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COPD w MCC

MS-DRG 190 · negotiated-rate distribution across hospitals in PA

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Hospitals
64
Min
$8,175.43
Median
$9,955.37
Max
$19,190
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36194$1,439.39$12,817$48,43433.6×
upmc health plan3370$7,944.93$10,757$16,7142.1×
Aetna3362$5,654.00$10,334$32,6975.8×
UnitedHealthcare3154$7,998.01$10,062$25,9323.2×
Cigna2337$7,967.98$11,074$31,8534.0×
upmc work partners2324$5,803.79$9,482.92$10,4511.8×
pa health & wellness2323$2,315.52$9,358.05$11,6595.0×
amerihealth caritas1818$2,208.32$9,269.12$11,6595.3×
geisinger1618$7,967.98$14,365$39,1034.9×
keystone health plan612$7,588.55$16,161$25,4713.4×
Humana1111$7,588.55$9,023.45$12,8171.7×
health plan of upper ohio valley37$7,529.42$8,928.61$11,9811.6×
Medicare26$8,404.57$9,012.19$11,8261.4×
ibc26$13,493$22,172$36,5092.7×
Medicare Advantage26$9,472.31$10,958$13,3331.4×
naphcare45$14,154$18,550$19,2261.4×
innovage44$9,023.45$12,450$13,0741.4×
keystone autism services44$12,142$13,017$16,5861.4×
Multiplan44$6,745.18$6,745.18$8,026.991.2×
gateway health plan33$8,629.86$13,843$13,8431.6×
Oscar Health33$19,695$19,695$19,6951.0×
point of comfort refugee resettlement22$8,846.52$10,220$11,5941.3×
prime health services22$17,683$17,683$17,6831.0×
city of washington22$14,006$14,006$14,0061.0×
jefferson health plan aca qhp exchange22$8,673.29$9,898.40$11,1241.3×
qualcare jcc12$24,573$35,182$45,7911.9×
senior life22$8,753.54$8,753.54$8,753.541.0×
st agnes22$8,846.52$10,220$11,5941.3×
clover health22$13,586$13,586$13,5861.0×
devoted health participation22$9,288.84$10,731$12,1741.3×
upmc commercial22$20,743$26,298$31,8531.5×
elder health22$15,381$15,381$15,3811.0×
geisinger health plan22$36,700$36,700$36,7001.0×
health partners plans22$14,426$14,426$14,4261.0×
ibc employee benefit22$11,058$12,775$14,4921.3×
ibc main line health22$11,058$12,775$14,4921.3×
allwell pa health_wellness ma22$9,731.17$11,242$12,7531.3×
inspira life22$8,846.52$10,220$11,5941.3×
Ambetter22$11,593$11,879$12,1651.0×
provider partners health plan22$8,846.52$10,626$12,4061.4×
keystone first22$13,458$13,458$13,4581.0×
keystone first vip choice22$9,377.31$10,718$12,0581.3×
optum va ccn22$8,846.52$10,220$11,5941.3×
pennsylvania health and wellness22$14,099$14,099$14,0991.0×
perennial22$10,262$11,856$13,4491.3×
wtc health program11$17,089$17,089$17,0891.0×
Anthem BCBS11$5,129.76$5,129.76$5,129.761.0×
bravo11$10,796$10,796$10,7961.0×
fidelis11$10,067$10,067$10,0671.0×
independent health11$10,193$10,193$10,1931.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Curahealth Heritage ValleyBeaverPA7$21,859$8,629.86$6,243.69$9,955.37$16,395
Altoona Regional Health SystemAltoonaPA9$9,115.79$9,845.05$16,613
Upmc Magee-Womens HospitalPittsburghPA9$9,115.79$9,845.05$16,613
The Childrens Home Of PittsburghPittsburghPA9$9,115.79$9,845.05$16,613
Upmc Childrens Hospital Of PghPittsburghPA9$9,115.79$9,845.05$16,613
