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Heart failure & shock w CC

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

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Hospitals
20
Min
$1,129.00
Median
$9,580.08
Max
$11,915
Range multiplier
10.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17141$1,425.86$11,041$16,55911.6×
Blue Cross Blue Shield19140$991.00$7,902.10$18,83219.0×
UnitedHealthcare17120$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$9,614.92$20,3005.9×
amerigroup mcaid replacement735$3,551.88$3,684.35$4,505.161.3×
smart health830$7,223.73$9,744.36$10,9001.5×
health 2 business721$11,408$12,087$13,1161.1×
Humana1120$5,159.81$6,524.93$11,7942.3×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Medicare712$5,159.81$5,688.13$6,458.701.3×
Ambetter1111$2,628.00$7,214.21$13,0315.0×
wellpoint39$5,514.50$6,376.85$6,824.871.2×
community plan88$4,036.18$4,036.18$4,036.181.0×
Medicare Advantage78$5,159.81$5,745.21$6,458.701.3×
Self-Pay (Cash)77$5,159.81$5,941.02$6,458.701.3×
oscar77$9,798.31$9,798.31$9,798.311.0×
optum va77$5,159.81$5,941.02$6,458.701.3×
nhc advantage77$5,159.81$5,941.02$6,458.701.3×
amerigroup mcr replacement77$5,314.60$5,941.02$6,458.701.2×
river valley plan77$882.11$4,323.11$7,064.298.0×
healthspring mcr replacement77$5,159.81$5,941.02$6,458.701.3×
celtic insurance company77$8,456.82$10,905$13,0311.5×
centurion of tn77$5,159.81$5,941.02$6,458.701.3×
point comfort underwriters77$4,643.83$5,346.92$5,812.831.3×
farm bureau36$5,443.35$5,763.25$5,835.791.1×
ascension complete66$5,549.39$5,944.44$6,458.701.2×
devoted health36$6,376.85$6,719.13$6,824.871.1×
TRICARE44$4,953.42$6,236.18$6,499.881.3×
VA Health44$5,456.01$6,677.73$7,035.351.3×
ehn33$45.00$45.00$45.001.0×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$6,376.85$6,719.13$6,824.871.1×
novanet33$75.00$75.00$75.001.0×
initial group33$88.00$88.00$88.001.0×
optum33$6,073.19$6,399.17$6,499.881.1×
direct care america33$80.00$80.00$80.001.0×
correctional medical services33$60.00$60.00$60.001.0×
community services network33$65.00$65.00$65.001.0×
galaxy health network33$90.00$90.00$90.001.0×
ccn managed care33$85.00$85.00$85.001.0×
beech street33$85.00$85.00$85.001.0×
amerigroup23$4,513.55$5,006.73$6,858.531.5×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
triwest va pccc33$5,159.81$5,549.39$5,549.391.1×
Medicaid12$51.00$475.50$900.0017.6×
windsor health plan11$7,064.29$7,064.29$7,064.291.0×
harmony health plan11$6,858.53$6,858.53$6,858.531.0×
phcs11$13,288$13,288$13,2881.0×
choicecare11$6,680.24$6,680.24$6,680.241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas Stones River HospitalWoodburyTN21$1,562.49$9,744.36$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,562.49$9,744.36$20,300
Saint Thomas Highland HospitalSpartaTN21$1,562.49$9,744.36$20,300
Saint Thomas West HospitalNashvilleTN22$3,551.88$9,744.36$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$3,551.88$9,744.36$20,300
Jackson-Madison County General HospJacksonTN9$4,337.54$9,614.92$14,475
Dyersburg Regional Medical CenterDyersburgTN7$882.11$9,614.92$12,459
St Thomas Dekalb HospitalSmithvilleTN21$1,562.49$9,610.00$20,300
West Tn Healthcare Volunteer HospitaMartinTN7$920.32$9,580.08$12,459
Bolivar General HospitalBolivarTN6$4,323.11$9,522.16$14,475
Camden General HospitalCamdenTN6$4,323.11$9,141.07$14,475
Milan General HospitalMilanTN8$4,323.11$7,277.63$14,475
Henry County Medical CenterParisTN14$1,147.00$7,064.29$13,031
Roane County Medical CenterHarrimanTN24$45.00$6,397.41$13,269
Fort Loudoun Medical CenterLenoir CityTN24$45.00$6,347.06$13,269
Morristown-Hamblen HospitalMorristownTN24$45.00$6,164.29$13,269
Saint Thomas Midtown HospitalNashvilleTN23$4,036.18$6,062.78$19,970
St Thomas Hickman HospitalCentervilleTN9$3,551.88$11,915$20,300
Methodist H/C Memphis Hospt.MemphisTN5$15,149$3,332.87$51.00$1,129.00$13,089
St Thomas AscensionNashvilleTN0$33,243$8,211.13

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.