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Heart failure & shock w MCC

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

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Hospitals
12
Min
$80.76
Median
$12,831
Max
$24,648
Range multiplier
305.2×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1140$83.6$20,730$43,744523.2×
UnitedHealthcare1022$80.76$20,259$41,368512.2×
Aetna917$80.15$13,808$47,412591.5×
Humana913$60$12,310$14,210236.8×
Cigna812$84.3$21,204$37,029439.3×
Kaiser Permanente712$11,092$13,385$28,0862.5×
Molina610$11,284$13,735$26,1492.3×
providence health plan58$60.6$13,149$28,629472.4×
first choice48$62$31,977$38,877627.1×
coordinated care46$11,483$21,162$24,8012.2×
Health Net23$13,490$14,064$42,4253.1×
amerigroup33$12,412$13,069$14,7471.2×
community health plan33$13,069$18,054$21,4501.6×
moda23$90.4$13,069$14,254157.7×
pacificsource13$13,745$18,320$24,5081.8×
the health plan12$6,861.54$9,057.45$11,2531.6×
First Health22$65$80$951.5×
Medicare12$12,069$12,371$12,6731.0×
community health plan of washington22$12,412$13,579$14,7471.2×
Medicare Advantage12$12,668$12,668$12,6681.0×
healthcare partners11$14,064$14,064$14,0641.0×
central health plan11$14,064$14,064$14,0641.0×
atrio11$13,109$13,109$13,1091.0×
WellCare11$11,253$11,253$11,2531.0×
asuris truadvantage [4011]11$12,668$12,668$12,6681.0×
Multiplan11$27,477$27,477$27,4771.0×
optum ccn region 111$11,253$11,253$11,2531.0×
optum ccn region 211$11,253$11,253$11,2531.0×
wellpoint medadvantage [210115]11$12,069$12,069$12,0691.0×
phcs11$19,189$19,189$19,1891.0×
asuris11$12,831$12,831$12,8311.0×
scan11$14,064$14,064$14,0641.0×
umr11$17,470$17,470$17,4701.0×
Anthem BCBS11$11,253$11,253$11,2531.0×
devoted health11$13,363$13,363$13,3631.0×
community health network of wa [1055]11$21,501$21,501$21,5011.0×
Empire BCBS11$14,064$14,064$14,0641.0×
chpw med advantage [210102]11$12,069$12,069$12,0691.0×
first choice health network11$75$75$751.0×
chp advantage [4001]11$14,527$14,527$14,5271.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PROVIDENCE MOUNT CARMEL HOSPITALCOLVILLEWA4$91.37$94.7$100
ST. LUKES REHABILITATION INST.SPOKANEWA5$73.9$80.76$84.3
OVERLAKE HOSPITAL MEDICAL CENTERBELLEVUEWA11$11,483$24,648$32,095
SWEDISH MEDICAL CENTERSEATTLEWA14$60$20,779$47,412
PROVIDENCE HOLY FAMILY HOSPITALSPOKANEWA13$75$18,054$30,659
LEGACY SALMON CREEK HOSPITALVANCOUVERWA12$13,109$14,254$35,305
PROVIDENCE ST JOSEPHS HOSPITALCHEWELAHWA11$14,064$14,064$42,425
KADLEC REGIONAL MEDICAL CENTERRICHLANDWA15$60.6$12,831$35,405
WENATCHEE VALLEY HOSPITALWENATCHEEWA7$44,433$44,433$11,261$12,668$26,149
VALLEY MEDICAL CENTERRENTONWA9$45,562$31,893$12,069$12,069$28,006
EAST ADAMS RURAL HOSPITALRITZVILLEWA10$6,861.54$11,253$26,570
KFH - WASHINGTONSEATTLEWA0

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.