▸ Payer

triwest

Negotiated rates published by hospitals for triwest across 5 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

180

States

Rate rows

2,773

Median neg. rate

$7,311.91

Top procedures for triwest

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Major joint replacement w/o MCC	MS-DRG	470	42	$14,973
Major joint replacement w MCC	MS-DRG	469	42	$24,351
Heart failure & shock w MCC	MS-DRG	291	42	$10,446
Heart failure & shock w CC	MS-DRG	292	42	$7,176.8
Heart failure & shock w/o CC/MCC	MS-DRG	293	42	$4,949.25
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	42	$6,612.7
Cardiac arrhythmia w MCC	MS-DRG	308	42	$9,773.21
Cardiac arrhythmia w CC	MS-DRG	309	42	$6,298.42
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	42	$4,994.74
AMI discharged alive w MCC	MS-DRG	280	42	$12,896
AMI discharged alive w CC	MS-DRG	281	42	$7,658.27
AMI discharged alive w/o CC/MCC	MS-DRG	282	42	$6,198.04
Simple pneumonia & pleurisy w CC	MS-DRG	194	42	$6,864.29
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	42	$5,462.05
Respiratory infections & inflammations w MCC	MS-DRG	177	42	$12,657
COPD w MCC	MS-DRG	190	42	$9,113.25
COPD w CC	MS-DRG	191	42	$7,148.5
COPD w/o CC/MCC	MS-DRG	192	42	$5,608.44
GI hemorrhage w CC	MS-DRG	378	42	$8,126.73
GI hemorrhage w/o CC/MCC	MS-DRG	379	42	$5,526.79
Hip & femur procedures except major joint w MCC	MS-DRG	480	42	$22,587
Hip & femur procedures except major joint w CC	MS-DRG	481	42	$16,304
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	42	$12,754
Fractures of femur w/o MCC	MS-DRG	533	42	$12,290
Major small/large bowel procedures w MCC	MS-DRG	329	42	$34,970
Major small/large bowel procedures w CC	MS-DRG	330	42	$18,497
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	42	$13,193
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	42	$13,252
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	42	$10,767
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	42	$26,658

Loading procedures...

Top 20 cheapest hospitals for triwest

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ninnescah Valley Health Systems	Kingman	KS	$245.28
Copper Queen Comm. Hosp.	Bisbee	AZ	$408.23
Baylor County Hospital District	Seymour	TX	$700
Emerald Coast Behavioral Hospital	Panama City	FL	$1,720.23
North Vista Hospital	North Las Vegas	NV	$4,427.01
Baylor S&W Medical Center - Plano	Plano	TX	$8,452.54
Bsw Medical Center - Austin	Austin	TX	$8,470.21
Scott And White Hospital Taylor	Taylor	TX	$8,470.21
Mid Coast Medical Center-Central	Llano	TX	$8,470.21
Baylor Scott & White Pflugerville	Pflugerville	TX	$8,481.91
Baylor Medical Center-Grapevine	Grapevine	TX	$8,499.86
Baylor Scott & White - Buda	Buda	TX	$8,507.56
Round Rock Hospital	Round Rock	TX	$8,795.77
Baylor S&W Medical Center - Mckinney	Mckinney	TX	$9,149.95
Centennial Medical Center	Frisco	TX	$9,173.43
College Station Hospital	College Station	TX	$9,378.51
Baylor Scott & White Mc- Lake Pointe	Rowlett	TX	$9,379.28
Baylor All Saints Medical Center Of Fort Worth	—	—	$9,624.83
Baylor S&W All Saints Medical Center	Fort Worth	TX	$9,624.83
Hillcrest Baptist Medical Center	Waco	TX	$9,864.65

Loading hospitals...

States covered

States with hospitals publishing rates for triwest.

State	Hospitals	Avg rate
TX	22	$9,027.94
AZ	7	$11,732
FL	1	$1,720.23
KS	1	$245.28
NV	1	$4,427.01

Loading state coverage...