▸ Payer

amerihealth caritas pennsylvania

Negotiated rates published by hospitals for amerihealth caritas pennsylvania across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

Median neg. rate

$29,805

Top procedures for amerihealth caritas pennsylvania

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	2	$30,721
Major joint replacement w MCC	MS-DRG	469	2	$56,902
Heart failure & shock w MCC	MS-DRG	291	2	$34,688
Heart failure & shock w CC	MS-DRG	292	2	$24,631
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$21,547
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$28,237
Cardiac arrhythmia w MCC	MS-DRG	308	2	$37,739
Cardiac arrhythmia w CC	MS-DRG	309	2	$21,547
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$21,547
AMI discharged alive w MCC	MS-DRG	280	2	$36,960
AMI discharged alive w CC	MS-DRG	281	2	$28,791
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$21,547
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$58,638
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$30,721
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$21,547
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$24,045
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$21,547
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$36,540
COPD w MCC	MS-DRG	190	2	$29,459
COPD w CC	MS-DRG	191	2	$29,459
COPD w/o CC/MCC	MS-DRG	192	2	$29,459
GI hemorrhage w CC	MS-DRG	378	2	$28,791
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$28,791
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	$30,721
Major small/large bowel procedures w MCC	MS-DRG	329	2	$56,902
Major small/large bowel procedures w CC	MS-DRG	330	2	$28,791
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$28,791
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$32,700
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$32,700
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$32,416

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Top 20 cheapest hospitals for amerihealth caritas pennsylvania

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Central Valley Specialty Hospital	Modesto	CA	$32,179
Pam Specialty Hospital Of Denver	Denver	CO	$34,527

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States covered

States with hospitals publishing rates for amerihealth caritas pennsylvania.

State	Hospitals	Avg rate
CA	1	$32,179
CO	1	$34,527

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