▸ Payer

worker compensation

Negotiated rates published by hospitals for worker compensation across 3 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

166

States

Rate rows

734

Median neg. rate

$403.01

Top procedures for worker compensation

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
ED visit level 3	CPT	99283	6	$338.74
ED visit level 4	CPT	99284	6	$515.93
ED visit level 5	CPT	99285	6	$734.87
CT head without contrast	CPT	70450	6	$131.89
CT cervical spine without contrast	CPT	72125	6	$131.89
Obstetric ultrasound first trimester	CPT	76801	6	$131.89
Lumbosacral spine X-ray	CPT	72100	6	$131.89
Shoulder X-ray	CPT	73030	6	$110.37
Hand X-ray 3 views	CPT	73130	6	$110.37
EKG tracing only	CPT	93005	6	$70.39
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	5	$22,372
Cardiac arrhythmia w MCC	MS-DRG	308	5	$19,150
Cardiac arrhythmia w CC	MS-DRG	309	5	$11,345
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	$9,963.16
AMI discharged alive w MCC	MS-DRG	280	5	$20,358
AMI discharged alive w CC	MS-DRG	281	5	$11,682
AMI discharged alive w/o CC/MCC	MS-DRG	282	5	$9,254.8
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	5	$26,110
Intracranial hemorrhage/CVA w CC	MS-DRG	065	5	$13,008
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	5	$9,529.85
COPD w MCC	MS-DRG	190	5	$14,855
COPD w CC	MS-DRG	191	5	$28,561
COPD w/o CC/MCC	MS-DRG	192	5	$14,614
GI hemorrhage w CC	MS-DRG	378	5	$13,554
GI hemorrhage w/o CC/MCC	MS-DRG	379	5	$8,158.53
Major small/large bowel procedures w MCC	MS-DRG	329	5	$50,552
Major small/large bowel procedures w CC	MS-DRG	330	5	$26,328
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	5	$21,876
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	5	$18,056
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	5	$40,208

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Garden City Hospital Osteopathic	Garden City	MI	$21.05
Mt. Grant General Hospital	Hawthorne	NV	$6,554.88
Roxborough Memorial Hospital	—	—	$6,554.88
Centinela Hospital Medical Center	Inglewood	CA	$8,764.38
Chino Valley Medical Center	Chino	CA	$9,350.83
Montclair Hospital Medical Center	Montclair	CA	$9,351.78

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States with hospitals publishing rates for worker compensation.

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