▸ Payer

alignment health plan

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

Hospitals

Procedures

States

Rate rows

344

Median neg. rate

$17,378

Top procedures for alignment health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	8	$25,721
Major joint replacement w MCC	MS-DRG	469	8	$39,672
Heart failure & shock w MCC	MS-DRG	291	8	$17,571
Heart failure & shock w CC	MS-DRG	292	8	$12,078
Heart failure & shock w/o CC/MCC	MS-DRG	293	8	$8,503.11
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	$11,202
Cardiac arrhythmia w MCC	MS-DRG	308	8	$16,563
Cardiac arrhythmia w CC	MS-DRG	309	8	$10,647
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	$8,504.37
AMI discharged alive w MCC	MS-DRG	280	8	$21,618
AMI discharged alive w CC	MS-DRG	281	8	$12,964
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	$10,488
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	$26,758
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	$14,116
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	$9,998.9
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	$11,534
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	$9,292.69
Respiratory infections & inflammations w MCC	MS-DRG	177	8	$21,095
COPD w MCC	MS-DRG	190	8	$15,347
COPD w CC	MS-DRG	191	8	$12,003
COPD w/o CC/MCC	MS-DRG	192	8	$9,463.25
GI hemorrhage w CC	MS-DRG	378	8	$13,742
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	$9,316.7
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	$38,145
Major small/large bowel procedures w MCC	MS-DRG	329	8	$59,422
Major small/large bowel procedures w CC	MS-DRG	330	8	$31,637
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	$22,613
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	$22,723
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	$18,607
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	$44,396

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
MemorialCare Saddleback Medical Center	—	—	$13,901
Memorialcare Saddleback Med Ctr	Laguna Hills	CA	$13,901
University Of California, Irvine Medical Center	—	—	$22,266
UCI Health - Lakewood	—	—	$22,266
UCI Health - Los Alamitos	—	—	$22,266
Placentia Linda Community Hospital	Placentia	CA	$22,266
Fountain Valley Reg Medical Center	Fountain Valley	CA	$22,266
Uci Medical Center	Orange	CA	$22,266

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States with hospitals publishing rates for alignment health plan.

State	Hospitals	Avg rate
CA	4	$20,175

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