▸ Payer

nhc advantage

Negotiated rates published by hospitals for nhc advantage across 6 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

190

States

Rate rows

6,227

Median neg. rate

$995

Top procedures for nhc advantage

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	9	$973.29
Upper GI endoscopy diagnostic	CPT	43235	9	$996.37
Upper GI endoscopy with biopsy	CPT	43239	9	$996.37
Sigmoidoscopy diagnostic	CPT	45330	9	$973.29
Sigmoidoscopy with biopsy	CPT	45331	9	$973.29
Major joint replacement w MCC	MS-DRG	469	9	$19,287
Heart failure & shock w MCC	MS-DRG	291	9	$8,111.19
Heart failure & shock w CC	MS-DRG	292	9	$5,395.45
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$3,594.93
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	$4,947.88
Cardiac arrhythmia w MCC	MS-DRG	308	9	$7,588.45
Cardiac arrhythmia w CC	MS-DRG	309	9	$4,678.95
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	$3,610.23
AMI discharged alive w MCC	MS-DRG	280	9	$10,125
AMI discharged alive w CC	MS-DRG	281	9	$5,818.04
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	$4,598.38
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	$5,130.04
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	$3,999.4
Respiratory infections & inflammations w MCC	MS-DRG	177	9	$9,890.87
COPD w MCC	MS-DRG	190	9	$7,008.44
COPD w CC	MS-DRG	191	9	$5,363.5
COPD w/o CC/MCC	MS-DRG	192	9	$4,098.56
GI hemorrhage w CC	MS-DRG	378	9	$6,204.53
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	$4,027.9
Major small/large bowel procedures w MCC	MS-DRG	329	9	$28,673
Major small/large bowel procedures w CC	MS-DRG	330	9	$14,958
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	$10,519
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	$10,571
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	$8,524.77
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	9	$21,454

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Saint Thomas Midtown Hospital	Nashville	TN	$1,757.19
Saint Thomas Rutherford Hospital	Murfreesboro	TN	$1,876.57
Saint Thomas West Hospital	Nashville	TN	$1,876.57
St Thomas Dekalb Hospital	Smithville	TN	$1,994.09
Ascension St Thomas River Park	Mcminnville	TN	$1,996.18
Saint Thomas Highland Hospital	Sparta	TN	$2,128.57
Saint Thomas Stones River Hospital	Woodbury	TN	$2,155.22
Colleton Medical Center	Walterboro	SC	$2,976.04
Peninsula Behavioral Health	—	—	$3,589.03

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States with hospitals publishing rates for nhc advantage.

State	Hospitals	Avg rate
TN	7	$1,969.2
SC	1	$2,976.04

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