▸ Payer

direct access network

Negotiated rates published by hospitals for direct access network across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

Median neg. rate

$24,508

Top procedures for direct access network

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Heart failure & shock w MCC	MS-DRG	291	2	$23,037
Heart failure & shock w CC	MS-DRG	292	2	$15,235
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$10,156
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	$24,199
PCI w drug-eluting stent w MCC	MS-DRG	246	2	$37,961
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$13,989
Cardiac arrhythmia w MCC	MS-DRG	308	2	$21,605
Cardiac arrhythmia w CC	MS-DRG	309	2	$13,202
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$10,158
AMI discharged alive w MCC	MS-DRG	280	2	$28,784
AMI discharged alive w CC	MS-DRG	281	2	$16,493
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$12,975
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$36,086
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$18,129
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$12,281
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$14,461
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$11,278
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$28,042
COPD w MCC	MS-DRG	190	2	$19,877
COPD w CC	MS-DRG	191	2	$15,127
COPD w/o CC/MCC	MS-DRG	192	2	$11,520
GI hemorrhage w CC	MS-DRG	378	2	$17,598
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$11,312
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	$84,051
Major small/large bowel procedures w MCC	MS-DRG	329	2	$82,481
Major small/large bowel procedures w CC	MS-DRG	330	2	$43,016
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$30,198
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$30,355
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$24,508
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$61,138

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Saint Anthony Medical Center	Rockford	IL	$28,556
OSF Saint Anthony Medical Center	—	—	$28,556

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States with hospitals publishing rates for direct access network.

State	Hospitals	Avg rate
IL	1	$28,556

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