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

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Hospitals
20
Min
$6,019.93
Median
$9,337.96
Max
$11,860
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$11,012$16,5597.2×
Blue Cross Blue Shield19141$1,489.53$7,557.47$18,83212.6×
UnitedHealthcare17130$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$9,546.98$20,3005.9×
amerigroup mcaid replacement735$3,399.26$3,526.04$4,311.571.3×
smart health830$7,172.68$9,681.86$10,9001.5×
health 2 business721$11,255$11,925$12,9401.1×
Humana1221$5,123.34$6,575.08$11,7942.3×
Medicare815$5,123.34$5,785.68$8,642.371.7×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$7,163.22$12,9584.9×
wellpoint39$5,437.15$6,361.30$6,808.231.3×
Medicare Advantage89$5,123.34$5,899.04$8,149.151.6×
community plan88$4,042.73$4,042.73$4,042.731.0×
point comfort underwriters77$4,611.01$5,309.14$5,771.751.3×
nhc advantage77$5,123.34$5,899.04$6,413.061.3×
healthspring mcr replacement77$5,123.34$5,899.04$6,413.061.3×
centurion of tn77$5,123.34$5,899.04$6,413.061.3×
optum va77$5,123.34$5,899.04$6,413.061.3×
oscar77$9,729.06$9,729.06$9,729.061.0×
amerigroup mcr replacement77$5,277.04$5,899.04$6,413.061.2×
Self-Pay (Cash)77$5,123.34$5,899.04$6,413.061.3×
river valley plan77$875.88$4,292.56$7,024.388.0×
celtic insurance company77$8,397.05$10,845$12,9581.5×
farm bureau36$5,395.68$5,712.78$5,784.701.1×
devoted health36$6,361.30$6,702.75$6,808.231.1×
ascension complete66$5,510.17$5,902.43$6,413.061.2×
TRICARE55$4,918.41$6,063.81$6,484.031.3×
VA Health44$5,417.45$6,637.87$6,996.671.3×
triwest va pccc33$5,123.34$5,510.17$5,510.171.1×
amerigroup23$4,319.60$4,978.45$6,819.791.6×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$5,822.742.3×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$6,058.38$6,383.57$6,484.031.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$6,361.30$6,702.75$6,808.231.1×
harmony health plan11$6,819.79$6,819.79$6,819.791.0×
generic hospice vbid [10940000101]11$8,149.15$8,149.15$8,149.151.0×
devoted health [450111]11$8,393.62$8,393.62$8,393.621.0×
tennessee rural health improvement association11$7,024.38$7,024.38$7,024.381.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas Stones River HospitalWoodburyTN21$1,494.35$9,836.43$20,300
Saint Thomas West HospitalNashvilleTN22$3,399.26$9,681.86$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$3,399.26$9,681.86$20,300
St Thomas Dekalb HospitalSmithvilleTN21$1,494.35$9,668.93$20,300
Saint Thomas Highland HospitalSpartaTN21$1,494.35$9,668.93$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,494.35$9,656.00$20,300
Dyersburg Regional Medical CenterDyersburgTN7$875.88$9,546.98$12,371
Jackson-Madison County General HospJacksonTN9$4,306.89$9,546.98$14,373
West Tn Healthcare Volunteer HospitaMartinTN7$913.81$9,337.96$12,371
Bolivar General HospitalBolivarTN6$4,292.56$9,106.87$14,373
Camden General HospitalCamdenTN6$4,292.56$8,742.40$14,373
Methodist H/C Memphis Hospt.MemphisTN15$22,224$4,889.39$1,397.00$8,149.15$15,137
Milan General HospitalMilanTN8$4,292.56$7,226.20$14,373
Henry County Medical CenterParisTN14$1,147.00$7,024.38$12,958
Roane County Medical CenterHarrimanTN24$45.00$6,252.22$13,237
Fort Loudoun Medical CenterLenoir CityTN24$45.00$6,201.99$13,237
Morristown-Hamblen HospitalMorristownTN24$45.00$6,039.39$13,237
Saint Thomas Midtown HospitalNashvilleTN23$4,042.73$6,019.93$19,970
St Thomas Hickman HospitalCentervilleTN9$3,399.26$11,860$20,300
St Thomas AscensionNashvilleTN0$28,852$7,126.50

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.