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COPD w/o CC/MCC

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

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Hospitals
63
Min
$4,711.61
Median
$6,180.61
Max
$11,553
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36198$864.70$8,696.15$29,58334.2×
upmc health plan3370$4,604.72$6,281.25$9,687.042.1×
Aetna3360$4,587.28$6,081.48$18,8394.1×
UnitedHealthcare3154$4,609.36$5,815.28$15,0303.3×
Cigna2338$4,618.07$6,452.59$18,4614.0×
upmc work partners2324$9,223.57$10,293$18,1242.0×
pa health & wellness2323$2,315.52$5,700.63$7,166.043.1×
amerihealth caritas1818$2,208.32$5,621.61$7,166.043.2×
geisinger1618$4,618.07$8,468.69$28,5956.2×
keystone health plan612$4,398.16$9,653.58$15,4213.5×
Humana1111$4,398.16$5,324.67$7,828.801.8×
health plan of upper ohio valley37$4,586.28$5,377.39$7,529.421.6×
ibc27$7,820.31$11,538$22,6332.9×
naphcare45$8,203.61$10,751$11,7431.4×
Medicare Advantage25$5,489.96$6,805.82$7,727.561.4×
Medicare25$4,962.91$5,354.68$6,854.011.4×
keystone autism services44$7,037.06$7,811.73$9,943.941.4×
Multiplan44$17,709$17,709$21,0751.2×
gateway health plan33$5,349.20$8,455.10$8,455.101.6×
innovage33$6,854.01$7,985.38$7,985.381.2×
Oscar Health33$11,415$11,415$11,4151.0×
ibc main line health22$6,409.07$7,404.30$8,399.521.3×
st agnes22$5,127.26$5,923.44$6,719.611.3×
point of comfort refugee resettlement22$5,127.26$5,923.44$6,719.611.3×
inspira life22$5,127.26$5,923.44$6,719.611.3×
Ambetter22$6,719.27$6,884.97$7,050.661.0×
senior life22$5,271.95$5,271.95$5,271.951.0×
jefferson health plan aca qhp exchange22$5,026.86$5,736.91$6,446.961.3×
elder health22$9,394.56$9,394.56$9,394.561.0×
keystone first22$8,220.24$8,220.24$8,220.241.0×
keystone first vip choice22$5,434.89$6,211.65$6,988.401.3×
qualcare jcc12$14,600$20,904$27,2071.9×
devoted health participation22$5,383.62$6,219.61$7,055.591.3×
health partners plans22$8,811.31$8,811.31$8,811.311.0×
geisinger health plan22$22,318$22,318$22,3181.0×
upmc commercial22$12,022$15,242$18,4611.5×
city of washington22$8,435.12$8,435.12$8,435.121.0×
optum va ccn22$5,127.26$5,923.44$6,719.611.3×
va_champus_tricare22$5,127.26$5,923.44$6,719.611.3×
provider partners health plan22$5,127.26$6,158.63$7,189.991.4×
pennsylvania health and wellness22$8,611.68$8,611.68$8,611.681.0×
clover health22$8,298.53$8,298.53$8,298.531.0×
prime health services22$10,801$10,801$10,8011.0×
allwell pa health_wellness ma22$5,639.98$6,515.78$7,391.571.3×
wtc health program11$10,438$10,438$10,4381.0×
Anthem BCBS11$2,973.10$2,973.10$2,973.101.0×
bravo11$6,635.22$6,635.22$6,635.221.0×
fidelis11$5,961.33$5,961.33$5,961.331.0×
ibc employee benefit11$8,399.52$8,399.52$8,399.521.0×
independent health11$6,035.85$6,035.85$6,035.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc LititzLititzPA9——$6,152.81$9,943.94$17,410
Temple University HospitalPhiladelphiaPA18——$7,828.80$9,916.35$29,583
Upmc ShadysidePittsburghPA8——$6,458.57$9,009.59$27,942
Jeanes HospitalPhiladelphiaPA17——$7,453.00$8,811.31$28,595
