▸ Payer

apwu health plan [216]

Negotiated rates published by hospitals for apwu health plan [216] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

147

States

Rate rows

2,395

Median neg. rate

$989

Top procedures for apwu health plan [216]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	17	$3,456.52
Colonoscopy with biopsy	CPT	45380	17	$3,074.71
Colonoscopy with polyp removal	CPT	45385	17	$3,266.88
CT head without contrast	CPT	70450	17	$915.04
CT head with contrast	CPT	70460	17	$1,029.54
Upper GI endoscopy diagnostic	CPT	43235	17	$4,406.55
Upper GI endoscopy with biopsy	CPT	43239	17	$2,799.1
Sigmoidoscopy diagnostic	CPT	45330	17	$3,070.59
Sigmoidoscopy with biopsy	CPT	45331	17	$2,734.82
Heart failure & shock w MCC	MS-DRG	291	17	$15,229
Heart failure & shock w CC	MS-DRG	292	17	$13,056
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	$9,021.13
Kidney/UTI w/o MCC	MS-DRG	690	17	$9,287.01
Kidney/UTI w MCC	MS-DRG	689	17	$12,306
Cardiac arrhythmia w MCC	MS-DRG	308	17	$13,727
Cardiac arrhythmia w CC	MS-DRG	309	17	$15,137
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	$13,357
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	$22,247
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	$12,456
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	$9,368.22
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	$10,080
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	$8,078.31
Respiratory infections & inflammations w MCC	MS-DRG	177	17	$19,503
COPD w CC	MS-DRG	191	17	$10,138
GI hemorrhage w CC	MS-DRG	378	17	$11,168
Major small/large bowel procedures w MCC	MS-DRG	329	17	$50,559
Major small/large bowel procedures w CC	MS-DRG	330	17	$25,941
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	$17,928
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	$17,725
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	$14,202

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Missouri Baptist Sullivan Hospital	Sullivan	MO	$974.17
Missouri Baptist Hospital Sullivan	Sullivan	MO	$974.17
Parkland Health Center	—	—	$1,230.61
Parkland Health Center - Farmington	Farmington	MO	$1,230.61
Parkland Hlth Ctr - Bonne Terre	Bonne Terre	MO	$1,284.66
St. Louis Childrens Hospital	—	—	$4,966.04
St. Louis Childrens Hospital	St. Louis	MO	$4,966.04
Progress West Hospital	Ofallon	MO	$6,816.7
Progress West Hospital	—	—	$6,816.7
Barnes Jewish St. Peters Hospital	St. Peters	MO	$7,428.07
Memorial Hospital Shiloh	—	—	$7,428.07
Barnes Jewish St. Peters Hospital	—	—	$7,428.07
Memorial Hospital	—	—	$7,428.07
Memorial Hospital East	Shiloh	IL	$7,428.07
Alton Memorial Hospital	Alton	IL	$7,861.11
Alton Memorial Hospital	—	—	$7,861.11
Barnes-jewish Hospital	—	—	$7,861.11
St. Louis Children's at CoxHealth	—	—	$16,850

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States with hospitals publishing rates for apwu health plan [216].

State	Hospitals	Avg rate
MO	7	$3,467.23
IL	2	$7,654.9

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