▸ Payer

senior whole health [10110]

Negotiated rates published by hospitals for senior whole health [10110] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

170

States

Rate rows

1,890

Median neg. rate

$447.37

Top procedures for senior whole health [10110]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	10	$9,302.17
Shoulder arthroscopy with decompression	CPT	29826	10	$7,451.67
Total hip replacement	CPT	27130	10	$16,586
Total knee replacement	CPT	27447	10	$16,586
Total shoulder arthroplasty	CPT	23472	10	$22,651
Knee revision arthroplasty single component	CPT	27486	10	$16,586
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	$9,374.03
ACL reconstruction	CPT	29888	10	$11,057
Heart failure & shock w MCC	MS-DRG	291	10	$12,989
Heart failure & shock w CC	MS-DRG	292	10	$8,766.56
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	$8,092.68
Cardiac arrhythmia w MCC	MS-DRG	308	10	$12,214
Cardiac arrhythmia w CC	MS-DRG	309	10	$7,666.4
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	$6,019.57
AMI discharged alive w MCC	MS-DRG	280	10	$16,099
AMI discharged alive w CC	MS-DRG	281	10	$9,447.24
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	$7,544.06
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	10	$20,050
Intracranial hemorrhage/CVA w CC	MS-DRG	065	10	$10,333
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	10	$7,168.28
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	$8,348.06
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	$6,625.48
Respiratory infections & inflammations w MCC	MS-DRG	177	10	$15,697
COPD w MCC	MS-DRG	190	10	$11,279
COPD w CC	MS-DRG	191	10	$8,708.3
COPD w/o CC/MCC	MS-DRG	192	10	$6,756.57
GI hemorrhage w CC	MS-DRG	378	10	$10,045
Major small/large bowel procedures w MCC	MS-DRG	329	10	$45,155
Major small/large bowel procedures w CC	MS-DRG	330	10	$23,800
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	$16,864

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Harrington Memorial Hospital	Southbridge	MA	$4,146.15
UMass Memorial Health-Harrington Hospital	—	—	$4,146.15
Webster County Memorial Hospital	Webster Springs	WV	$4,146.15
Healthalliance-Clinton	Leominster	MA	$4,345.92
HealthAlliance-Clinton, Leominster Campus	—	—	$4,345.92
HealthAlliance-Clinton, Clinton Campus	—	—	$4,345.92
Marlborough Hospital	Marlborough	MA	$4,875.64
UMass Memorial Medical Center-Marlborough Campus	—	—	$4,875.64
Umass Memorial Medical Center	Worcester	MA	$4,875.64
UMass Memorial Medical Center University Campus	—	—	$4,875.64

Loading hospitals...

States with hospitals publishing rates for senior whole health [10110].

State	Hospitals	Avg rate
MA	4	$4,589.46
WV	1	$4,146.15

Loading state coverage...