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COPD w/o CC/MCC

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

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Hospitals
20
Min
$4,522.41
Median
$7,032.49
Max
$10,900
Range multiplier
2.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$9,656.00$16,5597.2×
Blue Cross Blue Shield19141$1,108.60$5,688.11$18,83217.0×
UnitedHealthcare17130$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$7,270.65$20,3005.9×
amerigroup mcaid replacement735$2,691.32$2,791.70$3,413.641.3×
smart health830$5,462.46$7,671.12$10,9002.0×
health 2 business721$8,856.50$9,383.93$10,1821.1×
Humana1221$3,901.76$4,953.31$11,7943.0×
Medicare815$3,901.76$4,406.18$7,119.971.8×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$5,455.27$10,4934.0×
wellpoint39$4,319.03$4,792.26$5,128.961.2×
Medicare Advantage89$3,901.76$4,492.50$6,744.351.7×
community plan88$3,050.52$3,050.52$3,050.521.0×
point comfort underwriters77$3,511.58$4,043.25$4,395.561.3×
nhc advantage77$3,901.76$4,492.50$4,883.961.3×
healthspring mcr replacement77$3,901.76$4,492.50$4,883.961.3×
centurion of tn77$3,901.76$4,492.50$4,883.961.3×
optum va77$3,901.76$4,492.50$4,883.961.3×
oscar77$7,409.32$7,409.32$7,409.321.0×
amerigroup mcr replacement77$4,018.81$4,492.50$4,883.961.2×
Self-Pay (Cash)77$3,901.76$4,492.50$4,883.961.3×
river valley plan77$667.04$3,269.06$5,688.118.5×
celtic insurance company77$6,394.91$8,836.75$10,6331.7×
farm bureau36$4,078.86$4,318.57$4,372.931.1×
devoted health36$4,792.26$5,049.49$5,128.961.1×
ascension complete66$4,196.36$4,495.09$4,883.961.2×
TRICARE55$3,745.69$4,617.98$4,884.721.3×
VA Health44$4,125.75$5,302.48$5,701.131.4×
triwest va pccc33$3,901.76$4,196.36$4,196.361.1×
amerigroup23$3,420.00$4,031.38$5,522.441.6×
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$4,609.731.8×
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$4,564.06$4,809.04$4,884.721.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$4,792.26$5,049.49$5,128.961.1×
harmony health plan11$5,522.44$5,522.44$5,522.441.0×
generic hospice vbid [10940000101]11$6,744.35$6,744.35$6,744.351.0×
devoted health [450111]11$6,946.68$6,946.68$6,946.681.0×
tennessee rural health improvement association11$5,688.11$5,688.11$5,688.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas West HospitalNashvilleTN22$2,691.32$9,230.00$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$2,691.32$9,230.00$20,300
Saint Thomas Stones River HospitalWoodburyTN21$1,112.18$8,685.00$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,112.18$8,513.49$20,300
Saint Thomas Highland HospitalSpartaTN21$1,112.18$8,454.00$20,300
St Thomas Dekalb HospitalSmithvilleTN21$1,112.18$8,415.10$20,300
Dyersburg Regional Medical CenterDyersburgTN7$667.04$7,270.65$9,421.31
Jackson-Madison County General HospJacksonTN9$3,279.98$7,270.65$10,946
West Tn Healthcare Volunteer HospitaMartinTN7$695.93$7,032.49$9,421.31
Bolivar General HospitalBolivarTN6$3,269.06$6,777.89$10,946
Methodist H/C Memphis Hospt.MemphisTN15$20,491$4,508.07$1,397.00$6,744.35$11,528
Camden General HospitalCamdenTN6$3,269.06$6,506.63$10,946
Henry County Medical CenterParisTN14$1,108.60$5,688.11$10,493
Milan General HospitalMilanTN8$3,269.06$5,503.22$10,946
Roane County Medical CenterHarrimanTN24$45.00$4,682.74$9,972.06
Fort Loudoun Medical CenterLenoir CityTN24$45.00$4,644.90$9,972.06
Saint Thomas Midtown HospitalNashvilleTN23$3,050.52$4,584.57$19,970
Morristown-Hamblen HospitalMorristownTN24$45.00$4,522.41$9,972.06
St Thomas Hickman HospitalCentervilleTN9$2,691.32$10,900$20,300
St Thomas AscensionNashvilleTN0$15,311$3,781.78

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.