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neighborhood

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

Hospitals

Procedures

147

States

Rate rows

286

Median neg. rate

$455.43

Top procedures for neighborhood

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Upper GI endoscopy diagnostic	CPT	43235	2	$1,184.03
Upper GI endoscopy with biopsy	CPT	43239	2	$1,184.03
Laparoscopic appendectomy	CPT	44970	2	$7,892.2
Heart failure & shock w MCC	MS-DRG	291	2	$13,434
Heart failure & shock w CC	MS-DRG	292	2	$9,133.95
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$6,334.91
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$8,447.55
Cardiac arrhythmia w MCC	MS-DRG	308	2	$12,645
Cardiac arrhythmia w CC	MS-DRG	309	2	$8,013.34
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$6,335.91
AMI discharged alive w MCC	MS-DRG	280	2	$16,602
AMI discharged alive w CC	MS-DRG	281	2	$9,827.28
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,888.72
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$20,627
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$10,729
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$7,505.96
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,707.66
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$6,953.07
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$16,193
COPD w MCC	MS-DRG	190	2	$11,693
COPD w CC	MS-DRG	191	2	$9,074.61
COPD w/o CC/MCC	MS-DRG	192	2	$7,086.6
GI hemorrhage w CC	MS-DRG	378	2	$10,437
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$6,971.87
Major small/large bowel procedures w MCC	MS-DRG	329	2	$46,199
Major small/large bowel procedures w CC	MS-DRG	330	2	$24,447
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$17,382
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$17,468
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$14,245
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$34,435

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Montclair Hospital Medical Center	Montclair	CA	$5,566.34
Chino Valley Medical Center	Chino	CA	$5,981.9

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States with hospitals publishing rates for neighborhood.

State	Hospitals	Avg rate
CA	2	$5,778.48

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