▸ Payer

professional benefit administrator

Negotiated rates published by hospitals for professional benefit administrator across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

102

Median neg. rate

$85

Top procedures for professional benefit administrator

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Heart failure & shock w MCC	MS-DRG	291	2	$85
Heart failure & shock w CC	MS-DRG	292	2	$85
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$85
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	$85
PCI w drug-eluting stent w MCC	MS-DRG	246	2	$85
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$85
Cardiac arrhythmia w MCC	MS-DRG	308	2	$85
Cardiac arrhythmia w CC	MS-DRG	309	2	$85
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$85
AMI discharged alive w MCC	MS-DRG	280	2	$85
AMI discharged alive w CC	MS-DRG	281	2	$85
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$85
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$85
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$85
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$85
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$85
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$85
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$85
COPD w MCC	MS-DRG	190	2	$85
COPD w CC	MS-DRG	191	2	$85
COPD w/o CC/MCC	MS-DRG	192	2	$85
GI hemorrhage w CC	MS-DRG	378	2	$85
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$85
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	$85
Major small/large bowel procedures w MCC	MS-DRG	329	2	$85
Major small/large bowel procedures w CC	MS-DRG	330	2	$85
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$85
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$85
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$85
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$85

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Top 20 cheapest hospitals for professional benefit administrator

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University of Chicago Medical Center	—	—	$85
University Of Chicago Hospitals	Chicago	IL	$85

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States covered

States with hospitals publishing rates for professional benefit administrator.

State	Hospitals	Avg rate
IL	1	$85

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