▸ Payer

medica [661]

Negotiated rates published by hospitals for medica [661] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

148

States

Rate rows

2,492

Median neg. rate

$384

Top procedures for medica [661]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	17	$1,229.36
Colonoscopy with biopsy	CPT	45380	17	$1,320.16
Colonoscopy with polyp removal	CPT	45385	17	$1,657.08
CT head without contrast	CPT	70450	17	$1,135.25
CT head with contrast	CPT	70460	17	$1,400.47
Upper GI endoscopy diagnostic	CPT	43235	17	$918.59
Upper GI endoscopy with biopsy	CPT	43239	17	$1,013.95
Sigmoidoscopy diagnostic	CPT	45330	17	$761.86
Sigmoidoscopy with biopsy	CPT	45331	17	$942.89
Heart failure & shock w MCC	MS-DRG	291	17	$80
Heart failure & shock w CC	MS-DRG	292	17	$80
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	$80
Kidney/UTI w/o MCC	MS-DRG	690	17	$80
Kidney/UTI w MCC	MS-DRG	689	17	$80
Cardiac arrhythmia w MCC	MS-DRG	308	17	$80
Cardiac arrhythmia w CC	MS-DRG	309	17	$80
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	$80
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	$80
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	$80
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	$80
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	$80
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	$80
Respiratory infections & inflammations w MCC	MS-DRG	177	17	$80
COPD w CC	MS-DRG	191	17	$80
GI hemorrhage w CC	MS-DRG	378	17	$80
Major small/large bowel procedures w MCC	MS-DRG	329	17	$80
Major small/large bowel procedures w CC	MS-DRG	330	17	$80
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	$80
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	$80
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	$80

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St. Louis Children's at CoxHealth	—	—	$80
Alton Memorial Hospital	—	—	$1,120.26
Barnes-jewish Hospital	—	—	$1,120.26
Alton Memorial Hospital	Alton	IL	$1,120.26
Missouri Baptist Hospital Sullivan	Sullivan	MO	$1,133.86
Missouri Baptist Sullivan Hospital	Sullivan	MO	$1,133.86
Barnes Jewish St. Peters Hospital	St. Peters	MO	$1,234.62
Memorial Hospital Shiloh	—	—	$1,234.62
Barnes Jewish St. Peters Hospital	—	—	$1,234.62
Memorial Hospital	—	—	$1,234.62
Memorial Hospital East	Shiloh	IL	$1,234.62
Progress West Hospital	Ofallon	MO	$1,267
Progress West Hospital	—	—	$1,267
Parkland Health Center - Farmington	Farmington	MO	$1,433.02
Parkland Health Center	—	—	$1,433.02
Parkland Hlth Ctr - Bonne Terre	Bonne Terre	MO	$1,493.14
St. Louis Childrens Hospital	St. Louis	MO	$1,697.66
St. Louis Childrens Hospital	—	—	$1,697.66

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States with hospitals publishing rates for medica [661].

State	Hospitals	Avg rate
MO	7	$1,337
IL	2	$1,175.24

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