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Heart failure & shock w MCC

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

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Hospitals
3
Min
$7,406.87
Median
$17,470
Max
$35,909
Range multiplier
4.8×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$5,815.77$7,406.87$33,1265.7×
prime health services12$46,682$50,273$53,8631.2×
Anthem BCBS12$17,111$17,561$18,0111.1×
Centene11$35,909$35,909$35,9091.0×
geisinger11$36,627$36,627$36,6271.0×
Humana11$8,135.84$8,135.84$8,135.841.0×
presbyterian of nm: mcd11$5,524.98$5,524.98$5,524.981.0×
presbyterian of nm: mcr ppo11$5,825.96$5,825.96$5,825.961.0×
presbyterian of nm: php salud plan11$5,279.17$5,279.17$5,279.171.0×
prime health services work comp11$8,353.31$8,353.31$8,353.311.0×
provider partners health plan11$35,909$35,909$35,9091.0×
rocky mountain health plan: mcr adv11$8,135.84$8,135.84$8,135.841.0×
southwest health alliance11$16,818$16,818$16,8181.0×
umr11$17,470$17,470$17,4701.0×
UnitedHealthcare11$17,470$17,470$17,4701.0×
velocity provider ppo network11$43,091$43,091$43,0911.0×
Aetna11$35,909$35,909$35,9091.0×
vibra health plan11$35,909$35,909$35,9091.0×
albright care services11$35,909$35,909$35,9091.0×
amerihealth caritas pennsylvania11$35,909$35,909$35,9091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Animas Surgical HospitalDurangoCO8$16,818$5,279.17$7,406.87$16,818
Pam Specialty Hospital Of DenverDenverCO10$33,126$35,909$53,863
East Morgan County HospitalBrushCO3$17,111$17,470$18,011

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.