▸ Payer

phcs

Negotiated rates published by hospitals for phcs across 16 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

209

States

Rate rows

11,486

Median neg. rate

$208.74

Top procedures for phcs

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Cardiac arrhythmia w MCC	MS-DRG	308	49	$1,634.57
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	48	$2,390.73
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	48	$1,424.29
Heart failure & shock w MCC	MS-DRG	291	48	$1,698.17
Heart failure & shock w CC	MS-DRG	292	48	$1,241.03
GI hemorrhage w CC	MS-DRG	378	48	$1,379.5
AMI discharged alive w MCC	MS-DRG	280	48	$2,034.94
AMI discharged alive w CC	MS-DRG	281	48	$1,314.73
AMI discharged alive w/o CC/MCC	MS-DRG	282	48	$1,108.66
Simple pneumonia & pleurisy w CC	MS-DRG	194	48	$1,195.71
Respiratory infections & inflammations w MCC	MS-DRG	177	48	$1,991.41
COPD w MCC	MS-DRG	190	48	$1,513.02
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	48	$1,168.06
Kidney/UTI w MCC	MS-DRG	689	48	$1,568.33
Cardiac arrhythmia w CC	MS-DRG	309	48	$1,121.9
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	48	$943.59
Heart failure & shock w/o CC/MCC	MS-DRG	293	47	$840
COPD w CC	MS-DRG	191	47	$1,076.96
Kidney/UTI w/o MCC	MS-DRG	690	47	$1,048.31
COPD w/o CC/MCC	MS-DRG	192	47	$905.01
Major small/large bowel procedures w CC	MS-DRG	330	47	$2,406.53
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	47	$1,211.46
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	46	$2,581.64
Major joint replacement w MCC	MS-DRG	469	46	$2,338.22
Hip & femur procedures except major joint w MCC	MS-DRG	480	46	$2,259.51
Hip & femur procedures except major joint w CC	MS-DRG	481	46	$1,727.1
Major small/large bowel procedures w MCC	MS-DRG	329	46	$3,355.96
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	46	$1,464.81
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	46	$1,252.7
Major joint replacement w/o MCC	MS-DRG	470	46	$1,619.3

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Top 20 cheapest hospitals for phcs

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
OSF Saint Anthony's Health Center	—	—	$70
Osf Saint Anthonys Health Center	Alton	IL	$70
Ottawa Regional Hospital & Healthcar	Ottawa	IL	$75.7
OSF Saint Elizabeth Medical Center - Streator	—	—	$75.7
OSF Saint Elizabeth Medical Center	—	—	$75.7
OSF Saint Elizabeth Medical Center - Peru	—	—	$75.7
OSF St Mary Medical Center	—	—	$85
Hilton Head Hospital	Hilton Head Island	SC	$90
Coastal Carolina Medical Center	Hardeeville	SC	$90
East Cooper Regional Medical Center	Mt. Pleasant	SC	$90
Medical Park Hospital	Winston-Salem	NC	$118.27
Novant Health Medical Park Hospital	—	—	$118.27
Novant Health Huntersville Medical Center	—	—	$411.68
Presbyterian Hospital Huntersville	Huntersville	NC	$411.68
Novant Health Matthews Medical Center	—	—	$445.94
Presbyterian Hospital Matthews	Matthews	NC	$445.94
Novant Health Kernersville Medical Center	—	—	$460.23
Novant Health Mint Hill Medical Center	—	—	$461.49
Novant Health Mint Hill Medical Ctr	Charlotte	NC	$461.49
Novant Health Ballantyne Medical Ctr	Charlotte	NC	$582.89

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States covered

States with hospitals publishing rates for phcs.

State	Hospitals	Avg rate
NC	9	$629.81
IL	4	$2,143.75
SC	3	$90
IA	3	$1,311.65
OK	2	$2,547.78
AR	2	$992.23
WA	1	$22,269
LA	1	$3,597.04
NE	1	$1,739.3
TN	1	$15,289
TX	1	$2,739.36

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