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Heart failure & shock w MCC

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

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Hospitals
38
Min
$50.67
Median
$11,180
Max
$18,411
Range multiplier
363.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna3582$50.67$13,715$30,540602.7×
UnitedHealthcare3380$50.67$11,134$28,742567.2×
medical mutual of ohio2457$50.67$16,814$27,449541.7×
Blue Cross Blue Shield1950$98.00$13,902$25,814263.4×
Cigna2444$50.67$10,294$26,947531.8×
Anthem BCBS1743$50.67$14,541$22,099436.1×
Molina2934$50.67$10,786$22,282439.7×
Humana3132$50.00$10,168$15,611312.2×
CareSource2831$91.21$11,532$28,100308.1×
the health plan2130$50.67$13,754$22,175437.6×
summacare1725$50.67$14,627$23,045454.8×
devoted health2222$50.67$10,294$15,611308.1×
Medicare220$3,223.00$3,223.00$15,0844.7×
aultcare1418$39.00$15,722$20,986538.1×
WellCare1515$50.67$10,184$15,611308.1×
transplants-case rates [5750]113$60.00$3,223.00$83,1731386.2×
primetime health plan1313$50.67$9,487.82$15,611308.1×
Ambetter1313$91.21$17,078$28,100308.1×
perennial advantage of ohio1313$53.20$9,962.21$16,392308.1×
paramount1313$52.19$9,772.45$16,079308.1×
medigold1313$9,571.71$10,649$14,5481.5×
valor health plans1313$53.20$9,962.21$16,392308.1×
medical mutual611$65.00$10,026$27,197418.4×
university health employee plan (contigo)1010$12,370$12,370$15,3341.2×
jp farley1010$10,978$14,954$18,4111.7×
allwell99$9,571.71$10,649$14,5481.5×
buckeye47$2,669.00$12,028$16,9326.3×
First Health26$78.00$82.40$82.401.1×
custom design benefits36$24,826$26,509$30,2451.2×
medben35$27,652$29,891$33,6311.2×
Medicaid14$7,085.76$7,369.19$7,794.341.1×
healthsmart14$55.00$85.00$85.001.5×
essence healthcare33$10,092$10,379$11,6781.2×
imagine health33$24,204$24,891$28,0061.2×
optum33$10,092$10,379$11,6781.2×
oscar33$11,971$12,771$14,8041.2×
buckeye health plan23$10,404$11,306$17,6871.7×
buckeye community health plan23$10,929$22,282$22,2822.0×
commercial-contracted [8000]12$75.00$1,119.00$2,163.0028.8×
amish church fund12$50.00$52.50$55.001.1×
perennial advantage11$10,924$10,924$10,9241.0×
mi amish medical board11$10,842$10,842$10,8421.0×
prime time health plan11$11,141$11,141$11,1411.0×
custom design benefits inc.11$24,448$24,448$24,4481.0×
priority health11$20,218$20,218$20,2181.0×
sidecar health11$30,055$30,055$30,0551.0×
medishare11$85.00$85.00$85.001.0×
care source just4me11$19,672$19,672$19,6721.0×
TRICARE11$9,658.91$9,658.91$9,658.911.0×
care source11$11,148$11,148$11,1481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Parma Medical CenterParmaOH19$9,291.98$9,756.58$19,688
St. Lukes HospitalMaumeeOH8$30,521$15,260$8,735.54$9,710.43$20,590
Medcentral Health SystemMansfieldOH8$9,697.57$9,697.57$10,085
Obleness Memorial HospitalAthensOH12$9,571.71$9,571.71$9,667.43
Uh Portage Medical CenterRavennaOH19$8,954.36$9,402.08$21,716
Lake Hospital SystemConcordOH19$8,954.36$9,402.08$16,962
Adams County Regional Medical CenterSeamanOH10$18,585$11,151$53.10$90.76$83,173
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$21,572
Fulton County Health CenterWauseonOH1$5,777.10$5,777.10$5,777.10
Uh Geauga Medical CenterChardonOH17$50.67$50.67$91.21
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$91.21
Uh Cleveland Medical CenterClevelandOH20$14,627$18,411$28,742
University Hospitals Rehab HospitalBeachwoodOH20$14,627$18,411$28,742
University Hospitals Avon Rehab HospAvonOH20$14,627$18,411$28,742
Fort Hamilton HospitalHamiltonOH14$10,404$16,079$27,456
Good Samaritan HospitalCincinnatiOH17$11,678$15,942$33,631
Uh St. John Medical CenterWestlakeOH20$8,155.00$15,611$28,100
Bethesda HospitalCincinnatiOH17$10,379$15,128$29,891
Uh Ahuja Medical CenterBeachwoodOH20$9,487.82$14,702$20,711
Rainbow Babies & Childrens HospitalClevelandOH15$14,627$14,627$15,358
Doctors HospitalColumbusOH11$14,548$14,548$30,540
Uh Geneva Medical CenterGenevaOH7$10,978$14,141$17,445
Adena Regional Medical CenterChillicotheOH12$10,929$13,917$30,055
Uh Conneaut Medical CenterConneautOH7$10,978$13,118$17,445
Grant Medical CenterColumbusOH12$12,881$12,881$28,879
Uh Elyria Medical CenterElyriaOH20$9,316.88$12,370$18,496
Mccullough-Hyde Memorial HospitalOxfordOH15$10,092$11,971$27,652
Madison HealthLondonOH10$11,306$11,532$18,090
Riverside Methodist HospitalColumbusOH12$11,180$11,180$28,879
Alliance Community HospitalAllianceOH11$69.00$11,141$22,282
Grady Memorial HospitalDelawareOH10$11,126$11,126$11,571
Dublin Methodist HospitalDublinOH12$10,649$10,649$28,879
Uh Samaritan Medical CenterAshlandOH17$10,184$10,184$18,331
Berger HospitalCirclevilleOH10$10,152$10,152$27,389
Marion General HospitalMarionOH10$10,026$10,026$10,427
Wayne Hospital CompanyGreenvilleOH0$25,904$19,428
Wilson Memorial HospitalSidneyOH0$21,011$10,505

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.