▸ Payer

medical mutual

Negotiated rates published by hospitals for medical mutual across 3 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

194

States

Rate rows

6,725

Median neg. rate

$571.98

Top procedures for medical mutual

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	40	$18,743
Major joint replacement w MCC	MS-DRG	469	40	$31,829
Heart failure & shock w MCC	MS-DRG	291	40	$12,970
Heart failure & shock w CC	MS-DRG	292	40	$8,648.55
Heart failure & shock w/o CC/MCC	MS-DRG	293	40	$5,641.82
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	40	$7,874.86
Cardiac arrhythmia w MCC	MS-DRG	308	40	$12,033
Cardiac arrhythmia w CC	MS-DRG	309	40	$7,469.75
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	40	$5,728.44
AMI discharged alive w MCC	MS-DRG	280	40	$16,234
AMI discharged alive w CC	MS-DRG	281	40	$9,254.52
AMI discharged alive w/o CC/MCC	MS-DRG	282	40	$7,333.45
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	40	$19,722
Intracranial hemorrhage/CVA w CC	MS-DRG	065	40	$10,179
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	40	$6,970.92
Simple pneumonia & pleurisy w CC	MS-DRG	194	40	$8,242.21
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	40	$6,345.62
Respiratory infections & inflammations w MCC	MS-DRG	177	40	$15,965
COPD w MCC	MS-DRG	190	40	$11,204
COPD w CC	MS-DRG	191	40	$8,621.22
COPD w/o CC/MCC	MS-DRG	192	40	$6,567.3
GI hemorrhage w CC	MS-DRG	378	40	$7,328.3
GI hemorrhage w/o CC/MCC	MS-DRG	379	40	$4,826.65
Hip & femur procedures except major joint w MCC	MS-DRG	480	40	$28,946
Major small/large bowel procedures w MCC	MS-DRG	329	40	$45,128
Major small/large bowel procedures w CC	MS-DRG	330	40	$23,400
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	40	$16,433
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	40	$16,509
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	40	$13,200
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	40	$34,550

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Top 20 cheapest hospitals for medical mutual

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Aultman Orrville Hospital	Orrville	OH	$65
Twin City Hospital	Dennison	OH	$769.25
Alliance Community Hospital	Alliance	OH	$5,839.91
SAINT VINCENT HOSPITAL	—	—	$7,840.68
JEFFERSON HOSPITAL	—	—	$7,892.39
Miami Valley Hospital Jamestown Emergency Department	—	—	$8,028.92
Miami Valley Hospital Austin Blvd Emergency Department	—	—	$8,028.92
Miami Valley Hospital	—	—	$8,028.92
Miami Valley Hospital Beavercreek Emergency Department	—	—	$8,028.92
Miami Valley Hospital Psychiatry	—	—	$8,028.92
North Valley Health Center	Warren	MN	$8,028.92
Miami Valley Hospital South	—	—	$8,028.92
GROVE CITY HOSPITAL	—	—	$9,369.07
ALLEGHENY VALLEY HOSPITAL	—	—	$9,369.07
CANONSBURG HOSPITAL	—	—	$9,369.07
FORBES HOSPITAL	—	—	$9,638.25
Upper Valley Medical Center Rehabilitation	—	—	$10,124
Upper Valley Medical Center	—	—	$10,124
Atrium Medical Center	—	—	$10,129
Atrium Medical Center Rehabilitation Unit	—	—	$10,129

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States covered

States with hospitals publishing rates for medical mutual.

State	Hospitals	Avg rate
OH	6	$4,363.76
MA	1	$25,703
MN	1	$8,028.92

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