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Heart failure & shock w MCC

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

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Hospitals
4
Min
$9,470
Median
$36,271
Max
$36,271
Range multiplier
3.8×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18$2,105$11,438$17,5968.4×
UnitedHealthcare13$7,654.13$15,566$17,2962.3×
Aetna23$7,805.7$20,475$36,2714.6×
prime health services12$47,153$50,780$54,4071.2×
Humana22$7,805.7$21,676$35,5464.6×
facility billing - op11$7,578.35$7,578.35$7,578.351.0×
healthspring mcr replacement11$7,729.92$7,729.92$7,729.921.0×
ilumed aco reach11$36,271$36,271$36,2711.0×
Medicare11$7,578.35$7,578.35$7,578.351.0×
occunet11$17,051$17,051$17,0511.0×
Oscar Health11$12,125$12,125$12,1251.0×
palm beach aco reach11$35,183$35,183$35,1831.0×
simply healthcare11$36,271$36,271$36,2711.0×
smarthealth11$7,654.13$7,654.13$7,654.131.0×
sunshine state health plan11$36,271$36,271$36,2711.0×
triwest11$7,578.35$7,578.35$7,578.351.0×
velocity provider ppo network11$43,526$43,526$43,5261.0×
WellCare11$7,578.35$7,578.35$7,578.351.0×
aarp mcr hmo11$7,578.35$7,578.35$7,578.351.0×
wellmed11$36,271$36,271$36,2711.0×
alignment health11$36,271$36,271$36,2711.0×
Ambetter11$12,504$12,504$12,5041.0×
blue mcr replacement11$7,578.35$7,578.35$7,578.351.0×
Cigna11$11,580$11,580$11,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$2,105$9,470$20,475
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL10$35,183$36,271$54,407
WELLINGTON REGL MEDICAL CENTERWEST PALM BEACHFL0
LAKEWOOD RANCH MEDICAL CENTERBRADENTONFL0

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.