▸ Payer

gateway health plan

Negotiated rates published by hospitals for gateway health plan across 4 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

181

States

Rate rows

1,746

Median neg. rate

$313.49

Top procedures for gateway health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Respiratory infections & inflammations w MCC	MS-DRG	177	11	$17,647
Heart failure & shock w MCC	MS-DRG	291	11	$15,051
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	11	$21,064
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	11	$11,994
Cardiac arrhythmia w MCC	MS-DRG	308	10	$15,887
Cardiac arrhythmia w CC	MS-DRG	309	10	$9,867.97
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	$8,246.33
AMI discharged alive w MCC	MS-DRG	280	10	$19,645
AMI discharged alive w CC	MS-DRG	281	10	$12,312
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	$9,746.92
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	10	$25,570
Intracranial hemorrhage/CVA w CC	MS-DRG	065	10	$13,369
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	10	$9,379.79
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	$10,784
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	$8,840.95
COPD w MCC	MS-DRG	190	10	$14,181
COPD w CC	MS-DRG	191	10	$11,661
COPD w/o CC/MCC	MS-DRG	192	10	$9,740.31
GI hemorrhage w CC	MS-DRG	378	10	$12,900
GI hemorrhage w/o CC/MCC	MS-DRG	379	10	$9,566.26
Hip & femur procedures except major joint w MCC	MS-DRG	480	10	$31,492
Major small/large bowel procedures w MCC	MS-DRG	329	10	$50,029
Major small/large bowel procedures w CC	MS-DRG	330	10	$26,359
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	$19,560
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	10	$20,019
Major joint replacement w/o MCC	MS-DRG	470	10	$22,080
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	10	$16,907
Heart failure & shock w CC	MS-DRG	292	10	$11,248
Heart failure & shock w/o CC/MCC	MS-DRG	293	10	$8,238
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	$10,929

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Top 20 cheapest hospitals for gateway health plan

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Curahealth Heritage Valley	Beaver	PA	$1,651.53
Cch At Baptist Health Corbin	Corbin	KY	$1,899
Temple University Hospital - Northeastern Campus	—	—	$4,531.03
Chestnut Hill Benevolent Association	Chestnut Hill	MA	$4,711.43
Temple University Hospital - Episcopal Campus	—	—	$5,561.26
Jeanes Hospital	Philadelphia	PA	$6,037.88
Temple University Hospital - Jeanes Campus	—	—	$6,037.88
Temple University Hospital - Transplant Center	—	—	$6,051.74
Temple University Hospital	Philadelphia	PA	$6,051.74
Temple University Hospital - Main Campus	—	—	$6,051.74
Central Valley Specialty Hospital	Modesto	CA	$32,179

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States covered

States with hospitals publishing rates for gateway health plan.

State	Hospitals	Avg rate
PA	3	$3,931.68
CA	1	$32,179
KY	1	$1,899
MA	1	$4,711.43

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