Upmc East HospitalMonroevillePA8$8,534.45$9,387.90$34,081
Divine Providence HospitalWilliamsportPA9$6,106.17$9,357.18$19,670
Lock Haven HospitalLock HavenPA9$6,106.17$9,357.18$19,670
Williamsport Hospital & Medical CtrWilliamsportPA9$6,106.17$9,357.18$19,670
Upmc Horizon HospitalGreenvillePA9$5,129.76$9,321.02$12,623
Whs - GreeneWaynesburgPA9$7,289.77$9,287.71$14,006
The Washington HospitalWashingtonPA9$7,289.77$9,287.71$14,006
Upmc Bedford Memorial HospitalEverettPA8$8,379.22$9,049.56$13,109
Upmc JamesonNew CastlePA10$1,500.00$9,049.12$11,279
Upmc Northwest HospitalSenecaPA8$3,704.00$9,016.14$12,670
Upmc CarlisleCarlislePA11$1,439.39$8,748.54$26,238
Upmc PassavantPittsburghPA9$7,529.42$8,625.30$34,387
Charles Cole Memorial HospitalCoudersportPA3$6,770.89$8,539.82$10,757
Meadville Medical CenterMeadvillePA1$8,175.43$8,175.43$8,175.43
American Oncologic HospialPhiladelphiaPA5$5,654.00$19,190$20,684
WellsboroWellsboroPA3$13,865$16,513$18,904
Muncy Valley HospitalMuncyPA5$2,208.32$16,103$18,904
Upmc LititzLititzPA9$6,631.10$15,761$26,031
Jeanes HospitalPhiladelphiaPA17$12,817$15,097$39,103
Temple University HospitalPhiladelphiaPA18$12,817$14,903$48,434
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$13,578$9,000.93$13,391$45,791
Memorial HospitalYorkPA10$6,461.21$13,013$26,031
Upmc ShadysidePittsburghPA8$8,026.99$11,753$39,607
Upmc Mercy HospitalPittsburghPA7$10,293$11,659$20,496
Titusville Area HospitalTitusvillePA5$7,140.52$11,568$15,973
Upmc MckeesportMckeesportPA6$10,293$11,536$18,035
Upmc St MargaretPittsburghPA4$9,208.75$11,410$33,655
Upmc HamotEriePA12$9,495.41$10,822$23,074
Community General Osteopathic Hosp.HarrisburgPA9$9,634.49$10,316$25,322
Upmc Pinnacle HospitalsHarrisburgPA9$9,634.49$10,316$25,322
Aria HealthPhiladelphiaPA25$10,236$8,404.57$10,218$36,700
Upmc HanoverHanoverPA11$6,461.21$10,169$26,999
Armstrong County MemorialKittanningPA0
Butler Memorial HospitalButlerPA0
Windber Hospital Inc.WindberPA0
Lankenau Medical CenterWynnewoodPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0
Doylestown HospitalDoylestownPA0$32,755$32,755
Riddle HospitalMediaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Milton S. Hershey Medical CenterHersheyPA0
Hampden Medical CenterEnolaPA0
St. Joseph Medical CenterReadingPA0
Meyersdale Community HospitalMeyersdalePA0$12,973$5,189.36
Clarion HospitalClarionPA0
Miners HospitalHastingsPA0$12,417$4,966.98
Reading Hospital And Medical CenterReadingPA0
Penn State Hershey Rehabilitation LlHummelstownPA0
Uniontown HospitalUniontownPA0
Chestnut Hill HospitalPhiladelphiaPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Wayne Memorial HospitalHonesdalePA0$36,200$25,340
Holy Spirit HospitalCamp HillPA0
Phoenixville HospitalPhoenixvillePA0
Miners HospitalHastingsPA0$12,417$4,966.98
Bryn Mawr HospitalBryn MawrPA0
Pottstown Memorial Medical CenterPottstownPA0
Paoli HospitalPaoliPA0

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.