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PCI w drug-eluting stent w MCC

MS-DRG 246 · negotiated-rate distribution across hospitals in IA

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Hospitals
5
Min
$70.24
Median
$97
Max
$59,261
Range multiplier
843.8×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare410$71.39$23,076$79,6301115.4×
medica210$91$96$3,95843.5×
Blue Cross Blue Shield38$57$64.61$3,95869.4×
amerigroup35$3,627$18,754$81,22322.4×
midlands choice24$96$96$961.0×
Centene34$3,524$11,396$81,22323.0×
greater omaha packing24$96$96$961.0×
Humana44$71.25$1,764.5$3,95855.6×
millard public schools24$96$96$961.0×
one world24$96$96$961.0×
phcs33$71$98$981.4×
Multiplan33$85$98$981.2×
quiktrip33$60$96$961.6×
iamolina33$19,121$43,882$82,8154.3×
amps22$7,599$8,153.5$8,7081.1×
Aetna22$69.22$31,471$62,873908.3×
timpte22$96$96$961.0×
pace22$3,454$3,706$3,9581.1×
great plains22$3,627$3,891.5$4,1561.1×
Kaiser Permanente11$31,323$31,323$31,3231.0×
amerivantage11$71.25$71.25$71.251.0×
providence health plan11$53,113$53,113$53,1131.0×
Cigna11$60,357$60,357$60,3571.0×
Molina11$69.22$69.22$69.221.0×
total care11$43,038$43,038$43,0381.0×
first choice11$59,261$59,261$59,2611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH MERCY CORNINGCORNINGIA18$60$97$82,815
CHI HEALTH - MISSOURI VALLEYMISSOURI VALLEYIA19$57$96$43,882
CHI HEALTH MERCY COUNCIL BLUFFSCOUNCIL BLUFFSIA6$60$9,419.36$19,121
IOWA LUTHERAN HOSPITALDES MOINESIA6$69.22$70.24$71.39
AVERA HOLY FAMILY HEALTHESTHERVILLEIA7$75$59,261$70,377

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.