▸ Payer

one health plan

Negotiated rates published by hospitals for one health plan across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

440

Median neg. rate

$11,500

Top procedures for one health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	11	$11,500
Major joint replacement w MCC	MS-DRG	469	11	$11,500
Heart failure & shock w MCC	MS-DRG	291	11	$11,500
Heart failure & shock w CC	MS-DRG	292	11	$11,500
Heart failure & shock w/o CC/MCC	MS-DRG	293	11	$11,500
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	11	$11,500
Cardiac arrhythmia w MCC	MS-DRG	308	11	$11,500
Cardiac arrhythmia w CC	MS-DRG	309	11	$11,500
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	11	$11,500
AMI discharged alive w MCC	MS-DRG	280	11	$11,500
AMI discharged alive w CC	MS-DRG	281	11	$11,500
AMI discharged alive w/o CC/MCC	MS-DRG	282	11	$11,500
Simple pneumonia & pleurisy w CC	MS-DRG	194	11	$11,500
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	11	$11,500
Respiratory infections & inflammations w MCC	MS-DRG	177	11	$11,500
COPD w MCC	MS-DRG	190	11	$11,500
COPD w CC	MS-DRG	191	11	$11,500
COPD w/o CC/MCC	MS-DRG	192	11	$11,500
GI hemorrhage w CC	MS-DRG	378	11	$11,500
GI hemorrhage w/o CC/MCC	MS-DRG	379	11	$11,500
Hip & femur procedures except major joint w MCC	MS-DRG	480	11	$11,500
Hip & femur procedures except major joint w CC	MS-DRG	481	11	$11,500
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	11	$11,500
Fractures of femur w/o MCC	MS-DRG	533	11	$11,500
Major small/large bowel procedures w MCC	MS-DRG	329	11	$11,500
Major small/large bowel procedures w CC	MS-DRG	330	11	$11,500
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	11	$11,500
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	$11,500
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	11	$11,500
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	11	$11,500

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Top 20 cheapest hospitals for one health plan

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ascension St. Vincent Jennings	North Vernon	IN	$11,500
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)	—	—	$11,500
Ascension St. Vincent Williamsport	Williamsport	IN	$11,500
Ascension Seton Bastrop	Bastrop	TX	$11,500
Ascension St. Vincent Warrick	Booneville	IN	$11,500
St. Mary Medical Center Inc.	Hobart	IN	$11,500
Ascension Seton Shoal Creek	Austin	TX	$11,500
St Vincent Seton Specialty Hosp-Laf	Lafayette	IN	$11,500
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.)	—	—	$11,500
Ascension St Vincent Seton Specialty	Indianapolis	IN	$11,500
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)	—	—	$11,500

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States covered

States with hospitals publishing rates for one health plan.

State	Hospitals	Avg rate
IN	6	$11,500
TX	2	$11,500

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