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provider partner

Negotiated rates published by hospitals for provider partner across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

Median neg. rate

$12,105

Top procedures for provider partner

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	$17,384
Major joint replacement w MCC	MS-DRG	469	2	$26,421
Heart failure & shock w MCC	MS-DRG	291	2	$12,105
Heart failure & shock w CC	MS-DRG	292	2	$8,547.03
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$6,231.18
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$7,979.11
Cardiac arrhythmia w MCC	MS-DRG	308	2	$11,452
Cardiac arrhythmia w CC	MS-DRG	309	2	$7,619.87
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$6,232
AMI discharged alive w MCC	MS-DRG	280	2	$14,726
AMI discharged alive w CC	MS-DRG	281	2	$9,120.67
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,516.76
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$18,056
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$9,866.97
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$7,200.07
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,194.33
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$6,742.63
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$14,387
COPD w MCC	MS-DRG	190	2	$10,664
COPD w CC	MS-DRG	191	2	$8,497.93
COPD w/o CC/MCC	MS-DRG	192	2	$6,853.11
GI hemorrhage w CC	MS-DRG	378	2	$9,624.75
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$6,758.18
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	$25,431
Major small/large bowel procedures w MCC	MS-DRG	329	2	$39,214
Major small/large bowel procedures w CC	MS-DRG	330	2	$21,216
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$15,371
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$15,442
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$12,776
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$29,480

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Top 20 cheapest hospitals for provider partner

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ingalls Memorial Hospital	Harvey	IL	$13,791
Ingalls Memorial Hospital	—	—	$13,791

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States covered

States with hospitals publishing rates for provider partner.

State	Hospitals	Avg rate
IL	1	$13,791

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