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Respiratory infections & inflammations w MCC

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

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Hospitals
15
Min
$74.30
Median
$77.75
Max
$13,218
Range multiplier
177.9×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield735$55.00$7,121.00$28,393516.2×
Aetna731$45.60$75.00$20,827456.7×
UnitedHealthcare718$74.30$12,826$26,191352.5×
allied benefits [498]618$58.00$67.30$20,827359.1×
Cigna618$60.90$4,374.85$29,637486.7×
cox health systems insurance company [220]618$55.00$55.00$74.001.3×
healthlink [225]618$48.50$65.00$75.501.6×
consociate [478]612$8,810.00$18,446$21,2142.4×
phcs [244]612$75.00$77.50$80.001.1×
unicare [568]612$65.00$70.25$75.501.2×
med-pay [480]612$65.00$70.00$75.001.2×
healthscope benefits [258]611$65.00$21,996$26,191402.9×
Humana69$66.50$12,358$14,292214.9×
sarah bush lincoln [636]67$8,810.00$21,214$25,3452.9×
coresource [497]66$60.30$8,881.15$20,827345.4×
fmh benefit service inc [222]66$60.30$8,881.15$20,827345.4×
health alliance [224]66$9,761.00$17,798$17,7981.8×
health systems inc [620]66$75.00$75.00$75.001.0×
healthcare sol mercy [609]66$75.00$75.00$75.001.0×
apwu health plan [216]66$68.70$6,229.85$29,637431.4×
medica [661]66$80.00$80.00$80.001.0×
Multiplan66$75.00$75.00$75.001.0×
nalc health benefit plan [242]66$68.70$6,229.85$29,637431.4×
preferred health professionals [561]66$75.50$75.50$75.501.0×
priority health [648]66$68.70$6,229.85$29,637431.4×
beechstreet [551]66$75.00$75.00$75.001.0×
First Health66$74.30$74.30$74.301.0×
hfn [563]66$80.00$80.00$85.001.1×
hope trust [806]66$58.00$58.00$58.001.0×
mail handlers [495]66$60.30$8,881.15$20,827345.4×
detego health [868]66$75.00$75.00$75.001.0×
devoted health plan [847]33$11,550$12,975$13,9601.2×
medica [662]33$11,550$12,975$13,9601.2×
essence healthcare [221]33$11,000$12,358$13,2951.2×
cox health [757]33$11,550$12,975$13,9601.2×
mh magellan health services [270]22$100.00$100.00$100.001.0×
osfdan11$75.00$75.00$75.001.0×
bakersfield school district (smbc)11$2,356.00$2,356.00$2,356.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$49,456$29,674$48.50$93.50$29,637
Progress West HospitalOfallonMO36$49,651$29,791$48.50$87.00$29,637
St. Louis Childrens HospitalSt. LouisMO31$69,348$41,609$48.50$77.75$21,996
Mercy Continuing Care HospitalChesterfieldMO1$75.00$75.00$75.00
Parkland Health Center - FarmingtonFarmingtonMO35$32,445$19,467$45.60$75.00$28,393
Missouri Baptist Hospital SullivanSullivanMO31$23,107$13,864$45.60$74.30$28,393
Missouri Baptist Sullivan HospitalSullivanMO31$23,107$13,864$45.60$74.30$28,393
Mercy Rehabilitation Hospital-SpgfSpringfieldMO1$23,441$23,441$2,356.00$2,356.00$2,356.00
Saint Francis Medical CenterCape GirardeauMO3$11,448$13,218$19,826
Northeast Regional Medical CenterKirksvilleMO0
Moberly Regional Medical CenterMoberlyMO0
CoxhealthSpringfieldMO0
Barton County Memorial HospitalLamarMO0
Cox-Monett HospitalMonettMO0
Cox Medical Center BransonBransonMO0

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.