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Heart failure & shock w MCC

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

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Hospitals
20
Min
$8,192.43
Median
$11,915
Max
$14,816
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$13,520$23,05210.0×
Blue Cross Blue Shield19141$2,428.09$12,319$23,0899.5×
UnitedHealthcare17130$1,147.00$11,915$23,05220.1×
Aetna1845$3,426.00$14,539$20,3005.9×
amerigroup mcaid replacement735$5,467.48$5,671.40$6,934.891.3×
smart health830$10,900$13,590$14,2531.3×
Humana1221$7,802.31$9,858.25$11,7941.5×
health 2 business721$17,090$18,108$19,6481.1×
Medicare815$7,802.31$8,810.97$11,9811.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$10,909$18,3637.0×
Medicare Advantage89$7,802.31$8,983.61$11,2301.4×
wellpoint39$8,195.92$9,661.53$10,3401.3×
community plan88$5,986.90$5,986.90$5,986.901.0×
oscar77$14,816$14,816$14,8161.0×
healthspring mcr replacement77$7,802.31$8,983.61$9,766.411.3×
nhc advantage77$7,802.31$8,983.61$9,766.411.3×
celtic insurance company77$12,788$15,540$18,3631.4×
centurion of tn77$7,802.31$8,983.61$9,766.411.3×
optum va77$7,802.31$8,983.61$9,766.411.3×
point comfort underwriters77$7,022.08$8,085.25$8,789.771.3×
amerigroup mcr replacement77$8,036.38$8,983.61$9,766.411.2×
Self-Pay (Cash)77$7,802.31$8,983.61$9,766.411.3×
river valley plan77$1,333.87$6,537.11$9,954.907.5×
farm bureau36$8,159.61$8,639.16$8,747.911.1×
ascension complete66$8,391.40$8,988.77$9,766.411.2×
devoted health36$9,661.53$10,180$10,3401.1×
TRICARE55$7,490.22$9,234.51$9,847.941.3×
VA Health44$8,250.21$9,686.82$10,0261.2×
triwest va pccc33$7,802.31$8,391.40$8,391.401.1×
amerigroup23$6,947.80$7,055.41$9,664.951.4×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$9,364.733.7×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$9,201.46$9,695.36$9,847.941.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$9,661.53$10,180$10,3401.1×
health plans inc [100282]11$11,981$11,981$11,9811.0×
harmony health plan11$9,664.95$9,664.95$9,664.951.0×
generic hospice vbid [10940000101]11$11,230$11,230$11,2301.0×
devoted health [450111]11$11,567$11,567$11,5671.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Henry County Medical CenterParisTN14$1,147.00$9,954.90$18,840
Roane County Medical CenterHarrimanTN24$45.00$9,830.91$20,104
Fort Loudoun Medical CenterLenoir CityTN24$45.00$9,754.62$20,104
Morristown-Hamblen HospitalMorristownTN24$45.00$9,339.48$20,104
Saint Thomas Midtown HospitalNashvilleTN23$5,986.90$8,192.43$22,427
Bolivar General HospitalBolivarTN6$6,537.11$14,816$21,889
West Tn Healthcare Volunteer HospitaMartinTN7$1,391.64$14,678$18,840
Jackson-Madison County General HospJacksonTN9$6,558.93$14,539$21,889
Dyersburg Regional Medical CenterDyersburgTN7$1,333.87$14,539$18,840
St Thomas Hickman HospitalCentervilleTN9$5,467.48$14,253$20,445
Camden General HospitalCamdenTN6$6,537.11$14,237$21,889
Ascension St Thomas River ParkMcminnvilleTN21$2,435.94$11,915$20,300
Saint Thomas Highland HospitalSpartaTN21$2,435.94$11,915$20,300
Saint Thomas West HospitalNashvilleTN22$5,467.48$11,915$23,089
Saint Thomas Rutherford HospitalMurfreesboroTN22$5,467.48$11,915$23,089
Saint Thomas Stones River HospitalWoodburyTN21$2,435.94$11,888$20,445
St Thomas Dekalb HospitalSmithvilleTN21$2,435.94$11,888$20,445
Methodist H/C Memphis Hospt.MemphisTN16$33,249$7,314.80$1,397.00$11,230$23,052
Milan General HospitalMilanTN8$6,537.11$11,005$21,889
St Thomas AscensionNashvilleTN0$31,862$7,870.03

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.