▸ Payer

priority health hmo

Negotiated rates published by hospitals for priority health hmo across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

116

States

Rate rows

232

Median neg. rate

$260.14

Top procedures for priority health hmo

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	$18,903
Major joint replacement w MCC	MS-DRG	469	2	$30,155
Heart failure & shock w MCC	MS-DRG	291	2	$12,781
Heart failure & shock w CC	MS-DRG	292	2	$8,738.1
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$6,323.2
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$7,176.3
Cardiac arrhythmia w MCC	MS-DRG	308	2	$11,434
Cardiac arrhythmia w CC	MS-DRG	309	2	$7,253.25
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,341.85
AMI discharged alive w MCC	MS-DRG	280	2	$15,742
AMI discharged alive w CC	MS-DRG	281	2	$9,306.2
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,115.5
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,551.9
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$6,524.6
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$17,488
COPD w MCC	MS-DRG	190	2	$11,312
COPD w CC	MS-DRG	191	2	$8,682.05
COPD w/o CC/MCC	MS-DRG	192	2	$6,878.95
GI hemorrhage w CC	MS-DRG	378	2	$9,407.85
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$6,205.4
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	$28,789
Hip & femur procedures except major joint w CC	MS-DRG	481	2	$19,592
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	$15,813
Fractures of femur w/o MCC	MS-DRG	533	2	$14,540
Major small/large bowel procedures w MCC	MS-DRG	329	2	$47,431
Major small/large bowel procedures w CC	MS-DRG	330	2	$23,971
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$16,100
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$15,810
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$12,390
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$33,417

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Top 20 cheapest hospitals for priority health hmo

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Henry Ford Providence Novi Hospital	—	—	$5,184.26
Henry Ford Providence Southfield Hospital	—	—	$5,184.26

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