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Heart failure & shock w/o CC/MCC

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

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Hospitals
11
Min
$4,330.54
Median
$5,021.12
Max
$7,742.3
Range multiplier
1.8×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1029$3,738.16$7,543.77$7,940.822.1×
Aetna715$3,469.17$4,888.39$10,6433.1×
UnitedHealthcare815$3,556.12$4,888.39$7,702.132.2×
WellCare713$3,651.76$4,888.39$7,145.392.0×
Humana612$3,738.16$4,523.84$5,021.121.3×
optum ccn region 255$4,888.39$4,888.39$5,021.121.0×
Molina55$3,812.92$3,812.92$4,811.481.3×
optum ccn region 155$4,888.39$4,888.39$5,021.121.0×
caresoure kentucky44$8,212.5$8,212.5$8,435.481.0×
Blue Cross Blue Shield14$4,018.68$5,780.01$6,454.361.6×
the health plan12$3,925.07$4,406.73$4,888.391.2×
amerihealth12$3,451.87$4,532.7$5,613.521.6×
partners11$5,613.52$5,613.52$5,613.521.0×
trillium11$5,781.93$5,781.93$5,781.931.0×
umr11$7,702.13$7,702.13$7,702.131.0×
alliance coal11$6,495.81$6,495.81$6,495.811.0×
va community care network11$4,330.54$4,330.54$4,330.541.0×
vaya11$5,669.66$5,669.66$5,669.661.0×
amerigroup11$4,330.54$4,330.54$4,330.541.0×
alliance11$5,725.79$5,725.79$5,725.791.0×
Ambetter11$3,952.29$3,952.29$3,952.291.0×
beacon health11$3,651.76$3,651.76$3,651.761.0×
CareSource11$5,846.23$5,846.23$5,846.231.0×
carolina complete11$5,613.52$5,613.52$5,613.521.0×
christian county health dept-cchd11$3,651.76$3,651.76$3,651.761.0×
Cigna11$4,330.54$4,330.54$4,330.541.0×
healthy blue11$5,613.52$5,613.52$5,613.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
OUR LADY OF THE WAYMARTINKY1$7,543.77$7,742.3$7,940.82
MARY BRECKINRIDGE HOSPITALHYDENKY1$7,543.77$7,742.3$7,940.82
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY1$7,543.77$7,742.3$7,940.82
MCDOWELL ARHMCDOWELLKY3$7,543.77$7,702.13$7,940.82
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$3,451.87$5,641.59$10,643
HAZARD ARHHAZARDKY9$4,481.28$5,021.12$8,435.48
TUG VALLEY ARHSOUTH WILLIAMSONKY10$3,551.25$4,888.39$8,212.5
MIDDLESBORO ARHMIDDLESBOROKY9$3,551.25$4,888.39$8,212.5
HARLAN ARHHARLANKY9$3,551.25$4,888.39$8,212.5
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY8$3,551.25$4,888.39$7,102.25
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$3,469.17$4,330.54$7,145.39

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.