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Heart failure & shock w/o CC/MCC

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

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Hospitals
21
Min
$71.25
Median
$4,728.90
Max
$11,012
Range multiplier
154.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1845$71.39$6,028.02$19,987280.0×
Aetna1531$69.22$5,567.66$11,524166.5×
Blue Cross Blue Shield1729$57.00$4,158.92$12,649221.9×
Humana1719$71.25$4,281.24$6,084.1585.4×
amerigroup1619$3,518.79$4,286.69$20,3875.8×
medica315$91.00$96.00$12,972142.5×
medica exchange insure1414$8,765.54$8,765.54$8,765.541.0×
medica exchange inspire1313$7,866.51$7,866.51$7,866.511.0×
Molina1213$69.22$4,585.05$10,594153.1×
iowa total care1212$3,518.79$4,201.77$4,405.771.3×
amerivantage1010$71.25$4,270.98$5,484.2777.0×
health partners open network1010$4,938.30$5,322.12$6,389.611.3×
midlands choice36$96.00$96.00$10,358107.9×
one world36$96.00$96.00$9,837.00102.5×
millard public schools36$96.00$96.00$9,837.00102.5×
greater omaha packing36$96.00$96.00$9,837.00102.5×
Centene35$3,524.00$4,707.30$20,3875.8×
bc illinois community24$3,041.63$3,427.04$3,812.441.3×
wisconsin physician service13$11,012$11,592$11,5921.1×
amps33$7,599.00$8,708.00$10,1531.3×
common ground13$10,094$10,094$10,0941.0×
great plains33$3,627.00$4,156.00$4,845.571.3×
iamolina33$4,799.60$11,015$20,7864.3×
Multiplan33$85.00$98.00$98.001.2×
pace33$3,454.00$3,958.00$4,614.821.3×
phcs33$71.00$98.00$98.001.4×
quiktrip33$60.00$96.00$96.001.6×
timpte33$96.00$96.00$9,837.00102.5×
coordinated care12$8,457.06$9,117.77$9,778.471.2×
Anthem BCBS12$10,108$11,708$13,3091.3×
health alliance22$4,124.28$5,017.30$5,910.321.4×
providence health plan12$5,497.09$7,762.70$10,0281.8×
healthpartners12$9,022.82$9,677.97$10,3331.1×
Cigna22$11,062$11,567$12,0711.1×
meridian health plan22$4,245.58$5,164.87$6,084.151.4×
Ambetter22$5,256.43$6,394.60$7,532.761.4×
centivo11$11,392$11,392$11,3921.0×
todays options11$4,707.12$4,707.12$4,707.121.0×
everpointe elite11$9,510.07$9,510.07$9,510.071.0×
total care11$10,803$10,803$10,8031.0×
trilogy11$11,233$11,233$11,2331.0×
quartz group11$11,814$11,814$11,8141.0×
quartz health11$4,057.82$4,057.82$4,057.821.0×
quartz one11$10,096$10,096$10,0961.0×
health payment systems11$10,151$10,151$10,1511.0×
hs technology11$11,271$11,271$11,2711.0×
first choice11$11,085$11,085$11,0851.0×
aurora caregiver11$9,780.58$9,780.58$9,780.581.0×
iowa total care inc11$4,637.82$4,637.82$4,637.821.0×
Kaiser Permanente11$5,285.66$5,285.66$5,285.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health Mercy CorningCorningIA18$60.00$97.00$20,786
Chi Health - Missouri ValleyMissouri ValleyIA19$57.00$96.00$11,015
Chi Health Mercy Council BluffsCouncil BluffsIA20$60.00$8,554.00$12,972
Jones Regional Medical CtrAnamosaIA2$7,866.51$8,316.03$8,765.54
Avera Holy Family HealthEsthervilleIA13$75.00$8,243.38$12,899
Iowa Lutheran HospitalDes MoinesIA8$69.22$71.25$8,765.54
Trinity MuscatineMuscatineIA12$3,041.63$6,084.15$8,765.54
Unitypoint Health-MarshalltownMarshalltownIA10$3,981.22$5,405.92$8,765.54
Iowa Methodist Medical CenterDes MoinesIA11$4,285.37$4,933.97$8,765.54
Trinity Regional Medical CenterFort DodgeIA8$4,238.61$4,829.12$8,765.54
Trinity BettendorfBettendorfIA12$4,118.16$4,751.01$8,765.54
Grundy County Mem. HospitalGrundy CenterIA11$3,911.98$4,728.90$8,765.54
Allen Memorial HospitalWaterlooIA11$3,911.98$4,728.90$8,765.54
Ottumwa Regional Health CenterOttumwaIA1$19,659$7,863.51$4,637.82$4,637.82$4,637.82
St. Lukes Methodist HospitalCedar RapidsIA11$3,952.23$4,289.39$8,765.54
The Finley HospitalDubuqueIA15$3,041.63$4,287.87$8,765.54
Grinnell Regional Medical CenterGrinnellIA11$3,706.29$3,815.30$8,765.54
St. Lukes Regl Medical CenterSioux CityIA11$3,706.29$3,815.30$8,765.54
Community Mem. Hospt. SummerSumnerIA11$3,706.29$3,815.30$8,765.54
Washington County HospitalWashingtonIA16$8,251.35$11,012$13,309
Mercy Hospital Iowa CityIowa CityIA0

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.