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PCI w drug-eluting stent w/o MCC

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

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Hospitals
12
Min
$50.67
Median
$28,946
Max
$51,029
Range multiplier
1007.1×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS720$50.67$26,636$53,7101060.0×
UnitedHealthcare917$50.67$45,938$58,3641151.8×
Aetna47$50.67$90.19$33,272656.6×
medical mutual34$65.00$16,235$39,798612.3×
Cigna44$50.67$64.44$38,721764.2×
aultcare24$59.00$64.00$69.001.2×
summacare33$50.67$50.67$77.001.5×
medical mutual of ohio22$50.67$50.67$50.671.0×
Molina22$50.67$50.67$50.671.0×
paramount22$52.19$52.19$52.191.0×
perennial advantage of ohio22$53.20$53.20$53.201.0×
primetime health plan22$50.67$50.67$50.671.0×
the health plan22$50.67$50.67$50.671.0×
valor health plans22$53.20$53.20$53.201.0×
WellCare22$50.67$50.67$50.671.0×
Ambetter22$91.21$91.21$91.211.0×
amish church fund12$50.00$52.50$55.001.1×
Blue Cross Blue Shield12$24,476$29,923$35,3701.4×
CareSource22$91.21$91.21$91.211.0×
devoted health22$50.67$50.67$50.671.0×
Humana22$50.67$50.67$50.671.0×
medishare11$85.00$85.00$85.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aultman Orrville HospitalOrrvilleOH8$50.00$69.45$85.00
Alliance Community HospitalAllianceOH2$69.00$69.00$75.00
Uh St. John Medical CenterWestlakeOH1$48,343$51,029$53,714
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$52,203
Uh Geauga Medical CenterChardonOH17$50.67$50.67$52,203
Uh Ahuja Medical CenterBeachwoodOH1$44,443$47,473$50,504
Adena Regional Medical CenterChillicotheOH1$41,088$44,714$53,710
Uh Elyria Medical CenterElyriaOH2$32,832$37,537$38,595
Fort Hamilton HospitalHamiltonOH5$24,476$35,370$40,178
Lake Hospital SystemConcordOH1$24,573$28,946$30,590
Uh Conneaut Medical CenterConneautOH2$24,031$26,701$52,203
Uh Geneva Medical CenterGenevaOH2$23,857$26,507$58,364

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.