▸ Payer

fidelis exchange [100164]

Negotiated rates published by hospitals for fidelis exchange [100164] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

194

States

Rate rows

2,813

Median neg. rate

$143.5

Top procedures for fidelis exchange [100164]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	6	$207.76
Knee arthroscopy with meniscectomy	CPT	29881	6	$627.66
Shoulder arthroscopy with decompression	CPT	29826	6	$194.41
Total hip replacement	CPT	27130	6	$1,469.38
Total knee replacement	CPT	27447	6	$1,467.27
Upper GI endoscopy diagnostic	CPT	43235	6	$210.69
Upper GI endoscopy with biopsy	CPT	43239	6	$259.76
Sigmoidoscopy diagnostic	CPT	45330	6	$85.86
Sigmoidoscopy with biopsy	CPT	45331	6	$143.46
CABG single arterial graft	CPT	33533	6	$2,086.88
CABG 2 arterial grafts	CPT	33534	6	$2,450.55
CABG 3 arterial grafts	CPT	33535	6	$2,723.37
CABG 4+ arterial grafts	CPT	33536	6	$2,934.65
Total shoulder arthroplasty	CPT	23472	6	$1,653.45
Hip hemiarthroplasty	CPT	27125	6	$1,298.13
Knee revision arthroplasty single component	CPT	27486	6	$1,606.72
Knee revision arthroplasty all components	CPT	27487	6	$2,001.19
Shoulder arthroscopy with rotator cuff repair	CPT	29827	6	$1,228.05
ACL reconstruction	CPT	29888	6	$1,120.37
Open appendectomy	CPT	44950	6	$731.35
Laparoscopic appendectomy	CPT	44970	6	$688.13
Heart failure & shock w MCC	MS-DRG	291	6	$6,130.29
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	6	$4,710.51
Cardiac arrhythmia w CC	MS-DRG	309	6	$4,653.13
AMI discharged alive w MCC	MS-DRG	280	6	$7,402.85
Intracranial hemorrhage/CVA w CC	MS-DRG	065	6	$8,577.89
Simple pneumonia & pleurisy w CC	MS-DRG	194	6	$5,128.69
Respiratory infections & inflammations w MCC	MS-DRG	177	6	$8,352.51
COPD w MCC	MS-DRG	190	6	$6,187.31
COPD w CC	MS-DRG	191	6	$6,187.31

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mount St. Mary's Hospital	—	—	$511.56
Mary Black Memorial Hospital	Spartanburg	SC	$511.56
Mercy Hospital of Buffalo	—	—	$985.96
Sisters of Charity Hospital - St. Joseph Campus	—	—	$1,002.89
Sisters of Charity Hospital	—	—	$1,002.89
Kenmore Mercy Hospital	—	—	$1,020.76

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States with hospitals publishing rates for fidelis exchange [100164].

State	Hospitals	Avg rate
SC	1	$511.56

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