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Heart failure & shock w MCC

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

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Hospitals
4
Min
$8,156.74
Median
$10,812
Max
$21,010
Range multiplier
2.6×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare410$8,156.74$13,776$28,1783.5×
Aetna27$10,417$15,867$25,3672.4×
Humana35$8,518.61$11,355$40,8224.8×
Anthem BCBS25$10,417$23,198$34,7143.3×
workers compensation33$14,278$15,135$15,1351.1×
Medicare33$8,156.74$8,518.61$10,8121.3×
sentara health plan12$12,166$15,746$19,3271.6×
Cigna12$21,010$21,727$22,4441.1×
WellCare22$8,518.61$9,467.76$10,4171.2×
Medicaid22$8,901.96$8,966.46$9,030.951.0×
TRICARE11$19,786$19,786$19,7861.0×
connecticare11$21,820$21,820$21,8201.0×
vhn11$24,938$24,938$24,9381.0×
vhn - link11$28,055$28,055$28,0551.0×
vhn - plus11$24,002$24,002$24,0021.0×
vhn - secondary payors11$29,613$29,613$29,6131.0×
vhn - ultra11$19,327$19,327$19,3271.0×
gateway - tier 311$21,197$21,197$21,1971.0×
gateway - tier 211$24,938$24,938$24,9381.0×
gateway - tier 111$29,613$29,613$29,6131.0×
martins point11$19,785$19,785$19,7851.0×
Self-Pay (Cash)11$10,812$10,812$10,8121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
RUMFORD HOSPITALRUMFORDME6$8,518$8,518.61$8,518.61$15,135
BRIDGTON HOSPITALBRIDGTONME3$8,156$8,156.74$8,156.74$15,135
FRANKLIN MEMORIAL HOSPITALFARMINGTONME15$31,172$10,910$10,892$21,010$40,822
CENTRAL MAINE MEDICAL CENTERLEWISTONME11$10,811$9,030.95$10,812$28,178

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.