▸ Payer

phcs [244]

Negotiated rates published by hospitals for phcs [244] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

148

States

Rate rows

4,686

Median neg. rate

$287.2

Top procedures for phcs [244]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	17	$844.58
Colonoscopy with biopsy	CPT	45380	17	$1,008.87
Colonoscopy with polyp removal	CPT	45385	17	$1,261.56
CT head without contrast	CPT	70450	17	$1,099.77
CT head with contrast	CPT	70460	17	$1,356.71
Upper GI endoscopy diagnostic	CPT	43235	17	$637.39
Upper GI endoscopy with biopsy	CPT	43239	17	$779.21
Sigmoidoscopy diagnostic	CPT	45330	17	$532.91
Sigmoidoscopy with biopsy	CPT	45331	17	$725.91
Heart failure & shock w MCC	MS-DRG	291	17	$77.5
Heart failure & shock w CC	MS-DRG	292	17	$77.5
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	$77.5
Kidney/UTI w/o MCC	MS-DRG	690	17	$77.5
Kidney/UTI w MCC	MS-DRG	689	17	$77.5
Cardiac arrhythmia w MCC	MS-DRG	308	17	$77.5
Cardiac arrhythmia w CC	MS-DRG	309	17	$77.5
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	$77.5
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	$77.5
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	$77.5
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	$77.5
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	$77.5
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	$77.5
Respiratory infections & inflammations w MCC	MS-DRG	177	17	$77.5
COPD w CC	MS-DRG	191	17	$77.5
GI hemorrhage w CC	MS-DRG	378	17	$77.5
Major small/large bowel procedures w MCC	MS-DRG	329	17	$77.5
Major small/large bowel procedures w CC	MS-DRG	330	17	$77.5
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	$77.5
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	$77.5
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	$77.5

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St. Louis Children's at CoxHealth	—	—	$77.5
Alton Memorial Hospital	Alton	IL	$946.84
Alton Memorial Hospital	—	—	$946.84
Barnes-jewish Hospital	—	—	$946.84
Barnes Jewish St. Peters Hospital	St. Peters	MO	$1,034.32
Memorial Hospital Shiloh	—	—	$1,034.32
Barnes Jewish St. Peters Hospital	—	—	$1,034.32
Memorial Hospital	—	—	$1,034.32
Memorial Hospital East	Shiloh	IL	$1,034.32
Progress West Hospital	—	—	$1,055.46
Progress West Hospital	Ofallon	MO	$1,055.46
Missouri Baptist Hospital Sullivan	Sullivan	MO	$1,055.92
Missouri Baptist Sullivan Hospital	Sullivan	MO	$1,055.92
Parkland Health Center - Farmington	Farmington	MO	$1,192.47
Parkland Health Center	—	—	$1,192.47
Parkland Hlth Ctr - Bonne Terre	Bonne Terre	MO	$1,354.35
St. Louis Childrens Hospital	St. Louis	MO	$1,459.84
St. Louis Childrens Hospital	—	—	$1,459.84

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States with hospitals publishing rates for phcs [244].

State	Hospitals	Avg rate
MO	7	$1,163.41
IL	2	$988.87

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