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Heart failure & shock w MCC

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

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Hospitals
15
Min
$12,508
Median
$21,010
Max
$28,970
Range multiplier
2.3×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare840$10,639$20,416$35,1763.3×
Aetna831$10,305$14,001$28,5752.8×
Blue Cross Blue Shield121$10,639$21,855$21,8552.1×
Humana718$10,744$11,894$40,8223.8×
Cigna717$11,171$22,444$30,9852.8×
Anthem BCBS617$4,904.00$30,859$39,9078.1×
sentara health plan611$11,511$15,748$26,6812.3×
vhn - ultra66$15,748$19,327$26,6811.7×
connecticare66$17,780$21,820$30,1241.7×
gateway - tier 166$24,130$29,613$40,8831.7×
gateway - tier 266$20,320$24,938$34,4271.7×
gateway - tier 366$17,272$21,197$29,2631.7×
vhn66$20,320$24,938$34,4271.7×
vhn - link66$22,860$28,055$38,7311.7×
vhn - plus66$19,558$24,002$33,1361.7×
vhn - secondary payors66$24,130$29,613$40,8831.7×
Medicare24$2,934.43$10,852$11,1713.8×
first choice vip care plus [4833]11$11,171$11,171$11,1711.0×
umr [3113]11$24,126$24,126$24,1261.0×
devoted health plan [4501]11$10,639$10,639$10,6391.0×
allcare11$12,214$12,214$12,2141.0×
integrated health plan11$21,590$21,590$21,5901.0×
national provider network11$24,384$24,384$24,3841.0×
select health of sc [4877]11$18,618$18,618$18,6181.0×
pai [3082]11$21,855$21,855$21,8551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Medical CenterRoanokeVA15$43,034$15,062$10,305$28,970$40,883
Carilion New River Valley Med CenterChristiansburgVA15$40,060$14,021$11,269$27,001$40,822
Bon Secours Depaul Medical CenterNorfolkVA11$10,639$21,855$25,261
Carilion Stonewall Jackson HospitalLexingtonVA15$31,172$10,910$10,892$21,010$40,822
Carilion Franklin Memorial HospitalRocky MountVA15$31,172$10,910$10,892$21,010$40,822
Carilion Giles Community HospitalPearisburgVA15$27,030$9,460.46$13,542$19,470$40,822
Carilion Tazewell Community HospitalTazewellVA18$25,400$8,890.08$4,904.00$15,939$40,822
Bath County Community HospitalHot SpringsVA3$16,902$12,677$2,934.43$12,508$15,212
Childrens Hospital Of The Kings DaNorfolkVA0
Inova Alexandria HospitalAlexandriaVA0
Inova Loudoun Hospital CenterLeesburgVA0
Inova Fairfax HospitalFalls ChurchVA0
Inova Fair Oaks HospitalFairfaxVA0
Inova Mount Vernon HospitalAlexandriaVA0
Buchanan General HospitalGrundyVA0$40,336$14,118

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.