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Heart failure & shock w MCC

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

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Hospitals
11
Min
$12,257
Median
$15,832
Max
$40,349
Range multiplier
3.3×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1025$2,892.00$21,718$40,37914.0×
Empire BCBS525$9,775.62$29,585$323,40533.1×
UnitedHealthcare923$2,276.00$16,964$323,405142.1×
Emblem Health619$12,902$26,767$323,40525.1×
Cigna717$12,902$31,886$323,40525.1×
Humana88$12,257$13,924$323,40526.4×
oxford47$2,276.00$37,654$323,405142.1×
Healthfirst46$13,732$17,543$323,40523.6×
Blue Cross Blue Shield46$12,257$13,539$22,2701.8×
Medicare16$9,928.53$12,257$12,2571.2×
WellCare66$13,095$15,565$323,40524.7×
fidelis55$13,160$16,993$323,40524.6×
mvp45$2,855.00$13,919$16,9936.0×
magnacare44$3,506.00$31,957$49,67014.2×
geisinger health plan24$12,902$21,479$31,3392.4×
oscar34$27,553$27,553$31,6871.2×
cdphp24$12,902$29,111$47,3913.7×
vns33$16,993$18,092$323,40519.0×
local 119933$27,997$33,828$38,5141.4×
1199 seiu22$13,232$13,372$13,5111.0×
health first22$12,902$13,415$13,9281.1×
horizon12$30,877$33,601$36,3251.2×
metroplus22$18,092$170,749$323,40517.9×
upmc22$12,902$13,415$13,9281.1×
emblemhealth11$15,243$15,243$15,2431.0×
1199seiu national benefit funds11$19,838$19,838$19,8381.0×
elderplan 131611$12,257$12,257$12,2571.0×
northwell direct11$28,244$28,244$28,2441.0×
elderplan11$323,405$323,405$323,4051.0×
centers plan for healthy living11$16,993$16,993$16,9931.0×
partners health plan11$16,993$16,993$16,9931.0×
prime health services11$13,928$13,928$13,9281.0×
st. regis11$13,919$13,919$13,9191.0×
capital district physicians' health plan11$13,919$13,919$13,9191.0×
wellpath11$20,878$20,878$20,8781.0×
VA Health11$13,919$13,919$13,9191.0×
brighton11$37,384$37,384$37,3841.0×
longevity11$13,732$13,732$13,7321.0×
fidelis care11$13,919$13,919$13,9191.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
New York Eye And Ear InfirmaryNew YorkNY15$13,232$40,349$323,405
New York Presbyterian HospitalNew YorkNY15$18,092$31,687$50,580
Memorial Hospital For Cancer And AllNew YorkNY3$21,044$31,605$54,906
South Nassau Communities HospitalOceansideNY12$9,775.62$27,553$49,588
St. Josephs Medical CenterYonkersNY14$49,413$2,276.00$16,993$34,964
Nassau University Medical CenterEast MeadowNY6$11,920$15,832$21,130
Elizabethtown Community HospitalElizabethtownNY1$15,615$15,615$15,615
Garnet Health Medical CenterMiddletownNY17$13,928$13,928$49,670
Champlain Valley Physicians HospitalPlattsburghNY10$13,159$13,919$31,273
Garnet Health Medical Center - CatskHarrisNY15$12,902$12,902$47,038
Fredrick Ferris Thompson HospitalCanandaiguaNY6$12,257$9,903.23$12,257$16,964

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.