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provider partners

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

Hospitals

Procedures

States

Rate rows

Median neg. rate

$15,850

Top procedures for provider partners

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	$23,272
Major joint replacement w MCC	MS-DRG	469	2	$35,978
Heart failure & shock w MCC	MS-DRG	291	2	$15,850
Heart failure & shock w CC	MS-DRG	292	2	$10,848
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$7,591.92
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$10,049
Cardiac arrhythmia w MCC	MS-DRG	308	2	$14,932
Cardiac arrhythmia w CC	MS-DRG	309	2	$9,544.35
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$7,593.07
AMI discharged alive w MCC	MS-DRG	280	2	$19,535
AMI discharged alive w CC	MS-DRG	281	2	$11,654
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$9,399.38
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$24,217
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$12,704
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$8,954.13
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$10,352
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$8,310.99
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$19,059
COPD w MCC	MS-DRG	190	2	$13,824
COPD w CC	MS-DRG	191	2	$10,779
COPD w/o CC/MCC	MS-DRG	192	2	$8,466.31
GI hemorrhage w CC	MS-DRG	378	2	$12,363
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$8,332.85
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	$34,587
Major small/large bowel procedures w MCC	MS-DRG	329	2	$53,964
Major small/large bowel procedures w CC	MS-DRG	330	2	$28,660
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$20,442
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$20,542
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$16,794
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$40,279

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University of Chicago Medical Center	—	—	$18,221
University Of Chicago Hospitals	Chicago	IL	$18,221

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States with hospitals publishing rates for provider partners.

State	Hospitals	Avg rate
IL	1	$18,221

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