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

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Hospitals
15
Min
$74.3
Median
$75.25
Max
$7,927.32
Range multiplier
106.7×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield735$55$5,552.49$13,786250.6×
Aetna730$45.6$74.65$22,842500.9×
UnitedHealthcare718$74.3$7,049.12$14,129190.2×
Cigna618$60.9$3,047.85$14,174232.7×
cox health systems insurance company [220]618$55$55$741.3×
healthlink [225]618$48.5$65$75.51.6×
allied benefits [498]617$58$60.3$22,842393.8×
med-pay [480]612$65$70$751.2×
phcs [244]612$75$77.5$801.1×
unicare [568]612$65$70.25$75.51.2×
consociate [478]612$7,689$9,939.68$11,4311.5×
healthscope benefits [258]611$65$5,259$14,129217.4×
Humana58$66.5$6,583.28$16,711251.3×
sarah bush lincoln [636]67$7,689$11,431$13,6731.8×
apwu health plan [216]66$68.7$5,091.35$14,174206.3×
detego health [868]66$75$75$751.0×
First Health66$74.3$74.3$74.31.0×
health alliance [224]66$7,300$9,458.69$9,458.691.3×
health systems inc [620]66$75$75$751.0×
healthcare sol mercy [609]66$75$75$751.0×
hfn [563]66$80$80$851.1×
hope trust [806]66$58$58$581.0×
medica [661]66$80$80$801.0×
Multiplan66$75$75$751.0×
nalc health benefit plan [242]66$68.7$5,091.35$14,174206.3×
preferred health professionals [561]66$75.5$75.5$75.51.0×
priority health [648]66$68.7$5,091.35$14,174206.3×
beechstreet [551]66$75$75$751.0×
coresource [497]55$60.3$60.3$22,842378.8×
mail handlers [495]55$60.3$60.3$22,842378.8×
fmh benefit service inc [222]55$60.3$60.3$22,842378.8×
medica [662]33$6,230.87$7,594.01$8,375.021.3×
essence healthcare [221]33$5,934.16$7,232.39$7,976.211.3×
devoted health plan [847]33$6,230.87$7,594.01$8,375.021.3×
cox health [757]33$6,230.87$7,594.01$8,375.021.3×
mh magellan health services [270]22$100$100$1001.0×
osfdan11$75$75$751.0×
bakersfield school district (smbc)11$2,356$2,356$2,3561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$34,132$20,479$48.5$93.5$22,842
PROGRESS WEST HOSPITALOFALLONMO36$26,921$16,153$48.5$87$22,842
SAINT FRANCIS MEDICAL CENTERCAPE GIRARDEAUMO3$6,865.85$7,927.32$11,891
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO27$46,568$27,941$48.5$75.25$10,114
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$21,884$13,130$45.6$75$14,129
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO1$75$75$75
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO31$15,586$9,351.66$45.6$74.3$14,129
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO31$15,586$9,351.66$45.6$74.3$14,129
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO1$12,645$12,645$2,356$2,356$2,356
COX-MONETT HOSPITALMONETTMO0
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0
COX MEDICAL CENTER BRANSONBRANSONMO0
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0
COXHEALTHSPRINGFIELDMO0
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0

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.