▸ Payer

affiliate health fund

Negotiated rates published by hospitals for affiliate health fund across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

129

Median neg. rate

$85

Top procedures for affiliate health fund

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	3	$85
Major joint replacement w MCC	MS-DRG	469	3	$85
Heart failure & shock w MCC	MS-DRG	291	3	$85
Heart failure & shock w CC	MS-DRG	292	3	$85
Heart failure & shock w/o CC/MCC	MS-DRG	293	3	$85
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	3	$85
Cardiac arrhythmia w MCC	MS-DRG	308	3	$85
Cardiac arrhythmia w CC	MS-DRG	309	3	$85
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	3	$85
AMI discharged alive w MCC	MS-DRG	280	3	$85
AMI discharged alive w CC	MS-DRG	281	3	$85
AMI discharged alive w/o CC/MCC	MS-DRG	282	3	$85
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	3	$85
Intracranial hemorrhage/CVA w CC	MS-DRG	065	3	$85
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	3	$85
Simple pneumonia & pleurisy w CC	MS-DRG	194	3	$85
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	3	$85
Respiratory infections & inflammations w MCC	MS-DRG	177	3	$85
COPD w MCC	MS-DRG	190	3	$85
COPD w CC	MS-DRG	191	3	$85
COPD w/o CC/MCC	MS-DRG	192	3	$85
GI hemorrhage w CC	MS-DRG	378	3	$85
GI hemorrhage w/o CC/MCC	MS-DRG	379	3	$85
Hip & femur procedures except major joint w MCC	MS-DRG	480	3	$85
Major small/large bowel procedures w MCC	MS-DRG	329	3	$85
Major small/large bowel procedures w CC	MS-DRG	330	3	$85
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	3	$85
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	3	$85
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	3	$85
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	3	$85

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Santa Monica Ucla Medical Center	Santa Monica	CA	$85
UCLA Santa Monica Medical Center	—	—	$85
Ronald Reagan UCLA Medical Center	—	—	$85

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States with hospitals publishing rates for affiliate health fund.

State	Hospitals	Avg rate
CA	1	$85

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