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

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Hospitals
65
Min
$2,775.00
Median
$7,878.22
Max
$14,605
Range multiplier
5.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield37208$1,145.95$10,736$65,04756.8×
upmc health plan3370$6,046.38$8,186.17$12,7202.1×
Aetna3467$1,949.00$7,837.60$25,00712.8×
UnitedHealthcare3254$2,766.00$7,543.33$19,7357.1×
Cigna2440$2,154.00$8,439.28$50,42823.4×
upmc work partners2324$9,223.57$10,293$45,4684.9×
geisinger1724$1,400.00$10,932$33,01923.6×
pa health & wellness2323$2,315.52$7,263.22$9,105.373.9×
amerihealth caritas1818$2,208.32$7,180.40$9,105.374.1×
Humana1112$5,775.17$7,739.91$50,9328.8×
keystone health plan612$5,775.17$12,523$20,7953.6×
ibc27$10,269$14,524$28,4922.8×
health plan of upper ohio valley37$6,022.16$6,910.13$9,118.211.5×
Medicare36$6,495.67$7,900.99$50,4287.8×
Multiplan55$35,300$44,427$52,8701.5×
naphcare45$10,772$14,118$14,9731.4×
Medicare Advantage25$7,405.77$8,936.62$10,1471.4×
upmc25$1,565.00$2,269.00$5,462.533.5×
keystone autism services44$9,240.27$10,058$12,8111.4×
amerihealth14$2,775.00$2,927.00$3,079.001.1×
innovage44$6,867.17$9,590.68$10,1811.5×
Oscar Health33$14,989$14,989$14,9891.0×
gateway health plan33$6,810.26$10,780$10,7801.6×
clover health33$10,581$10,581$50,4284.8×
devon health12$2,204.00$2,391.50$2,579.001.2×
point of comfort refugee resettlement22$6,732.52$7,777.97$8,823.421.3×
prime health services22$13,771$13,771$13,7711.0×
devoted health participation22$7,069.15$8,166.87$9,264.591.3×
provider partners health plan22$6,732.52$8,086.79$9,441.061.4×
qualcare jcc12$19,580$28,033$36,4861.9×
senior life22$6,774.64$6,774.64$6,774.641.0×
st agnes22$6,732.52$7,777.97$8,823.421.3×
elder health22$11,978$11,978$11,9781.0×
upmc commercial22$15,786$20,014$24,2411.5×
va_champus_tricare22$6,732.52$7,777.97$8,823.421.3×
everyday life12$2,649.00$2,912.00$3,175.001.2×
allwell pa health_wellness ma22$7,405.77$8,555.77$9,705.761.3×
health partners plans22$11,235$11,235$11,2351.0×
ibc employee benefit22$8,415.65$9,722.48$11,0291.3×
ibc main line health22$8,415.65$9,722.48$11,0291.3×
inspira life22$6,732.52$7,777.97$8,823.421.3×
Ambetter22$8,822.96$9,040.54$9,258.111.0×
jefferson health plan aca qhp exchange22$6,600.69$7,533.05$8,465.411.3×
keystone first22$10,481$10,481$10,4811.0×
city of washington22$10,839$10,839$10,8391.0×
optum va ccn22$6,732.52$7,777.97$8,823.421.3×
pa health and wellness12$50,428$50,932$51,4371.0×
pennsylvania health and wellness22$10,980$10,980$10,9801.0×
perennial22$7,809.72$9,022.46$10,2351.3×
wtc health program11$13,309$13,309$13,3091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc HanoverHanoverPA11——$5,717.42$9,646.85$42,557
Upmc Mercy HospitalPittsburghPA7——$8,430.90$9,128.66$18,110
Upmc MckeesportMckeesportPA6——$8,174.06$9,122.79$15,935
Titusville Area HospitalTitusvillePA5——$5,462.53$8,849.66$12,220
Upmc St MargaretPittsburghPA4——$7,074.32$8,683.32$29,736
Upmc CarlisleCarlislePA11——$1,145.95$8,416.94$44,605
Upmc HamotEriePA12——$7,705.02$8,313.93$20,388
