▸ Payer

zelis healthcare

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

Hospitals

Procedures

138

States

Rate rows

277

Median neg. rate

$382.18

Top procedures for zelis healthcare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Upper GI endoscopy diagnostic	CPT	43235	2	$1,388.03
Sigmoidoscopy diagnostic	CPT	45330	2	$1,234
Major joint replacement w MCC	MS-DRG	469	2	$33,037
Heart failure & shock w MCC	MS-DRG	291	2	$14,133
Heart failure & shock w CC	MS-DRG	292	2	$9,434.2
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$6,376.09
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$8,684.26
Cardiac arrhythmia w MCC	MS-DRG	308	2	$13,270
Cardiac arrhythmia w CC	MS-DRG	309	2	$8,209.88
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$6,377.18
AMI discharged alive w MCC	MS-DRG	280	2	$17,594
AMI discharged alive w CC	MS-DRG	281	2	$10,192
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$8,073.72
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	$21,991
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	$11,177
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	$7,655.53
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$8,968.46
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$7,051.47
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$17,146
COPD w MCC	MS-DRG	190	2	$12,230
COPD w CC	MS-DRG	191	2	$9,369.37
COPD w/o CC/MCC	MS-DRG	192	2	$7,197.35
GI hemorrhage w CC	MS-DRG	378	2	$10,857
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$7,072
Major small/large bowel procedures w MCC	MS-DRG	329	2	$49,930
Major small/large bowel procedures w CC	MS-DRG	330	2	$26,164
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$18,445
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$18,539
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	$15,019
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	$37,077

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Sherman Oaks Hospital-Hlth	Sherman Oaks	CA	$5,696.51
Encino Hospital	Encino	CA	$5,998.48

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States with hospitals publishing rates for zelis healthcare.

State	Hospitals	Avg rate
CA	2	$5,832.78

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