS-DRG	308	361	$13,743
COPD w MCC	MS-DRG	190	361	$12,057
AMI discharged alive w MCC	MS-DRG	280	361	$16,832
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	361	$8,921.05
COPD w CC	MS-DRG	191	360	$9,745.22
Cardiac arrhythmia w CC	MS-DRG	309	360	$8,763.36
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	360	$6,984.54
AMI discharged alive w/o CC/MCC	MS-DRG	282	359	$8,574.09
AMI discharged alive w CC	MS-DRG	281	359	$10,510
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	358	$7,368.59
Major small/large bowel procedures w MCC	MS-DRG	329	358	$44,621
GI hemorrhage w CC	MS-DRG	378	358	$11,034
GI hemorrhage w/o CC/MCC	MS-DRG	379	358	$7,851.82
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	356	$14,136
Heart failure & shock w CC	MS-DRG	292	356	$10,142
Major small/large bowel procedures w CC	MS-DRG	330	356	$23,489
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	356	$17,036
Hip & femur procedures except major joint w CC	MS-DRG	481	355	$21,094
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	355	$17,015
Major joint replacement w/o MCC	MS-DRG	470	354	$19,751
COPD w/o CC/MCC	MS-DRG	192	354	$7,929.06
Hip & femur procedures except major joint w MCC	MS-DRG	480	354	$29,246
Heart failure & shock w/o CC/MCC	MS-DRG	293	351	$7,040.34

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Top 20 cheapest hospitals for WellCare

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Metro Nashville General Hospital	Nashville	TN	$155.72
Union General Hospital	Blairsville	GA	$166.58
Pam Squared At Corpus Christi	Corpus Chrsti	TX	$209.14
Great Plains Of Ottawa County Inc	Minneapolis	KS	$222.89
Ascension St. Vincent Dunn	Bedford	IN	$222.89
St. Vincents East	Birmingham	AL	$222.89
Henry Ford Providence Novi Hospital	—	—	$228.45
Henry Ford Providence Southfield Hospital	—	—	$228.45
Bridgton Hospital	Bridgton	ME	$231.29
Bridgton Hospital	—	—	$231.29
Mcdowell Arh	Mcdowell	KY	$280.75
McDowell ARH Hospital	—	—	$280.75
University Hospitals Geneva Medical Center	—	—	$302.79
Uh Geneva Medical Center	Geneva	OH	$302.79
Mary Breckinridge Hospital	Hyden	KY	$322.2
Mary Breckinridge ARH Hospital	—	—	$322.2
Rumford Hospital	Rumford	ME	$338.28
Rumford Hospital	—	—	$338.28
Barbourville ARH Hospital	—	—	$384.48
Barbourville Arh Hospital	Barbourville	KY	$384.48

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States covered

States with hospitals publishing rates for WellCare.

State	Hospitals	Avg rate
NC	27	$3,543.33
NJ	20	$9,875.44
IL	19	$3,187.95
KY	18	$1,955.2
OH	17	$3,885.82
GA	11	$3,145.02
MN	11	$1,801.73
CA	10	$12,708
AZ	10	$5,017.17
MI	9	$2,313.27
NY	7	$51,496
AL	6	$794.57
TX	6	$16,373
AR	5	$14,506
TN	4	$3,321.45
RI	3	$15,091
ME	3	$2,604.09
NE	2	$1,797.71
DE	2	$13,942
MA	2	$7,979.6
KS	2	$520.59
MO	2	$953.66
MS	2	$4,716.83
SC	2	$1,785.18
WV	2	$2,464.19
WI	2	$1,970.31
LA	2	$11,099
VT	1	$2,293.38
MD	1	$15,067
WA	1	$3,930.19
CO	1	$443.23
FL	1	$1,720.23
PA	1	$5,146.32
IN	1	$222.89

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