▸ Payer

prime time health plan

Negotiated rates published by hospitals for prime time health plan across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

Median neg. rate

$10,983

Top procedures for prime time 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	2	$15,919
Major joint replacement w MCC	MS-DRG	469	2	$24,367
Heart failure & shock w MCC	MS-DRG	291	2	$10,983
Heart failure & shock w CC	MS-DRG	292	2	$7,657.06
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$5,492.03
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$7,126.13
Cardiac arrhythmia w MCC	MS-DRG	308	2	$10,373
Cardiac arrhythmia w CC	MS-DRG	309	2	$6,790.28
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,492.79
AMI discharged alive w MCC	MS-DRG	280	2	$13,434
AMI discharged alive w CC	MS-DRG	281	2	$8,193.35
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$6,693.89
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$16,547
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$8,891.05
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$6,397.82
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$7,327.33
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$5,970.17
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$13,117
COPD w MCC	MS-DRG	190	2	$9,636.19
COPD w CC	MS-DRG	191	2	$7,611.15
COPD w/o CC/MCC	MS-DRG	192	2	$6,073.45
GI hemorrhage w CC	MS-DRG	378	2	$8,664.6
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$5,984.71
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	$23,442
Major small/large bowel procedures w MCC	MS-DRG	329	2	$36,327
Major small/large bowel procedures w CC	MS-DRG	330	2	$19,501
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$14,037
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$14,103
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$11,611
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$27,227

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Top 20 cheapest hospitals for prime time health plan

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Aultman Hospital	—	—	$12,442
Alliance Community Hospital	Alliance	OH	$12,677

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States covered

States with hospitals publishing rates for prime time health plan.

State	Hospitals	Avg rate
OH	1	$12,677

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