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Heart failure & shock w CC

MS-DRG 292 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$6,465.17
Median
$11,877
Max
$19,018
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$8,303.79$19,018$26,8913.2×
Blue Cross Blue Shield1142$29$12,024$26,015897.1×
Aetna1131$90$14,009$21,175235.3×
UnitedHealthcare1027$5,377.91$11,986$36,4926.8×
Cigna1127$85$11,998$24,626289.7×
Humana1120$3,105.53$14,404$22,3197.2×
WellCare78$5,324.66$8,620.23$12,3582.3×
Oscar Health77$8,519.46$11,948$15,5811.8×
devoted health66$6,160.35$10,499$12,3452.0×
Ambetter55$8,785.69$20,904$23,6122.7×
Kaiser Permanente44$6,160.35$10,499$11,1381.8×
optum44$6,160.35$10,499$11,1381.8×
clover health44$6,468.37$11,024$11,6951.8×
sonder health plans44$6,468.37$11,024$11,6951.8×
va community care network44$6,160.35$10,499$11,1381.8×
First Health23$95$6,465.17$7,30076.8×
TRICARE23$5,339.92$5,339.92$7,564.381.4×
CareSource13$12,358$12,358$20,9751.7×
sonder health plan12$12,598$12,598$12,5981.0×
peach state12$8,295.08$10,327$12,3581.5×
riverwood behavioral health12$11,986$11,992$11,9981.0×
Health Net12$97$3,281.09$6,465.1766.7×
occunet11$11,980$11,980$11,9801.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$8,062.41$8,062.41$8,062.411.0×
provider select11$8,228.65$8,228.65$8,228.651.0×
rural arizona network11$6,465.17$6,465.17$6,465.171.0×
smarthealth11$7,454.52$7,454.52$7,454.521.0×
ubh optum11$11,998$11,998$11,9981.0×
united mine workers of america11$6,465.17$6,465.17$6,465.171.0×
three rivers11$8,062.41$8,062.41$8,062.411.0×
americas choice provider network11$8,062.41$8,062.41$8,062.411.0×
arizona medical network11$6,465.17$6,465.17$6,465.171.0×
banner health11$6,465.17$6,465.17$6,465.171.0×
blue mcr replacement11$5,324.66$5,324.66$5,324.661.0×
bridgeway health solutions11$6,465.17$6,465.17$6,465.171.0×
centurion11$17,978$17,978$17,9781.0×
clear spring health plan11$11,986$11,986$11,9861.0×
corvel11$7,896.18$7,896.18$7,896.181.0×
employer direct healthcare11$15,581$15,581$15,5811.0×
facility billing - op11$5,324.66$5,324.66$5,324.661.0×
georgia workers’ compensation11$8,311.77$8,311.77$8,311.771.0×
health choice pathway11$6,465.17$6,465.17$6,465.171.0×
health management network11$6,465.17$6,465.17$6,465.171.0×
healthspring mcr replacement11$5,431.15$5,431.15$5,431.151.0×
imperial insurance11$6,788.43$6,788.43$6,788.431.0×
Medicare11$11,986$11,986$11,9861.0×
Medicare Advantage11$5,324.66$5,324.66$5,324.661.0×
Multiplan11$8,062.41$8,062.41$8,062.411.0×
naphcare11$18,578$18,578$18,5781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$5,324.66$8,785.69$19,155
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$29$6,465.17$36,492
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$8,303.79$19,018$26,891
EMORY LONG TERM ACUTE CAREDECATURGA5$11,948$16,652$17,199
NGMC BARROWWINDERGA6$8,303.79$15,498$26,015
NGMC LUMPKIN LLCDAHLONEGAGA6$8,303.79$15,498$26,891
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$11,985$3,105.53$11,986$20,975
EMORY UNIVERSITY HOSPITALATLANTAGA14$8,882.94$11,877$23,612
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$8,882.94$11,877$23,612
EMORY DECATURDECATURGA14$8,882.94$11,200$20,904
ST. JOSEPHS OF ATLANTAATLANTAGA14$6,160.35$10,415$18,285
MEMORIAL HOSPITALBAINBRIDGEGA0
SOUTHWELL MEDICALADELGA0
CHATUGE REGIONAL HOSPITALHIWASSEEGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0

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.