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Heart failure & shock w MCC

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

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Hospitals
65
Min
$2,775.00
Median
$11,618
Max
$22,241
Range multiplier
8.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield37208$1,697.04$14,703$65,04738.3×
upmc health plan3370$9,208.00$12,467$19,3712.1×
Aetna3466$1,949.00$11,690$37,98319.5×
UnitedHealthcare3255$2,766.00$11,618$30,05510.9×
Cigna2441$2,154.00$12,550$50,42823.4×
geisinger1724$1,400.00$16,174$44,18331.6×
upmc work partners2324$4,414.93$9,482.92$10,4512.4×
pa health & wellness2323$2,315.52$10,770$13,4125.8×
amerihealth caritas1818$2,208.32$10,659$13,4126.1×
Humana1213$8,794.97$11,543$50,9325.8×
keystone health plan612$8,794.97$18,510$31,9223.6×
health plan of upper ohio valley37$7,529.42$10,271$13,8861.8×
Medicare37$9,719.62$10,458$50,4285.2×
ibc26$15,638$26,083$42,9492.7×
Medicare Advantage26$10,978$12,700$15,4531.4×
naphcare45$16,405$21,499$22,0551.3×
upmc25$1,565.00$2,269.00$8,296.485.3×
Multiplan55$5,131.05$5,131.05$35,3006.9×
innovage44$10,458$14,352$14,9981.4×
amerihealth14$2,775.00$2,927.00$3,079.001.1×
keystone autism services44$14,072$14,985$19,0971.4×
clover health33$15,586$15,586$50,4283.2×
gateway health plan33$9,883.39$15,880$15,8801.6×
Oscar Health33$22,826$22,826$22,8261.0×
inspira life22$10,253$11,845$13,4371.3×
devon health12$2,204.00$2,391.50$2,579.001.2×
devoted health participation22$10,766$12,437$14,1091.3×
elder health22$17,644$17,644$17,6441.0×
prime health services22$20,285$20,285$20,2851.0×
everyday life12$2,649.00$2,912.00$3,175.001.2×
Ambetter22$13,436$13,768$14,0991.0×
qualcare jcc12$29,728$42,562$55,3961.9×
senior life22$10,070$10,070$10,0701.0×
st agnes22$10,253$11,845$13,4371.3×
upmc commercial22$24,040$30,479$36,9171.5×
va_champus_tricare22$10,253$11,845$13,4371.3×
geisinger health plan22$47,116$47,116$47,1161.0×
health partners plans22$16,549$16,549$16,5491.0×
ibc main line health22$12,816$14,806$16,7961.3×
pennsylvania health and wellness22$16,174$16,174$16,1741.0×
jefferson health plan aca qhp exchange22$10,052$11,472$12,8921.3×
keystone first22$15,439$15,439$15,4391.0×
keystone first vip choice22$10,868$12,421$13,9751.3×
city of washington22$16,112$16,112$16,1121.0×
optum va ccn22$10,253$11,845$13,4371.3×
pa health and wellness12$50,428$50,932$51,4371.0×
wtc health program11$19,604$19,604$19,6041.0×
allwell pa health_wellness ma11$14,781$14,781$14,7811.0×
Anthem BCBS11$5,945.28$5,945.28$5,945.281.0×
bravo11$12,369$12,369$12,3691.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc PassavantPittsburghPA9——$6,106.11$9,996.55$39,899
Charles Cole Memorial HospitalCoudersportPA3——$7,847.32$9,908.54$12,467
Meadville Medical CenterMeadvillePA1——$9,498.94$9,498.94$9,498.94
Good Shepherd Specialty HospitalBethlehemPA17$105,062$2,500.00$1,400.00$2,775.00$65,047
American Oncologic HospialPhiladelphiaPA5——$8,665.00$22,241$23,317
WellsboroWellsboroPA3——$16,088$19,149$21,909
Muncy Valley HospitalMuncyPA5——$2,208.32$18,673$21,909
Upmc LititzLititzPA9——$5,044.26$18,266$30,169
Temple University HospitalPhiladelphiaPA18——$14,145$17,096$55,562
Jeanes HospitalPhiladelphiaPA17——$8,847.00$16,549$44,183
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$15,620$10,394$15,520$55,396
Memorial HospitalYorkPA10——$4,915.03$14,973$30,169
Upmc ShadysidePittsburghPA8——$6,106.11$13,536$45,955
Titusville Area HospitalTitusvillePA5——$8,296.48$13,441$18,559
Upmc Mercy HospitalPittsburghPA7——$10,293$13,358$23,781
Upmc St MargaretPittsburghPA4——$10,629$13,224$39,049
Upmc MckeesportMckeesportPA6——$10,293$13,187$20,926
Upmc HamotEriePA12——$9,495.41$12,491$26,772
Aria HealthPhiladelphiaPA21—$11,804$9,719.62$11,791$47,116
Upmc HanoverHanoverPA11——$4,915.03$11,785$33,837
Upmc Pinnacle HospitalsHarrisburgPA9——$10,451$11,728$30,211
Community General Osteopathic Hosp.HarrisburgPA9——$10,451$11,728$30,211
Curahealth Heritage ValleyBeaverPA7$18,749$9,883.39$7,230.87$11,618$14,348
Altoona Regional Health SystemAltoonaPA9——$9,674.01$11,410$19,254
Upmc Magee-Womens HospitalPittsburghPA9——$9,674.01$11,410$19,254
Upmc Childrens Hospital Of PghPittsburghPA9——$9,674.01$11,410$19,254
The Childrens Home Of PittsburghPittsburghPA9——$9,674.01$11,410$19,254
Whs - GreeneWaynesburgPA9——$8,458.13$10,776$16,112
The Washington HospitalWashingtonPA9——$8,458.13$10,776$16,112
Divine Providence HospitalWilliamsportPA9——$4,644.95$10,769$22,823
Williamsport Hospital & Medical CtrWilliamsportPA9——$4,644.95$10,769$22,823
Lock Haven HospitalLock HavenPA9——$4,644.95$10,769$22,823
Upmc East HospitalMonroevillePA8——$9,840.16$10,726$39,543
Upmc Horizon HospitalGreenvillePA9——$5,945.28$10,689$14,646
Upmc JamesonNew CastlePA10——$1,500.00$10,398$13,072
Upmc Northwest HospitalSenecaPA8——$3,704.00$10,382$14,700
Upmc Bedford Memorial HospitalEverettPA8——$9,223.57$10,375$15,209
Upmc CarlisleCarlislePA11——$1,697.04$10,077$30,934
Doylestown HospitalDoylestownPA0$32,325$32,325———
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Hampden Medical CenterEnolaPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Meyersdale Community HospitalMeyersdalePA0$11,691$4,676.40———
Uniontown HospitalUniontownPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
Miners HospitalHastingsPA0$35,958$14,383———
Holy Spirit HospitalCamp HillPA0—————
Penn State Hershey Rehabilitation LlHummelstownPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
Windber Hospital Inc.WindberPA0—————
St. Joseph Medical CenterReadingPA0—————
Clarion HospitalClarionPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Wayne Memorial HospitalHonesdalePA0$26,781$18,747———
Phoenixville HospitalPhoenixvillePA0—————
Miners HospitalHastingsPA0$35,958$14,383———
Bryn Mawr HospitalBryn MawrPA0—————
Paoli HospitalPaoliPA0—————
Armstrong County MemorialKittanningPA0—————
Butler Memorial HospitalButlerPA0—————
Lankenau Medical CenterWynnewoodPA0—————

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.