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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in AL

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Hospitals
35
Min
$2,160.69
Median
$10,230
Max
$14,891
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2155$1,947.00$10,376$24,63312.7×
UnitedHealthcare2149$1,288.00$11,983$22,75817.7×
Aetna2039$40.00$10,230$21,200530.0×
Cigna1431$40.00$11,395$35,763894.1×
Humana1924$2,160.69$10,152$19,4009.0×
Centene68$11,425$16,686$20,5121.8×
simpra77$8,309.36$10,537$13,3801.6×
devoted health66$8,227.09$10,103$11,3951.4×
Ambetter66$12,905$13,222$14,0681.1×
viva helath55$8,227.09$10,230$11,3951.4×
university of utah14$15,307$17,591$20,1551.3×
Molina24$8,944.58$10,050$13,1471.5×
Multiplan44$67.00$80.00$80.001.2×
viva24$2,703.00$7,008.27$13,0894.8×
Medicare34$8,684.06$11,017$13,3801.5×
Health Net22$9,628.50$9,628.50$9,628.501.0×
pehp12$19,043$21,290$23,5371.2×
healthspring markets22$8,768.70$8,768.70$8,768.701.0×
seven corners22$22,252$22,499$22,7471.0×
smarthealth22$11,272$11,715$12,1581.1×
Bright Health22$8,205.40$9,530.24$10,8551.3×
sterling life insurance12$1,075.00$6,020.39$10,96610.2×
TRICARE12$8,522.69$8,522.69$8,522.691.0×
choicecare22$5,872.53$7,826.84$9,781.151.7×
First Health22$7,300.00$8,671.71$10,0431.4×
health choice12$13,082$13,082$13,0821.0×
motivhealth12$23,010$23,010$23,0101.0×
viva health22$9,954.91$10,211$10,4661.1×
occunet22$18,116$18,187$18,2581.0×
Self-Pay (Cash)11$8,684.06$8,684.06$8,684.061.0×
southern care11$10,881$10,881$10,8811.0×
state of utah11$10,248$10,248$10,2481.0×
triwest healthcare alliance11$10,248$10,248$10,2481.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$11,171$11,171$11,1711.0×
university of ut11$10,248$10,248$10,2481.0×
usa managed care11$85.00$85.00$85.001.0×
vccn11$11,983$11,983$11,9831.0×
veteran's administration11$10,248$10,248$10,2481.0×
vista hospice11$600.00$600.00$600.001.0×
WellCare11$8,051.60$8,051.60$8,051.601.0×
aarp11$8,249.86$8,249.86$8,249.861.0×
Workers Comp11$3,356.00$3,356.00$3,356.001.0×
actin care11$13,460$13,460$13,4601.0×
amerigroup11$11,425$11,425$11,4251.0×
angle insurance11$14,114$14,114$14,1141.0×
avmed empower11$14,888$14,888$14,8881.0×
blue advantage11$2,160.69$2,160.69$2,160.691.0×
blue mcr replacement11$8,051.60$8,051.60$8,051.601.0×
devoted healthcare11$11,425$11,425$11,4251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Cullman RegionalCullmanAL6$2,300.00$9,937.90$10,517
Russell Medical CenterAlexander CityAL4$9,781.15$9,781.15$9,976.77
Atmore Community HospitalAtmoreAL3$9,329.34$5,597.60$2,606.00$9,236.05$11,627
D W Mcmillan Memorial HospitalBrewtonAL3$9,329.34$5,597.60$2,606.00$9,236.05$11,627
North Alabama Medical CenterFlorenceAL6$47,632$16,671$4,191.89$8,919.65$13,158
Shoals HospitalMuscle ShoalsAL6$47,632$16,671$4,191.89$8,919.65$13,158
St. Vincents St. ClairPell CityAL12$1,920.00$8,770.90$14,068
Walker Baptist Medical CenterJasperAL11$40.00$8,309.97$22,101
Shelby Baptist Medical CenterAlabasterAL10$53.00$8,227.09$22,235
Washington County HospitalChatomAL5$850.00$975.00$2,160.69$3,129.00
St. Vincents EastBirminghamAL8$1,947.00$14,891$24,633
Fayette Medical CenterFayetteAL9$4,046.00$13,247$22,747
Mountain View HospitalGadsdenAL31$40.00$12,663$35,763
Dch Regional Medical CenterTuscaloosaAL12$3,313.00$12,104$22,252
Hale County HospitalGreensboroAL5$11,384$11,983$13,181
Princeton Baptist Medical CenterBirminghamAL9$56.00$11,452$22,238
Vaughan Regional Medical CenterSelmaAL12$8,601.46$11,425$11,969
Baptist Medical Center EastMontgomeryAL6$9,594.17$10,563$31,067
Providence HospitalMobileAL17$7,300.00$10,470$19,155
Brookwood Baptist Medical CenterBirminghamAL12$50.00$10,433$22,758
Citizens Baptist Medical CenterTalladegaAL9$3,822.00$10,230$22,135
Prattville Baptist HospitalPrattvilleAL6$9,125.33$10,047$31,067
Springhill Memorial HospitalMobileAL0$43,613$37,071
Gadsden Regional Medical CenterGadsdenAL0
Huntsville HospitalHuntsvilleAL0
Helen Keller HospitalSheffieldAL0
Red Bay HospitalRed BayAL0
North Alabama Specialty HospitalAthensAL0$61,426$61,426
Marshall Medical Centers SouthBoazAL0
Decatur Morgan - Decatur CampusDecaturAL0
Southeast Health Medical CenterDothanAL0
Athens LimestoneAthensAL0
Grandview Medical CenterBirminghamAL0
Flowers HospitalDothanAL0
Crestwood Medical CenterHuntsvilleAL0

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.