Memorial HospitalYorkPA10——$4,844.45$7,829.41$16,964
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$8,175.26$5,354.68$7,761.16$27,207
Upmc HanoverHanoverPA11——$4,354.18$7,346.70$16,964
Upmc MckeesportMckeesportPA6——$6,472.85$7,170.13$12,724
Upmc Mercy HospitalPittsburghPA7——$6,635.22$7,166.04$14,460
Titusville Area HospitalTitusvillePA5——$4,115.18$6,666.86$9,205.53
Upmc St MargaretPittsburghPA4——$5,453.57$6,612.92$23,743
Upmc CarlisleCarlislePA11——$864.70$6,458.66$17,780
Upmc HamotEriePA12——$5,867.88$6,408.13$16,278
Curahealth Heritage ValleyBeaverPA7$13,896$5,349.20$4,379.02$6,382.04$10,422
Upmc Pinnacle HospitalsHarrisburgPA9——$5,772.45$6,180.61$15,656
Community General Osteopathic Hosp.HarrisburgPA9——$5,772.45$6,180.61$15,656
Charles Cole Memorial HospitalCoudersportPA3——$3,924.27$6,024.67$7,336.20
Upmc Childrens Hospital Of PghPittsburghPA9——$5,304.64$5,994.25$9,674.01
The Childrens Home Of PittsburghPittsburghPA9——$5,304.64$5,994.25$9,674.01
Altoona Regional Health SystemAltoonaPA9——$5,304.64$5,994.25$9,674.01
Upmc Magee-Womens HospitalPittsburghPA9——$5,304.64$5,994.25$9,674.01
Lock Haven HospitalLock HavenPA9——$5,259.08$5,815.82$17,709
Williamsport Hospital & Medical CtrWilliamsportPA9——$5,259.08$5,815.82$17,709
Divine Providence HospitalWilliamsportPA9——$5,259.08$5,815.82$17,709
Upmc Horizon HospitalGreenvillePA9——$2,973.10$5,700.10$9,470.42
Whs - GreeneWaynesburgPA9——$4,906.08$5,693.18$8,435.12
The Washington HospitalWashingtonPA9——$4,906.08$5,693.18$8,435.12
Aria HealthPhiladelphiaPA23—$6,087.52$4,962.91$5,639.98$22,318
Upmc East HospitalMonroevillePA8——$5,081.51$5,589.66$24,043
Upmc Bedford Memorial HospitalEverettPA8——$5,132.02$5,542.58$9,247.79
Upmc JamesonNew CastlePA10——$1,500.00$5,482.51$18,124
Upmc Northwest HospitalSenecaPA8——$3,704.00$5,400.71$9,223.57
Upmc PassavantPittsburghPA9——$4,586.28$5,228.36$24,260
Meadville Medical CenterMeadvillePA1——$4,711.61$4,711.61$4,711.61
American Oncologic HospialPhiladelphiaPA5——$5,534.04$11,553$13,330
WellsboroWellsboroPA3——$9,687.04$10,369$11,508
Muncy Valley HospitalMuncyPA5——$2,208.32$10,308$12,857
Butler Memorial HospitalButlerPA0—————
Paoli HospitalPaoliPA0—————
Bryn Mawr HospitalBryn MawrPA0—————
Lankenau Medical CenterWynnewoodPA0—————
Miners HospitalHastingsPA0$14,077$5,630.92———
Doylestown HospitalDoylestownPA0$21,841$21,841———
Phoenixville HospitalPhoenixvillePA0—————
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Windber Hospital Inc.WindberPA0—————
Hampden Medical CenterEnolaPA0—————
Meyersdale Community HospitalMeyersdalePA0$10,753$4,301.07———
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
St. Joseph Medical CenterReadingPA0—————
Clarion HospitalClarionPA0—————
Miners HospitalHastingsPA0$14,077$5,630.92———
Reading Hospital And Medical CenterReadingPA0—————
Penn State Hershey Rehabilitation LlHummelstownPA0—————
Uniontown HospitalUniontownPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Armstrong County MemorialKittanningPA0—————
Holy Spirit HospitalCamp HillPA0—————

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.