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Heart failure & shock w/o CC/MCC

MS-DRG 293 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$4,119.18
Median
$9,181.55
Max
$12,122
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$5,292.91$12,122$17,1403.2×
Blue Cross Blue Shield1142$25.00$9,360.57$19,155766.2×
Aetna1131$90.00$9,061.36$16,275180.8×
UnitedHealthcare1027$3,585.28$9,907.25$26,4097.4×
Cigna1127$85.00$9,964.94$15,697184.7×
Humana1120$3,007.53$9,181.55$14,2264.7×
WellCare78$3,549.78$6,281.91$10,2642.9×
Oscar Health77$5,679.65$7,615.73$12,9432.3×
devoted health66$4,106.90$8,314.72$10,2552.5×
Ambetter55$5,857.14$16,421$18,8333.2×
Kaiser Permanente44$4,106.90$8,314.72$8,883.692.2×
optum44$4,106.90$8,314.72$8,883.692.2×
clover health44$4,312.24$8,730.46$9,327.872.2×
sonder health plans44$4,312.24$8,730.46$9,327.872.2×
va community care network44$4,106.90$8,314.72$8,883.692.2×
First Health23$95.00$4,119.18$7,300.0076.8×
TRICARE23$3,849.25$3,849.25$4,730.001.2×
CareSource13$10,264$10,264$17,4241.7×
sonder health plan12$10,463$10,463$10,4631.0×
peach state12$5,285.08$7,774.49$10,2641.9×
riverwood behavioral health12$9,956.52$9,960.73$9,964.941.0×
Health Net12$97.00$2,108.09$4,119.1842.5×
occunet11$7,987.01$7,987.01$7,987.011.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$5,285.52$5,285.52$5,285.521.0×
provider select11$5,394.50$5,394.50$5,394.501.0×
rural arizona network11$4,119.18$4,119.18$4,119.181.0×
smarthealth11$4,969.69$4,969.69$4,969.691.0×
ubh optum11$9,964.94$9,964.94$9,964.941.0×
united mine workers of america11$4,119.18$4,119.18$4,119.181.0×
three rivers11$5,285.52$5,285.52$5,285.521.0×
americas choice provider network11$5,285.52$5,285.52$5,285.521.0×
arizona medical network11$4,119.18$4,119.18$4,119.181.0×
banner health11$4,119.18$4,119.18$4,119.181.0×
blue mcr replacement11$3,549.78$3,549.78$3,549.781.0×
bridgeway health solutions11$4,119.18$4,119.18$4,119.181.0×
centurion11$14,935$14,935$14,9351.0×
clear spring health plan11$9,956.52$9,956.52$9,956.521.0×
corvel11$5,176.54$5,176.54$5,176.541.0×
employer direct healthcare11$12,943$12,943$12,9431.0×
facility billing - op11$3,549.78$3,549.78$3,549.781.0×
georgia workers’ compensation11$5,448.99$5,448.99$5,448.991.0×
health choice pathway11$4,119.18$4,119.18$4,119.181.0×
health management network11$4,119.18$4,119.18$4,119.181.0×
healthspring mcr replacement11$3,620.78$3,620.78$3,620.781.0×
imperial insurance11$4,325.14$4,325.14$4,325.141.0×
Medicare11$9,956.52$9,956.52$9,956.521.0×
Medicare Advantage11$3,549.78$3,549.78$3,549.781.0×
Multiplan11$5,285.52$5,285.52$5,285.521.0×
naphcare11$15,433$15,433$15,4331.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Southern Regional Medical CenterRiverdaleGA28$9,956.00$3,007.53$9,861.08$17,424
Emory University HospitalAtlantaGA14$5,662.06$9,181.55$18,833
Emory University Hospital MidtownAtlantaGA14$5,662.06$9,181.55$18,833
Emory DecaturDecaturGA14$5,662.06$8,171.77$16,421
St. Marys Sacred Heart HospitalLavoniaGA17$3,549.78$7,300.00$19,155
St. Josephs Of AtlantaAtlantaGA14$4,106.90$6,638.90$11,655
West Central Ga Regional HospitalColumbusGA17$25.00$4,119.18$26,409
Ngmc Lumpkin LlcDahlonegaGA6$5,292.91$12,122$17,140
Northeast Georgia Medical CenterGainesvilleGA6$5,292.91$12,122$17,140
Ngmc BarrowWinderGA6$5,292.91$12,104$16,582
Emory Long Term Acute CareDecaturGA5$7,615.73$10,614$10,963
Southwell MedicalAdelGA0
Chatuge Regional HospitalHiwasseeGA0
Memorial HospitalBainbridgeGA0

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.