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COPD w/o CC/MCC

MS-DRG 192 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$4,858.63
Median
$10,011
Max
$14,290
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$6,239.66$14,290$20,2063.2×
Blue Cross Blue Shield1142$24$10,424$19,548814.5×
Aetna1131$90$10,527$16,275180.8×
UnitedHealthcare1027$4,066.68$10,501$28,5817.0×
Cigna1127$85$10,470$18,505217.7×
Humana1120$3,410.99$10,824$16,7714.9×
WellCare78$4,026.42$6,957.02$10,8262.7×
Oscar Health77$6,442.27$8,977.96$13,6522.1×
devoted health66$4,658.36$8,901.32$10,8162.3×
Ambetter55$6,643.59$17,625$20,1173.0×
Kaiser Permanente44$4,658.36$8,901.32$9,488.992.0×
optum44$4,658.36$8,901.32$9,488.992.0×
clover health44$4,891.28$9,346.38$9,963.442.0×
sonder health plans44$4,891.28$9,346.38$9,963.442.0×
va community care network44$4,658.36$8,901.32$9,488.992.0×
First Health23$95$4,858.63$7,30076.8×
TRICARE23$4,152.93$4,152.93$4,5241.1×
CareSource13$10,826$10,826$18,3771.7×
sonder health plan12$11,037$11,037$11,0371.0×
peach state12$6,233.83$8,530.08$10,8261.7×
riverwood behavioral health12$10,501$10,506$10,5111.0×
Health Net12$97$2,477.82$4,858.6350.1×
occunet11$9,059.44$9,059.44$9,059.441.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$6,041.4$6,041.4$6,041.41.0×
provider select11$6,165.96$6,165.96$6,165.961.0×
rural arizona network11$4,858.63$4,858.63$4,858.631.0×
smarthealth11$5,636.99$5,636.99$5,636.991.0×
ubh optum11$10,511$10,511$10,5111.0×
united mine workers of america11$4,858.63$4,858.63$4,858.631.0×
three rivers11$6,041.4$6,041.4$6,041.41.0×
americas choice provider network11$6,041.4$6,041.4$6,041.41.0×
arizona medical network11$4,858.63$4,858.63$4,858.631.0×
banner health11$4,858.63$4,858.63$4,858.631.0×
blue mcr replacement11$4,026.42$4,026.42$4,026.421.0×
bridgeway health solutions11$4,858.63$4,858.63$4,858.631.0×
centurion11$15,752$15,752$15,7521.0×
clear spring health plan11$10,501$10,501$10,5011.0×
corvel11$5,916.83$5,916.83$5,916.831.0×
employer direct healthcare11$13,652$13,652$13,6521.0×
facility billing - op11$4,026.42$4,026.42$4,026.421.0×
georgia workers’ compensation11$6,228.25$6,228.25$6,228.251.0×
health choice pathway11$4,858.63$4,858.63$4,858.631.0×
health management network11$4,858.63$4,858.63$4,858.631.0×
healthspring mcr replacement11$4,106.95$4,106.95$4,106.951.0×
imperial insurance11$5,101.57$5,101.57$5,101.571.0×
Medicare11$10,501$10,501$10,5011.0×
Medicare Advantage11$4,026.42$4,026.42$4,026.421.0×
Multiplan11$6,041.4$6,041.4$6,041.41.0×
naphcare11$16,277$16,277$16,2771.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMORY DECATURDECATURGA14$6,674.84$8,895.21$17,625
ST. JOSEPHS OF ATLANTAATLANTAGA14$4,658.36$7,826.4$13,740
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$4,026.42$7,300$19,155
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$24$4,858.63$28,581
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$6,239.66$14,290$20,206
EMORY LONG TERM ACUTE CAREDECATURGA5$8,977.96$12,513$12,924
NGMC LUMPKIN LLCDAHLONEGAGA6$6,239.66$12,456$20,206
NGMC BARROWWINDERGA6$6,239.66$12,456$19,548
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$10,501$3,410.99$10,401$18,377
EMORY UNIVERSITY HOSPITALATLANTAGA14$6,674.84$10,011$20,117
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$6,674.84$10,011$20,117
MEMORIAL HOSPITALBAINBRIDGEGA0
SOUTHWELL MEDICALADELGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0
CHATUGE REGIONAL HOSPITALHIWASSEEGA0

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.