▸ Payer

providers partner health plan

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

Hospitals

Procedures

157

States

Rate rows

314

Median neg. rate

$367.35

Top procedures for providers partner health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$3,445.4
Total hip replacement	CPT	27130	2	$13,519
Total knee replacement	CPT	27447	2	$13,113
Total shoulder arthroplasty	CPT	23472	2	$16,893
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$4,028.95
ACL reconstruction	CPT	29888	2	$7,640.76
Heart failure & shock w MCC	MS-DRG	291	2	$12,801
Heart failure & shock w CC	MS-DRG	292	2	$8,757.91
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$6,126.6
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$8,112.64
Cardiac arrhythmia w MCC	MS-DRG	308	2	$12,059
Cardiac arrhythmia w CC	MS-DRG	309	2	$7,704.46
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$6,127.53
AMI discharged alive w MCC	MS-DRG	280	2	$15,779
AMI discharged alive w CC	MS-DRG	281	2	$9,409.71
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,587.31
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$19,562
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$10,258
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$7,227.48
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,357.18
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$6,707.72
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$15,394
COPD w MCC	MS-DRG	190	2	$11,163
COPD w CC	MS-DRG	191	2	$8,702.13
COPD w/o CC/MCC	MS-DRG	192	2	$6,833.25
GI hemorrhage w CC	MS-DRG	378	2	$9,982.46
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$6,725.4
Major small/large bowel procedures w MCC	MS-DRG	329	2	$43,602
Major small/large bowel procedures w CC	MS-DRG	330	2	$23,153
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$16,511

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Top 20 cheapest hospitals for providers partner health plan

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mt. Grant General Hospital	Hawthorne	NV	$5,044.32
Roxborough Memorial Hospital	—	—	$5,044.32

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States covered

States with hospitals publishing rates for providers partner health plan.

State	Hospitals	Avg rate
NV	1	$5,044.32

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