▸ Payer

correctional care [11003]

Negotiated rates published by hospitals for correctional care [11003] across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

175

States

Rate rows

3,426

Median neg. rate

$506.26

Top procedures for correctional care [11003]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	7	$8,081.83
Shoulder arthroscopy with decompression	CPT	29826	7	$7,994.79
Total hip replacement	CPT	27130	7	$18,425
Total knee replacement	CPT	27447	7	$17,687
Total shoulder arthroplasty	CPT	23472	7	$21,125
Knee revision arthroplasty single component	CPT	27486	7	$15,468
Shoulder arthroscopy with rotator cuff repair	CPT	29827	7	$8,509.26
ACL reconstruction	CPT	29888	7	$8,015.6
Heart failure & shock w MCC	MS-DRG	291	7	$14,901
Heart failure & shock w CC	MS-DRG	292	7	$9,933.41
Cardiac arrhythmia w MCC	MS-DRG	308	7	$13,871
Cardiac arrhythmia w CC	MS-DRG	309	7	$8,596.14
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	$6,612.45
AMI discharged alive w MCC	MS-DRG	280	7	$18,628
AMI discharged alive w CC	MS-DRG	281	7	$10,660
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	$8,443.06
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	7	$22,821
Intracranial hemorrhage/CVA w CC	MS-DRG	065	7	$11,716
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	7	$8,019.06
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	$9,459.75
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	$7,322.29
Respiratory infections & inflammations w MCC	MS-DRG	177	7	$18,272
COPD w MCC	MS-DRG	190	7	$12,875
COPD w CC	MS-DRG	191	7	$9,892.1
COPD w/o CC/MCC	MS-DRG	192	7	$7,549.22
GI hemorrhage w CC	MS-DRG	378	7	$11,373
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	$7,425.72
Major small/large bowel procedures w MCC	MS-DRG	329	7	$52,124
Major small/large bowel procedures w CC	MS-DRG	330	7	$27,101
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	$19,048

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
HealthAlliance-Clinton, Clinton Campus	—	—	$4,529.55
HealthAlliance-Clinton, Leominster Campus	—	—	$4,529.55
Healthalliance-Clinton	Leominster	MA	$4,529.55
UMass Memorial Medical Center University Campus	—	—	$4,905.45
Marlborough Hospital	Marlborough	MA	$4,905.45
UMass Memorial Medical Center-Marlborough Campus	—	—	$4,905.45
Umass Memorial Medical Center	Worcester	MA	$4,905.45

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States with hospitals publishing rates for correctional care [11003].

State	Hospitals	Avg rate
MA	3	$4,819.91

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