▸ Payer

transformhealth

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

Hospitals

Procedures

194

States

Rate rows

412

Median neg. rate

$80

Top procedures for transformhealth

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$80
Shoulder arthroscopy with decompression	CPT	29826	2	$80
Total hip replacement	CPT	27130	2	$80
Total knee replacement	CPT	27447	2	$80
CABG single arterial graft	CPT	33533	2	$80
CABG 2 arterial grafts	CPT	33534	2	$80
Total shoulder arthroplasty	CPT	23472	2	$80
Hip hemiarthroplasty	CPT	27125	2	$80
Knee revision arthroplasty single component	CPT	27486	2	$80
Knee revision arthroplasty all components	CPT	27487	2	$80
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$80
ACL reconstruction	CPT	29888	2	$80
Heart failure & shock w MCC	MS-DRG	291	2	$80
Heart failure & shock w CC	MS-DRG	292	2	$80
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$80
Cardiac arrhythmia w MCC	MS-DRG	308	2	$80
Cardiac arrhythmia w CC	MS-DRG	309	2	$80
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$80
AMI discharged alive w MCC	MS-DRG	280	2	$80
AMI discharged alive w CC	MS-DRG	281	2	$80
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$80
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$80
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$80
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$80
COPD w MCC	MS-DRG	190	2	$80
COPD w CC	MS-DRG	191	2	$80
COPD w/o CC/MCC	MS-DRG	192	2	$80
Major small/large bowel procedures w MCC	MS-DRG	329	2	$80
Major small/large bowel procedures w CC	MS-DRG	330	2	$80
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$80

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Novant Health Brunswick Medical Center	—	—	$760.51
Brunswick Community Hospital	Bolivia	NC	$760.51

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States with hospitals publishing rates for transformhealth.

State	Hospitals	Avg rate
NC	1	$760.51

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