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Heart failure & shock w MCC

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

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Hospitals
15
Min
$74.30
Median
$75.50
Max
$11,167
Range multiplier
150.3×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield735$55.00$6,680.00$24,146439.0×
Aetna731$45.60$75.00$26,047571.2×
UnitedHealthcare718$74.30$10,803$21,996296.0×
allied benefits [498]618$58.00$67.30$26,047449.1×
Cigna618$60.90$4,374.85$20,691339.8×
cox health systems insurance company [220]618$55.00$55.00$74.001.3×
healthlink [225]618$48.50$65.00$75.501.6×
consociate [478]612$14,784$17,000$22,5881.5×
phcs [244]612$75.00$77.50$80.001.1×
unicare [568]612$65.00$70.25$75.501.2×
med-pay [480]612$65.00$70.00$75.001.2×
healthscope benefits [258]611$65.00$20,822$21,996338.4×
Humana58$66.50$9,704.26$12,783192.2×
sarah bush lincoln [636]67$17,000$17,000$22,5881.3×
coresource [497]66$60.30$9,598.65$26,047432.0×
fmh benefit service inc [222]66$60.30$9,598.65$26,047432.0×
health alliance [224]66$9,761.00$16,703$16,7031.7×
health systems inc [620]66$75.00$75.00$75.001.0×
healthcare sol mercy [609]66$75.00$75.00$75.001.0×
apwu health plan [216]66$68.70$6,229.85$20,691301.2×
medica [661]66$80.00$80.00$80.001.0×
Multiplan66$75.00$75.00$75.001.0×
nalc health benefit plan [242]66$68.70$6,229.85$20,691301.2×
preferred health professionals [561]66$75.50$75.50$75.501.0×
priority health [648]66$68.70$6,229.85$20,691301.2×
beechstreet [551]66$75.00$75.00$75.001.0×
First Health66$74.30$74.30$74.301.0×
hfn [563]66$80.00$80.00$85.001.1×
hope trust [806]66$58.00$58.00$58.001.0×
mail handlers [495]66$60.30$9,598.65$26,047432.0×
detego health [868]66$75.00$75.00$75.001.0×
devoted health plan [847]33$9,488.96$10,890$11,7961.2×
medica [662]33$9,488.96$10,890$11,7961.2×
essence healthcare [221]33$9,037.10$10,371$11,2341.2×
cox health [757]33$9,488.96$10,890$11,7961.2×
mh magellan health services [270]22$100.00$100.00$100.001.0×
osfdan11$75.00$75.00$75.001.0×
bakersfield school district (smbc)11$2,356.00$2,356.00$2,356.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$40,651$24,391$48.50$93.50$24,146
Progress West HospitalOfallonMO36$38,330$22,998$48.50$87.00$24,146
St. Louis Childrens HospitalSt. LouisMO30$60,247$36,148$48.50$75.50$26,047
Mercy Continuing Care HospitalChesterfieldMO1$75.00$75.00$75.00
Parkland Health Center - FarmingtonFarmingtonMO35$28,964$17,378$45.60$75.00$24,146
Missouri Baptist Hospital SullivanSullivanMO31$19,815$11,889$45.60$74.30$24,146
Missouri Baptist Sullivan HospitalSullivanMO31$19,815$11,889$45.60$74.30$24,146
Mercy Rehabilitation Hospital-SpgfSpringfieldMO1$19,257$19,257$2,356.00$2,356.00$2,356.00
Saint Francis Medical CenterCape GirardeauMO3$9,672.15$11,167$16,751
Northeast Regional Medical CenterKirksvilleMO0
Moberly Regional Medical CenterMoberlyMO0
CoxhealthSpringfieldMO0
Barton County Memorial HospitalLamarMO0
Cox-Monett HospitalMonettMO0
Cox Medical Center BransonBransonMO0

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.