▸ Payer

apex health

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

Hospitals

Procedures

184

States

Rate rows

361

Median neg. rate

$995

Top procedures for apex health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Upper GI endoscopy diagnostic	CPT	43235	2	$1,515.9
Upper GI endoscopy with biopsy	CPT	43239	2	$1,530.76
Sigmoidoscopy diagnostic	CPT	45330	2	$1,412.74
Heart failure & shock w MCC	MS-DRG	291	2	$7,336.65
Heart failure & shock w CC	MS-DRG	292	2	$5,666.47
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$2,821.7
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$4,197.06
Cardiac arrhythmia w MCC	MS-DRG	308	2	$8,112.85
Cardiac arrhythmia w CC	MS-DRG	309	2	$4,512.34
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$3,280.77
AMI discharged alive w MCC	MS-DRG	280	2	$8,740.13
AMI discharged alive w CC	MS-DRG	281	2	$5,430.61
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$4,318.1
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$14,562
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$6,626.29
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$4,241.9
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$4,544.65
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$3,181.29
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$8,592.77
COPD w MCC	MS-DRG	190	2	$6,008.85
COPD w CC	MS-DRG	191	2	$4,898.11
COPD w/o CC/MCC	MS-DRG	192	2	$3,775.92
GI hemorrhage w CC	MS-DRG	378	2	$5,720.67
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$3,932.54
Major small/large bowel procedures w MCC	MS-DRG	329	2	$25,171
Major small/large bowel procedures w CC	MS-DRG	330	2	$12,045
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$8,459.09
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$8,272.53
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$7,007.65
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$14,850

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Colleton Medical Center	Walterboro	SC	$2,973.25
Columbus Regional Healthcare System	Whiteville	NC	$4,219.91

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States with hospitals publishing rates for apex health.

State	Hospitals	Avg rate
NC	1	$4,219.91
SC	1	$2,973.25

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