▸ Payer

harmony health plan

Negotiated rates published by hospitals for harmony health plan across 3 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

149

States

Rate rows

911

Median neg. rate

$714.66

Top procedures for harmony health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	$6,341.91
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	$6,573.72
AMI discharged alive w MCC	MS-DRG	280	8	$4,887.62
AMI discharged alive w CC	MS-DRG	281	8	$5,297.17
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	$5,997.26
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	$2,812.95
Respiratory infections & inflammations w MCC	MS-DRG	177	8	$9,406.39
COPD w MCC	MS-DRG	190	8	$4,746.46
COPD w CC	MS-DRG	191	8	$4,702.46
COPD w/o CC/MCC	MS-DRG	192	8	$7,365.61
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	$14,984
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	$3,925.43
OR procedure for obesity w/o CC/MCC	MS-DRG	621	8	$8,046.69
Major joint replacement w/o MCC	MS-DRG	470	8	$4,019.17
Major joint replacement w MCC	MS-DRG	469	8	$5,311.47
Kidney/UTI w/o MCC	MS-DRG	690	8	$15,569
Cardiac arrhythmia w MCC	MS-DRG	308	8	$7,312.56
Cardiac arrhythmia w CC	MS-DRG	309	8	$7,746.68
MRI brain with and without contrast	CPT	70553	7	$3,209.52
MRI brain with contrast	CPT	70552	7	$2,265.24
CT head without contrast	CPT	70450	7	$812.7
CT head with contrast	CPT	70460	7	$1,003.62
CT head with and without contrast	CPT	70470	7	$1,215.18
CT neck with contrast	CPT	70491	7	$1,179.06
CT chest without contrast	CPT	71250	7	$1,057.8
CT chest with contrast	CPT	71260	7	$1,269.36
Chest X-ray single view	CPT	71045	7	$103.2
Chest X-ray 2 views	CPT	71046	7	$113.52
Chest X-ray 3 views	CPT	71047	7	$162.54
MRI brain without contrast	CPT	70551	7	$2,022.72

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Alexian Brothers Medical Center	Elk Grove Village	IL	$1,536.66
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center)	—	—	$1,536.66
Ascension Alexian Brothers (Alexian Brothers Medical Center)	—	—	$1,536.66
St. Vincents St. Clair	Pell City	AL	$1,728.35
St. Alexius Medical Center	Hoffman Estates	IL	$1,728.35
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)	—	—	$1,728.35
Ascension Saint Alexius (Ascension St. Alexius Medical Center)	—	—	$1,728.35
Henry County Medical Center	Paris	TN	$10,995

Loading hospitals...

States with hospitals publishing rates for harmony health plan.

Loading state coverage...