▸ Payer

actin care

Negotiated rates published by hospitals for actin care across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

136

States

Rate rows

1,624

Median neg. rate

$287.63

Top procedures for actin care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	7	$1,473.09
Upper GI endoscopy diagnostic	CPT	43235	7	$1,514.86
Upper GI endoscopy with biopsy	CPT	43239	7	$1,514.86
Sigmoidoscopy diagnostic	CPT	45330	7	$1,473.09
Sigmoidoscopy with biopsy	CPT	45331	7	$1,473.09
Major joint replacement w MCC	MS-DRG	469	7	$31,571
Heart failure & shock w MCC	MS-DRG	291	7	$13,363
Heart failure & shock w CC	MS-DRG	292	7	$8,836.91
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	$5,891.28
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	$8,114.55
Cardiac arrhythmia w MCC	MS-DRG	308	7	$12,532
Cardiac arrhythmia w CC	MS-DRG	309	7	$7,657.61
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	$5,892.31
AMI discharged alive w MCC	MS-DRG	280	7	$16,696
AMI discharged alive w CC	MS-DRG	281	7	$9,566.55
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	$7,526.46
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	$8,388.29
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	$6,541.81
Respiratory infections & inflammations w MCC	MS-DRG	177	7	$16,266
COPD w MCC	MS-DRG	190	7	$11,530
COPD w CC	MS-DRG	191	7	$8,774.46
COPD w/o CC/MCC	MS-DRG	192	7	$6,682.33
GI hemorrhage w CC	MS-DRG	378	7	$10,208
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	$6,561.58
Major small/large bowel procedures w MCC	MS-DRG	329	7	$47,843
Major small/large bowel procedures w CC	MS-DRG	330	7	$24,952
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	$17,517
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	$17,607
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	$14,216
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	$35,463

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center)	—	—	$2,978.6
Ascension Alexian Brothers (Alexian Brothers Medical Center)	—	—	$2,978.6
Alexian Brothers Medical Center	Elk Grove Village	IL	$2,978.6
St. Vincents St. Clair	Pell City	AL	$3,024.81
St. Alexius Medical Center	Hoffman Estates	IL	$3,024.81
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)	—	—	$3,024.81
Ascension Saint Alexius (Ascension St. Alexius Medical Center)	—	—	$3,024.81

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States with hospitals publishing rates for actin care.

State	Hospitals	Avg rate
IL	2	$3,001.71
AL	1	$3,024.81

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