▸ Payer

verda healthplan

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

Hospitals

Procedures

151

States

Rate rows

299

Median neg. rate

$446.5

Top procedures for verda healthplan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$4,187.71
Upper GI endoscopy diagnostic	CPT	43235	2	$1,160.81
Upper GI endoscopy with biopsy	CPT	43239	2	$1,160.81
Heart failure & shock w MCC	MS-DRG	291	2	$12,501
Heart failure & shock w CC	MS-DRG	292	2	$8,464.2
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$5,836.91
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$7,819.91
Cardiac arrhythmia w MCC	MS-DRG	308	2	$11,760
Cardiac arrhythmia w CC	MS-DRG	309	2	$7,412.36
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,837.84
AMI discharged alive w MCC	MS-DRG	280	2	$15,474
AMI discharged alive w CC	MS-DRG	281	2	$9,114.99
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,295.38
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$19,252
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$9,961.68
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$6,936.1
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,064.07
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$6,417.14
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$15,090
COPD w MCC	MS-DRG	190	2	$10,866
COPD w CC	MS-DRG	191	2	$8,408.49
COPD w/o CC/MCC	MS-DRG	192	2	$6,542.47
GI hemorrhage w CC	MS-DRG	378	2	$9,686.86
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$6,434.78
Major small/large bowel procedures w MCC	MS-DRG	329	2	$43,255
Major small/large bowel procedures w CC	MS-DRG	330	2	$22,837
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$16,206
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$16,287
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$13,262
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$32,213

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Huntington Beach Hospital	Huntington Beach	CA	$4,815.18
Garden Grove Hospital Medical Center	Garden Grove	CA	$4,867.43

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States with hospitals publishing rates for verda healthplan.

State	Hospitals	Avg rate
CA	2	$4,841.39

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