▸ Payer

blue mcr replacement

Negotiated rates published by hospitals for blue mcr replacement across 4 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

136

States

Rate rows

2,320

Median neg. rate

$178.69

Top procedures for blue mcr replacement

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	10	$915.16
Upper GI endoscopy diagnostic	CPT	43235	10	$941.1
Upper GI endoscopy with biopsy	CPT	43239	10	$941.1
Sigmoidoscopy diagnostic	CPT	45330	10	$915.16
Sigmoidoscopy with biopsy	CPT	45331	10	$915.16
Major joint replacement w MCC	MS-DRG	469	10	$18,911
Heart failure & shock w MCC	MS-DRG	291	10	$8,004.28
Heart failure & shock w CC	MS-DRG	292	10	$5,293.36
Heart failure & shock w/o CC/MCC	MS-DRG	293	10	$3,528.92
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	$4,860.67
Cardiac arrhythmia w MCC	MS-DRG	308	10	$7,506.73
Cardiac arrhythmia w CC	MS-DRG	309	10	$4,586.96
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	$3,529.53
AMI discharged alive w MCC	MS-DRG	280	10	$10,001
AMI discharged alive w CC	MS-DRG	281	10	$5,730.43
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	$4,508.4
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	$5,024.64
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	$3,918.59
Respiratory infections & inflammations w MCC	MS-DRG	177	10	$9,743.16
COPD w MCC	MS-DRG	190	10	$6,906.32
COPD w CC	MS-DRG	191	10	$5,255.96
COPD w/o CC/MCC	MS-DRG	192	10	$4,002.75
GI hemorrhage w CC	MS-DRG	378	10	$6,114.5
GI hemorrhage w/o CC/MCC	MS-DRG	379	10	$3,930.43
Major small/large bowel procedures w MCC	MS-DRG	329	10	$28,658
Major small/large bowel procedures w CC	MS-DRG	330	10	$14,946
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	$10,493
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	10	$10,547
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	10	$8,515.52
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	10	$21,243

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Emerald Coast Behavioral Hospital	Panama City	FL	$1,720.23
Ascension Allegan Hospital	Allegan	MI	$1,816.14
Genesys Regional Medical Ctr.	Grand Blanc	MI	$1,816.14
Ascension Borgess-Lee Hospital	Dowagiac	MI	$1,816.14
Borgess-Pipp Health Center	Plainwell	MI	$1,816.14
Ascension Standish Hospital	Standish	MI	$1,816.14
Ascension Borgess Hospital	Kalamazoo	MI	$1,816.14
Providence Hospital	Mobile	AL	$1,816.14
St. Marys Sacred Heart Hospital	Lavonia	GA	$1,816.14
Ascension Providence Rochester Hospi	Rochester	MI	$1,816.14

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States with hospitals publishing rates for blue mcr replacement.

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