▸ Payer

patoka valley tier 1

Negotiated rates published by hospitals for patoka valley tier 1 across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

158

States

Rate rows

3,792

Median neg. rate

$201.16

Top procedures for patoka valley tier 1

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	11	$297.75
Colonoscopy with biopsy	CPT	45380	11	$358.77
Colonoscopy with polyp removal	CPT	45385	11	$425.99
Knee arthroscopy with meniscectomy	CPT	29881	11	$791.7
Shoulder arthroscopy with decompression	CPT	29826	11	$940.3
Total hip replacement	CPT	27130	11	$1,975
Total knee replacement	CPT	27447	11	$2,089.4
Upper GI endoscopy diagnostic	CPT	43235	11	$154.21
Upper GI endoscopy with biopsy	CPT	43239	11	$269.76
Sigmoidoscopy diagnostic	CPT	45330	11	$49.67
Sigmoidoscopy with biopsy	CPT	45331	11	$69.69
CABG single arterial graft	CPT	33533	11	$2,187.05
CABG 2 arterial grafts	CPT	33534	11	$2,829
CABG 3 arterial grafts	CPT	33535	11	$3,090.2
CABG 4+ arterial grafts	CPT	33536	11	$3,350.5
Total shoulder arthroplasty	CPT	23472	11	$1,673.9
Hip hemiarthroplasty	CPT	27125	11	$1,461.9
Knee revision arthroplasty single component	CPT	27486	11	$1,887.3
Knee revision arthroplasty all components	CPT	27487	11	$2,439.3
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	$1,294.1
ACL reconstruction	CPT	29888	11	$1,381.2
Open appendectomy	CPT	44950	11	$685.7
Laparoscopic appendectomy	CPT	44970	11	$673
Laparoscopic cholecystectomy	CPT	47562	11	$892
Lap cholecystectomy with cholangiography	CPT	47563	11	$965.28
Open umbilical hernia repair	CPT	49560	11	$782.3
Umbilical hernia repair age 5+	CPT	49585	11	$472.8
Lap inguinal hernia repair	CPT	49650	11	$516.4
Lap incisional hernia repair	CPT	49652	11	$1,191.29
Total abdominal hysterectomy	CPT	58150	11	$1,202.18

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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	$471.48
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)	—	—	$471.48
Ascension St. Vincent Williamsport	Williamsport	IN	$471.48
Ascension Seton Bastrop	Bastrop	TX	$471.48
Ascension St. Vincent Warrick	Booneville	IN	$471.48
St. Mary Medical Center Inc.	Hobart	IN	$471.48
Ascension Seton Shoal Creek	Austin	TX	$471.48
St Vincent Seton Specialty Hosp-Laf	Lafayette	IN	$471.48
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.)	—	—	$471.48
Ascension St Vincent Seton Specialty	Indianapolis	IN	$471.48
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)	—	—	$471.48

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States with hospitals publishing rates for patoka valley tier 1.

State	Hospitals	Avg rate
IN	6	$471.48
TX	2	$471.48

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