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Intracranial hemorrhage/CVA w MCC

MS-DRG 064 · negotiated-rate distribution across hospitals in GA

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Hospitals
11
Min
$14,933
Median
$24,604
Max
$43,919
Range multiplier
2.9×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$19,177$43,919$62,1023.2×
Blue Cross Blue Shield931$55$20,869$60,0801092.4×
Aetna925$90$32,353$48,902543.4×
Cigna924$85$22,576$56,872669.1×
UnitedHealthcare821$15,307$20,392$75,5544.9×
Humana917$4,259.06$33,266$51,54412.1×
WellCare56$14,933$20,306$21,6161.4×
devoted health55$15,829$20,392$20,9261.3×
Oscar Health55$26,412$27,593$27,5931.0×
clover health33$19,470$21,412$21,4121.1×
optum33$18,543$20,392$20,3921.1×
Kaiser Permanente33$18,543$20,392$20,3921.1×
sonder health plans33$19,470$21,412$21,4121.1×
Ambetter33$39,312$43,232$43,2321.1×
CareSource13$20,957$20,957$35,5541.7×
va community care network33$18,543$20,392$20,3921.1×
riverwood behavioral health12$20,317$20,332$20,3471.0×
First Health12$95$7,514.12$14,933157.2×
Health Net12$97$7,515.12$14,933154.0×
peach state12$19,160$20,059$20,9571.1×
sonder health plan12$21,364$21,364$21,3641.0×
georgia workers’ compensation11$19,438$19,438$19,4381.0×
imperial insurance11$15,680$15,680$15,6801.0×
employer direct healthcare11$26,412$26,412$26,4121.0×
Medicare11$20,317$20,317$20,3171.0×
Multiplan11$18,855$18,855$18,8551.0×
naphcare11$31,491$31,491$31,4911.0×
national healthcare solutions, inc.11$32,507$32,507$32,5071.0×
novanet11$18,466$18,466$18,4661.0×
corvel11$18,466$18,466$18,4661.0×
clear spring health plan11$20,317$20,317$20,3171.0×
arizona medical network11$14,933$14,933$14,9331.0×
prime health services11$18,855$18,855$18,8551.0×
provider select11$19,243$19,243$19,2431.0×
centurion11$30,475$30,475$30,4751.0×
rural arizona network11$14,933$14,933$14,9331.0×
americas choice provider network11$18,855$18,855$18,8551.0×
bridgeway health solutions11$14,933$14,933$14,9331.0×
three rivers11$18,855$18,855$18,8551.0×
TRICARE11$19,399$19,399$19,3991.0×
ubh optum11$20,347$20,347$20,3471.0×
united mine workers of america11$14,933$14,933$14,9331.0×
health management network11$14,933$14,933$14,9331.0×
banner health11$14,933$14,933$14,9331.0×
health choice pathway11$14,933$14,933$14,9331.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$18,827$43,919$62,102
EMORY LONG TERM ACUTE CAREDECATURGA5$27,593$38,457$39,720
NGMC LUMPKIN LLCDAHLONEGAGA6$18,257$31,941$62,102
NGMC BARROWWINDERGA6$19,177$25,979$60,080
EMORY UNIVERSITY HOSPITALATLANTAGA14$20,392$24,604$43,232
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$20,392$24,604$43,232
EMORY DECATURDECATURGA14$18,543$24,054$42,229
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$20,316$4,259.06$20,394$35,554
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$55$14,933$75,554
CHATUGE REGIONAL HOSPITALHIWASSEEGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.