▸ Payer

keystone

Negotiated rates published by hospitals for keystone across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

168

States

Rate rows

558

Median neg. rate

$253.69

Top procedures for keystone

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$3,556.43
Shoulder arthroscopy with decompression	CPT	29826	2	$3,634
Total hip replacement	CPT	27130	2	$8,642.17
Total knee replacement	CPT	27447	2	$8,373.5
Total shoulder arthroplasty	CPT	23472	2	$10,264
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$3,831.48
ACL reconstruction	CPT	29888	2	$5,674.47
Heart failure & shock w MCC	MS-DRG	291	2	$10,924
Heart failure & shock w CC	MS-DRG	292	2	$7,519.76
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$5,303.96
Cardiac arrhythmia w MCC	MS-DRG	308	2	$10,299
Cardiac arrhythmia w CC	MS-DRG	309	2	$6,632.66
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,304.75
AMI discharged alive w MCC	MS-DRG	280	2	$13,432
AMI discharged alive w CC	MS-DRG	281	2	$8,068.62
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$6,534.01
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$16,618
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$8,782.69
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$6,230.99
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$7,182.3
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$5,793.32
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$13,108
COPD w MCC	MS-DRG	190	2	$9,545.3
COPD w CC	MS-DRG	191	2	$7,472.78
COPD w/o CC/MCC	MS-DRG	192	2	$5,899.02
GI hemorrhage w CC	MS-DRG	378	2	$8,550.93
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$5,808.19
Major small/large bowel procedures w MCC	MS-DRG	329	2	$36,861
Major small/large bowel procedures w CC	MS-DRG	330	2	$19,642
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$14,049

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mt. Grant General Hospital	Hawthorne	NV	$2,840.85
Roxborough Memorial Hospital	—	—	$2,840.85

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States with hospitals publishing rates for keystone.

State	Hospitals	Avg rate
NV	1	$2,840.85

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