Upmc Pinnacle HospitalsHarrisburgPA9——$7,439.34$7,965.35$19,897
Community General Osteopathic Hosp.HarrisburgPA9——$7,439.34$7,965.35$19,897
Aria HealthPhiladelphiaPA23—$7,877.84$6,495.67$7,878.22$15,786
The Childrens Home Of PittsburghPittsburghPA9——$6,937.43$7,839.30$12,643
Upmc Magee-Womens HospitalPittsburghPA9——$6,937.43$7,839.30$12,643
Upmc Childrens Hospital Of PghPittsburghPA9——$6,937.43$7,839.30$12,643
Altoona Regional Health SystemAltoonaPA9——$6,937.43$7,839.30$12,643
Curahealth Heritage ValleyBeaverPA7$17,389$6,810.26$5,492.76$7,724.72$13,042
Charles Cole Memorial HospitalCoudersportPA3——$5,152.90$7,545.46$9,188.06
Divine Providence HospitalWilliamsportPA9——$6,765.69$7,481.92$44,427
Williamsport Hospital & Medical CtrWilliamsportPA9——$6,765.69$7,481.92$44,427
Lock Haven HospitalLock HavenPA9——$6,765.69$7,481.92$44,427
The Washington HospitalWashingtonPA9——$6,304.48$7,315.93$10,839
Whs - GreeneWaynesburgPA9——$6,304.48$7,315.93$10,839
Upmc Horizon HospitalGreenvillePA9——$3,903.93$7,262.54$11,153
Upmc East HospitalMonroevillePA8——$6,571.82$7,229.00$30,112
Upmc Bedford Memorial HospitalEverettPA8——$6,533.53$7,056.21$11,582
Upmc JamesonNew CastlePA10——$1,500.00$7,022.07$45,468
Upmc Northwest HospitalSenecaPA8——$3,704.00$6,961.17$11,194
Upmc PassavantPittsburghPA9——$6,022.16$6,865.27$52,870
Meadville Medical CenterMeadvillePA1——$6,254.24$6,254.24$6,254.24
Good Shepherd Specialty HospitalBethlehemPA17$89,395$2,500.00$1,400.00$2,775.00$65,047
American Oncologic HospialPhiladelphiaPA5——$5,654.00$14,605$16,257
WellsboroWellsboroPA3——$12,251$13,553$14,413
Muncy Valley HospitalMuncyPA5——$2,208.32$13,204$16,103
Upmc LititzLititzPA9——$7,926.57$12,811$43,676
Temple University HospitalPhiladelphiaPA18——$9,981.83$12,396$37,719
Jeanes HospitalPhiladelphiaPA17——$7,453.00$11,235$33,019
Upmc ShadysidePittsburghPA8——$8,325.01$10,219$52,870
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$10,507$6,978.56$10,191$36,486
Memorial HospitalYorkPA10——$6,228.64$10,067$42,557
Hampden Medical CenterEnolaPA0—————
Meyersdale Community HospitalMeyersdalePA0$7,761.79$3,104.72———
Uniontown HospitalUniontownPA0—————
Miners HospitalHastingsPA0$13,083$5,233.37———
Penn State Hershey Rehabilitation LlHummelstownPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Holy Spirit HospitalCamp HillPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
St. Joseph Medical CenterReadingPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
Windber Hospital Inc.WindberPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Wayne Memorial HospitalHonesdalePA0$25,257$17,680———
Phoenixville HospitalPhoenixvillePA0—————
Miners HospitalHastingsPA0$13,083$5,233.37———
Bryn Mawr HospitalBryn MawrPA0—————
Paoli HospitalPaoliPA0—————
Armstrong County MemorialKittanningPA0—————
Butler Memorial HospitalButlerPA0—————
Lankenau Medical CenterWynnewoodPA0—————
Doylestown HospitalDoylestownPA0$24,328$24,328———
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Clarion HospitalClarionPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————

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.