▸ Payer

mhs care connect

Negotiated rates published by hospitals for mhs care connect across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

153

States

Rate rows

4,932

Median neg. rate

$97.35

Top procedures for mhs care connect

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	11	$268.05
Colonoscopy with biopsy	CPT	45380	11	$319.37
Colonoscopy with polyp removal	CPT	45385	11	$360.71
Knee arthroscopy with meniscectomy	CPT	29881	11	$375.53
Shoulder arthroscopy with decompression	CPT	29826	11	$123.44
Total hip replacement	CPT	27130	11	$946.57
Total knee replacement	CPT	27447	11	$946.18
Upper GI endoscopy diagnostic	CPT	43235	11	$214.9
Upper GI endoscopy with biopsy	CPT	43239	11	$274.3
Sigmoidoscopy diagnostic	CPT	45330	11	$318.54
Sigmoidoscopy with biopsy	CPT	45331	11	$111.99
CABG single arterial graft	CPT	33533	11	$1,318.39
CABG 2 arterial grafts	CPT	33534	11	$1,550.16
CABG 3 arterial grafts	CPT	33535	11	$1,728.18
CABG 4+ arterial grafts	CPT	33536	11	$1,855.25
Total shoulder arthroplasty	CPT	23472	11	$1,017.53
Hip hemiarthroplasty	CPT	27125	11	$787.94
Knee revision arthroplasty single component	CPT	27486	11	$981.19
Knee revision arthroplasty all components	CPT	27487	11	$1,228.14
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	$746.72
ACL reconstruction	CPT	29888	11	$687.39
Open appendectomy	CPT	44950	11	$443.5
Laparoscopic appendectomy	CPT	44970	11	$414.09
Laparoscopic cholecystectomy	CPT	47562	11	$453.49
Lap cholecystectomy with cholangiography	CPT	47563	11	$492.77
Open umbilical hernia repair	CPT	49560	11	$508.66
Umbilical hernia repair age 5+	CPT	49585	11	$305.91
Lap inguinal hernia repair	CPT	49650	11	$294.95
Lap incisional hernia repair	CPT	49652	11	$487.43
Total abdominal hysterectomy	CPT	58150	11	$711.2

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ascension St. Vincent Jennings	North Vernon	IN	$200
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)	—	—	$200
Ascension St. Vincent Williamsport	Williamsport	IN	$200
Ascension Seton Bastrop	Bastrop	TX	$200
Ascension St. Vincent Warrick	Booneville	IN	$200
St. Mary Medical Center Inc.	Hobart	IN	$200
Ascension Seton Shoal Creek	Austin	TX	$200
St Vincent Seton Specialty Hosp-Laf	Lafayette	IN	$200
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.)	—	—	$200
Ascension St Vincent Seton Specialty	Indianapolis	IN	$200
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)	—	—	$200

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States with hospitals publishing rates for mhs care connect.

State	Hospitals	Avg rate
IN	6	$200
TX	2	$200

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