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MS-DRG 191 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$6,449.4
Median
$11,836
Max
$18,969
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$8,282.58$18,969$26,8223.2×
Blue Cross Blue Shield1142$28$11,884$25,949926.7×
Aetna1131$90$13,973$21,121234.7×
UnitedHealthcare1027$5,339.9$11,943$35,9806.7×
Cigna1127$85$11,955$24,563289.0×
Humana1120$3,567.35$14,368$22,2626.2×
WellCare78$5,287.03$8,588.19$12,3142.3×
Oscar Health77$8,459.25$11,917$15,5251.8×
devoted health66$6,116.82$10,453$12,3012.0×
Ambetter55$8,723.6$20,809$23,5102.7×
Kaiser Permanente44$6,116.82$10,453$11,0901.8×
optum44$6,116.82$10,453$11,0901.8×
clover health44$6,422.66$10,975$11,6441.8×
sonder health plans44$6,422.66$10,975$11,6441.8×
va community care network44$6,116.82$10,453$11,0901.8×
First Health23$95$6,449.4$7,30076.8×
TRICARE23$5,206.87$5,206.87$7,258.991.4×
CareSource13$12,314$12,314$20,8991.7×
sonder health plan12$12,553$12,553$12,5531.0×
peach state12$8,274.85$10,294$12,3141.5×
riverwood behavioral health12$11,943$11,949$11,9551.0×
Health Net12$97$3,273.2$6,449.466.5×
occunet11$11,896$11,896$11,8961.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$7,991.82$7,991.82$7,991.821.0×
provider select11$8,156.59$8,156.59$8,156.591.0×
rural arizona network11$6,449.4$6,449.4$6,449.41.0×
smarthealth11$7,401.84$7,401.84$7,401.841.0×
ubh optum11$11,955$11,955$11,9551.0×
united mine workers of america11$6,449.4$6,449.4$6,449.41.0×
three rivers11$7,991.82$7,991.82$7,991.821.0×
americas choice provider network11$7,991.82$7,991.82$7,991.821.0×
arizona medical network11$6,449.4$6,449.4$6,449.41.0×
banner health11$6,449.4$6,449.4$6,449.41.0×
blue mcr replacement11$5,287.03$5,287.03$5,287.031.0×
bridgeway health solutions11$6,449.4$6,449.4$6,449.41.0×
centurion11$17,914$17,914$17,9141.0×
clear spring health plan11$11,943$11,943$11,9431.0×
corvel11$7,827.04$7,827.04$7,827.041.0×
employer direct healthcare11$15,525$15,525$15,5251.0×
facility billing - op11$5,287.03$5,287.03$5,287.031.0×
georgia workers’ compensation11$8,238.98$8,238.98$8,238.981.0×
health choice pathway11$6,449.4$6,449.4$6,449.41.0×
health management network11$6,449.4$6,449.4$6,449.41.0×
healthspring mcr replacement11$5,392.77$5,392.77$5,392.771.0×
imperial insurance11$6,771.87$6,771.87$6,771.871.0×
Medicare11$11,943$11,943$11,9431.0×
Medicare Advantage11$5,287.03$5,287.03$5,287.031.0×
Multiplan11$7,991.82$7,991.82$7,991.821.0×
naphcare11$18,511$18,511$18,5111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$5,206.87$8,723.6$19,155
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$28$6,449.4$35,980
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$8,282.58$18,969$26,822
EMORY LONG TERM ACUTE CAREDECATURGA5$11,917$16,610$17,155
NGMC BARROWWINDERGA6$8,282.58$14,383$25,949
NGMC LUMPKIN LLCDAHLONEGAGA6$8,282.58$14,383$26,822
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$11,942$3,567.35$11,943$20,899
EMORY UNIVERSITY HOSPITALATLANTAGA14$8,860.25$11,836$23,510
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$8,860.25$11,836$23,510
EMORY DECATURDECATURGA14$8,860.25$11,161$20,809
ST. JOSEPHS OF ATLANTAATLANTAGA14$6,116.82$10,389$18,239
MEMORIAL HOSPITALBAINBRIDGEGA0
SOUTHWELL MEDICALADELGA0
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.