▸ Payer

wellpoint (fka amerigroup)

Negotiated rates published by hospitals for wellpoint (fka amerigroup) across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

668

Median neg. rate

$7,126.63

Top procedures for wellpoint (fka amerigroup)

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Total hip replacement	CPT	27130	8	$12,407
Total knee replacement	CPT	27447	8	$12,407
Total shoulder arthroplasty	CPT	23472	8	$17,569
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	$4,571.45
Heart failure & shock w MCC	MS-DRG	291	8	$12,003
Heart failure & shock w CC	MS-DRG	292	8	$8,582.49
Heart failure & shock w/o CC/MCC	MS-DRG	293	8	$6,172.91
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	$7,958.71
Cardiac arrhythmia w MCC	MS-DRG	308	8	$11,240
Cardiac arrhythmia w CC	MS-DRG	309	8	$7,642.56
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	$6,256.17
AMI discharged alive w MCC	MS-DRG	280	8	$14,598
AMI discharged alive w CC	MS-DRG	281	8	$9,049.77
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	$7,533.07
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	$17,280
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	$9,783.06
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	$7,249.32
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	$8,264.81
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	$6,743.5
Respiratory infections & inflammations w MCC	MS-DRG	177	8	$14,406
COPD w MCC	MS-DRG	190	8	$10,601
COPD w CC	MS-DRG	191	8	$8,566.31
COPD w/o CC/MCC	MS-DRG	192	8	$6,932.42
GI hemorrhage w CC	MS-DRG	378	8	$9,544.02
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	$6,851.45
Major small/large bowel procedures w MCC	MS-DRG	329	8	$37,349
Major small/large bowel procedures w CC	MS-DRG	330	8	$20,168
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	$14,672
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	$14,729
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	$12,102

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Centennial Medical Center	Frisco	TX	$7,700.34
Baylor Scott & White Mc- Lake Pointe	Rowlett	TX	$8,115.7
Baylor S&W All Saints Medical Center	Fort Worth	TX	$8,309.78
Baylor All Saints Medical Center Of Fort Worth	—	—	$8,309.78
Baylor University Medical Ctr	Dallas	TX	$8,881.73
Baylor University Medical Center	—	—	$8,881.73
BAYLOR UNIVERSITY MEDICAL CENTER	—	—	$8,881.73
Baylor S&W Medical Center - Irving	Irving	TX	$9,149.1

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States with hospitals publishing rates for wellpoint (fka amerigroup).

State	Hospitals	Avg rate
TX	5	$8,430.82

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