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Heart failure & shock w MCC

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

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Hospitals
19
Min
$1,754.50
Median
$11,088
Max
$32,888
Range multiplier
18.7×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1755$1,700.00$14,498$79,24746.6×
WellCare1326$1,500.00$10,113$32,88821.9×
Aetna1223$1,375.00$8,762.00$11,3898.3×
UnitedHealthcare1221$8,456.41$11,088$79,7949.4×
Humana816$8,547.50$10,937$11,3891.3×
Molina1012$1,809.00$8,718.45$11,3106.3×
optum ccn region 277$11,088$11,088$11,3891.0×
optum ccn region 177$11,088$11,088$11,3891.0×
caresoure kentucky55$18,628$18,628$19,1331.0×
baptist health community health35$1,500.00$1,500.00$1,500.001.0×
Blue Cross Blue Shield14$9,556.36$13,745$15,3481.6×
center care34$1,500.00$1,500.00$95,09763.4×
Cigna33$1,500.00$1,500.00$9,514.286.3×
alliance coal direct opt-in22$2,171.00$2,171.00$2,171.001.0×
amerihealth12$8,208.50$10,779$13,3491.6×
Multiplan22$55,856$64,910$73,9641.3×
the health plan12$8,974.88$10,031$11,0881.2×
umr22$17,470$17,470$17,4701.0×
united - center care12$1,500.00$1,654.50$1,809.001.2×
CareSource11$12,844$12,844$12,8441.0×
beacon health11$8,679.75$8,679.75$8,679.751.0×
muiltiplan11$31,480$31,480$31,4801.0×
Ambetter11$9,398.47$9,398.47$9,398.471.0×
alliance coal11$14,271$14,271$14,2711.0×
amerigroup11$9,514.28$9,514.28$9,514.281.0×
partners11$13,349$13,349$13,3491.0×
va community care network11$9,514.28$9,514.28$9,514.281.0×
trillium11$13,749$13,749$13,7491.0×
vaya11$13,482$13,482$13,4821.0×
alliance11$13,616$13,616$13,6161.0×
united va11$1,809.00$1,809.00$1,809.001.0×
christian county health dept-cchd11$8,679.75$8,679.75$8,679.751.0×
carolina complete11$13,349$13,349$13,3491.0×
gateway health plan11$1,899.00$1,899.00$1,899.001.0×
healthy blue11$13,349$13,349$13,3491.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jennie Stuart Medical CenterHopkinsvilleKY12$8,245.76$9,514.28$15,699
Arh Advanced Care - Big SandySouth WilliamsonKY2$32,888$32,888$32,888
Continuecare Hospital At Baptist HeaPaducahKY10$79,794$79,794$1,375.00$1,809.00$79,794
Cch At Baptist Health CorbinCorbinKY9$105,663$105,663$1,500.00$1,809.00$95,097
Our Lady Of The WayMartinKY1$17,111$17,561$18,011
Barbourville Arh HospitalBarbourvilleKY1$17,111$17,561$18,011
Mary Breckinridge HospitalHydenKY1$17,111$17,561$18,011
Continuecare Hospital MadisonvilleMadisonvilleKY10$44,972$44,972$1,500.00$1,754.50$33,729
Morgan Co. ArhWest LibertyKY3$17,111$17,470$18,011
Mcdowell ArhMcdowellKY3$17,111$17,470$18,011
Baptist Health LexingtonLexingtonKY12$8,208.50$13,349$15,348
Hazard ArhHazardKY9$10,247$11,389$19,133
Paintsville Arh HospitalPaintsvilleKY8$9,979.06$11,088$18,011
Tug Valley ArhSouth WilliamsonKY10$8,120.13$11,088$18,628
Harlan ArhHarlanKY9$8,120.13$11,088$18,628
Highlands Regional Medical CenterPrestonsburgKY8$8,120.13$11,088$16,109
Whitesburg ArhWhitesburgKY9$7,350.85$11,088$18,628
Middlesboro ArhMiddlesboroKY9$8,120.13$11,088$18,628
Spring View HospitalLebanonKY0$34,643$13,857

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.