▸ Payer

avera health plan

Negotiated rates published by hospitals for avera health plan across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

202

States

Rate rows

874

Median neg. rate

$237.6

Top procedures for avera health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$1,755.8
Shoulder arthroscopy with decompression	CPT	29826	2	$1,237.32
Total hip replacement	CPT	27130	2	$1,719
Total knee replacement	CPT	27447	2	$1,717.01
Total shoulder arthroplasty	CPT	23472	2	$1,935.02
Hip hemiarthroplasty	CPT	27125	2	$1,519.77
Knee revision arthroplasty single component	CPT	27486	2	$1,881.14
Knee revision arthroplasty all components	CPT	27487	2	$2,340.14
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$2,297.99
ACL reconstruction	CPT	29888	2	$1,779.05
Heart failure & shock w MCC	MS-DRG	291	2	$11,958
Heart failure & shock w CC	MS-DRG	292	2	$8,061.48
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$5,235.1
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	$17,841
PCI w drug-eluting stent w MCC	MS-DRG	246	2	$27,987
Cardiac arrhythmia w MCC	MS-DRG	308	2	$10,956
Cardiac arrhythmia w CC	MS-DRG	309	2	$6,891.68
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,150.08
AMI discharged alive w MCC	MS-DRG	280	2	$15,009
AMI discharged alive w CC	MS-DRG	281	2	$8,582.84
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$6,696.41
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$18,425
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$9,496.62
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$6,526.36
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$7,850.32
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$5,996.59
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$16,630
COPD w MCC	MS-DRG	190	2	$10,142
COPD w CC	MS-DRG	191	2	$8,074.56
COPD w/o CC/MCC	MS-DRG	192	2	$6,092.82

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
UnityPoint Health - St. Luke's Regional Medical Center	—	—	$2,265.36
UnityPoint Health - St. Lukes Downtown	—	—	$2,265.36

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