▸ Payer

iha first choice [800001]

Negotiated rates published by hospitals for iha first choice [800001] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

194

States

Rate rows

6,822

Median neg. rate

$166.72

Top procedures for iha first choice [800001]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	6	$316.54
Knee arthroscopy with meniscectomy	CPT	29881	6	$668.28
Shoulder arthroscopy with decompression	CPT	29826	6	$209.65
Total hip replacement	CPT	27130	6	$1,567.53
Total knee replacement	CPT	27447	6	$1,528.32
Upper GI endoscopy diagnostic	CPT	43235	6	$273.16
Upper GI endoscopy with biopsy	CPT	43239	6	$336.78
Sigmoidoscopy diagnostic	CPT	45330	6	$130.81
Sigmoidoscopy with biopsy	CPT	45331	6	$218.58
CABG single arterial graft	CPT	33533	6	$2,078.79
CABG 2 arterial grafts	CPT	33534	6	$2,441.04
CABG 3 arterial grafts	CPT	33535	6	$2,712.8
CABG 4+ arterial grafts	CPT	33536	6	$2,923.26
Total shoulder arthroplasty	CPT	23472	6	$1,763.9
Hip hemiarthroplasty	CPT	27125	6	$1,384.85
Knee revision arthroplasty single component	CPT	27486	6	$1,754.54
Knee revision arthroplasty all components	CPT	27487	6	$2,134.87
Shoulder arthroscopy with rotator cuff repair	CPT	29827	6	$1,324.28
ACL reconstruction	CPT	29888	6	$1,223.44
Open appendectomy	CPT	44950	6	$711.7
Laparoscopic appendectomy	CPT	44970	6	$669.64
Heart failure & shock w MCC	MS-DRG	291	6	$9,162.95
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	6	$7,192.85
Cardiac arrhythmia w CC	MS-DRG	309	6	$6,955.03
AMI discharged alive w MCC	MS-DRG	280	6	$11,094
Intracranial hemorrhage/CVA w CC	MS-DRG	065	6	$12,821
Simple pneumonia & pleurisy w CC	MS-DRG	194	6	$7,755.87
Respiratory infections & inflammations w MCC	MS-DRG	177	6	$12,564
COPD w MCC	MS-DRG	190	6	$9,248.18
COPD w CC	MS-DRG	191	6	$9,248.18

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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	—	—	$710.09
Mary Black Memorial Hospital	Spartanburg	SC	$710.09
Mercy Hospital of Buffalo	—	—	$886.54
Sisters of Charity Hospital	—	—	$1,133.92
Sisters of Charity Hospital - St. Joseph Campus	—	—	$1,133.92
Kenmore Mercy Hospital	—	—	$1,196.01

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States with hospitals publishing rates for iha first choice [800001].

State	Hospitals	Avg rate
SC	1	$710.09

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