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PCI w drug-eluting stent w/o MCC

MS-DRG 247 · negotiated-rate distribution across hospitals in NY

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Hospitals
2
Min
$17,762
Median
$58,508
Max
$58,508
Range multiplier
3.3×

By payer (11 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield14$663.07$17,762$19,03128.7×
UnitedHealthcare12$59,332$59,332$59,3321.0×
Aetna22$17,762$37,524$57,2853.2×
Cigna11$57,684$57,684$57,6841.0×
Emblem Health11$69,958$69,958$69,9581.0×
local 119911$57,285$57,285$57,2851.0×
Medicare11$17,762$17,762$17,7621.0×
Medicare Advantage11$15,229$15,229$15,2291.0×
WellCare11$18,121$18,121$18,1211.0×
capital district physicians health plan cdphp11$17,762$17,762$17,7621.0×
capital district physicians health plan mcr adv11$17,762$17,762$17,7621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY5$57,285$58,508$69,958
ADIRONDACK MEDICAL CENTERSARANAC LAKENY7$15,540$9,634.98$663.07$17,762$19,031

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.