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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$11,701
Median
$20,128
Max
$35,692
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$15,585$35,692$50,4693.2×
Blue Cross Blue Shield1142$58.00$20,805$48,826841.8×
Aetna1131$90.00$26,292$39,742441.6×
UnitedHealthcare1027$9,898.78$17,097$76,2157.7×
Cigna1127$85.00$18,347$46,219543.8×
Humana1120$3,691.82$27,035$41,88811.3×
WellCare78$9,800.77$14,424$17,8311.8×
Oscar Health77$15,681$22,424$22,4241.4×
devoted health66$11,339$16,008$17,6161.6×
Ambetter55$16,171$32,210$35,6622.2×
Kaiser Permanente44$11,339$16,008$16,8221.5×
optum44$11,339$16,008$16,8221.5×
clover health44$11,906$16,808$17,6631.5×
sonder health plans44$11,906$16,808$17,6631.5×
va community care network44$11,339$16,008$16,8221.5×
First Health23$95.00$7,300.00$12,135127.7×
TRICARE23$11,510$11,701$11,7011.0×
CareSource13$17,640$17,640$29,9301.7×
sonder health plan12$17,982$17,982$17,9821.0×
peach state12$15,570$16,605$17,6401.1×
riverwood behavioral health12$17,103$17,114$17,1261.0×
Health Net12$97.00$6,116.16$12,135125.1×
occunet11$22,052$22,052$22,0521.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$15,969$15,969$15,9691.0×
provider select11$16,298$16,298$16,2981.0×
rural arizona network11$12,135$12,135$12,1351.0×
smarthealth11$13,721$13,721$13,7211.0×
ubh optum11$17,126$17,126$17,1261.0×
united mine workers of america11$12,135$12,135$12,1351.0×
three rivers11$15,969$15,969$15,9691.0×
americas choice provider network11$15,969$15,969$15,9691.0×
arizona medical network11$12,135$12,135$12,1351.0×
banner health11$12,135$12,135$12,1351.0×
blue mcr replacement11$9,800.77$9,800.77$9,800.771.0×
bridgeway health solutions11$12,135$12,135$12,1351.0×
centurion11$25,654$25,654$25,6541.0×
clear spring health plan11$17,103$17,103$17,1031.0×
corvel11$15,639$15,639$15,6391.0×
employer direct healthcare11$22,233$22,233$22,2331.0×
facility billing - op11$9,800.77$9,800.77$9,800.771.0×
georgia workers’ compensation11$16,462$16,462$16,4621.0×
health choice pathway11$12,135$12,135$12,1351.0×
health management network11$12,135$12,135$12,1351.0×
healthspring mcr replacement11$9,996.79$9,996.79$9,996.791.0×
imperial insurance11$12,742$12,742$12,7421.0×
Medicare11$17,103$17,103$17,1031.0×
Medicare Advantage11$9,800.77$9,800.77$9,800.771.0×
Multiplan11$15,969$15,969$15,9691.0×
naphcare11$26,509$26,509$26,5091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$15,163$35,692$50,469
Emory Long Term Acute CareDecaturGA5$22,424$31,254$32,280
Ngmc BarrowWinderGA6$15,585$28,206$48,826
Ngmc Lumpkin LlcDahlonegaGA6$14,805$28,206$50,469
Emory University Hospital MidtownAtlantaGA14$16,672$20,128$35,662
Emory University HospitalAtlantaGA14$16,672$20,128$35,662
St. Josephs Of AtlantaAtlantaGA14$11,339$19,548$34,318
Emory DecaturDecaturGA14$15,193$19,548$34,318
Southern Regional Medical CenterRiverdaleGA28$17,102$3,691.82$17,126$29,930
West Central Ga Regional HospitalColumbusGA17$58.00$12,135$76,215
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$11,701$22,052
Chatuge Regional HospitalHiwasseeGA0
Union General HospitalBlairsvilleGA0
Memorial HospitalBainbridgeGA0
Southwell MedicalAdelGA0

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.