▸ Payer

independent health essential [100166]

Negotiated rates published by hospitals for independent health essential [100166] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

194

States

Rate rows

10,695

Median neg. rate

$135.71

Top procedures for independent health essential [100166]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	6	$136.89
Knee arthroscopy with meniscectomy	CPT	29881	6	$351.95
Shoulder arthroscopy with decompression	CPT	29826	6	$342.03
Total hip replacement	CPT	27130	6	$820.49
Total knee replacement	CPT	27447	6	$830.73
Upper GI endoscopy diagnostic	CPT	43235	6	$154.49
Upper GI endoscopy with biopsy	CPT	43239	6	$196.12
Sigmoidoscopy diagnostic	CPT	45330	6	$50.2
Sigmoidoscopy with biopsy	CPT	45331	6	$94.21
CABG single arterial graft	CPT	33533	6	$1,181.83
CABG 2 arterial grafts	CPT	33534	6	$1,396.41
CABG 3 arterial grafts	CPT	33535	6	$1,523.13
CABG 4+ arterial grafts	CPT	33536	6	$1,630.11
Total shoulder arthroplasty	CPT	23472	6	$885.59
Hip hemiarthroplasty	CPT	27125	6	$600.24
Knee revision arthroplasty single component	CPT	27486	6	$770.09
Knee revision arthroplasty all components	CPT	27487	6	$950.29
Shoulder arthroscopy with rotator cuff repair	CPT	29827	6	$654.79
ACL reconstruction	CPT	29888	6	$599.39
Open appendectomy	CPT	44950	6	$330.05
Laparoscopic appendectomy	CPT	44970	6	$347.04
Heart failure & shock w MCC	MS-DRG	291	6	$4,298.13
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	6	$3,406.55
Cardiac arrhythmia w CC	MS-DRG	309	6	$3,263.1
AMI discharged alive w MCC	MS-DRG	280	6	$5,171.6
Intracranial hemorrhage/CVA w CC	MS-DRG	065	6	$6,015.41
Simple pneumonia & pleurisy w CC	MS-DRG	194	6	$3,634.39
Respiratory infections & inflammations w MCC	MS-DRG	177	6	$5,733.63
COPD w MCC	MS-DRG	190	6	$4,312.49
COPD w CC	MS-DRG	191	6	$4,312.49

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Top 20 cheapest hospitals for independent health essential [100166]

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mount St. Mary's Hospital	—	—	$396.76
Mary Black Memorial Hospital	Spartanburg	SC	$396.76
Mercy Hospital of Buffalo	—	—	$494.2
Kenmore Mercy Hospital	—	—	$618.09
Sisters of Charity Hospital	—	—	$628.99
Sisters of Charity Hospital - St. Joseph Campus	—	—	$628.99

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States covered

States with hospitals publishing rates for independent health essential [100166].

State	Hospitals	Avg rate
SC	1	$396.76

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