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Heart failure & shock w/o CC/MCC

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

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Hospitals
12
Min
$75
Median
$93.5
Max
$5,891.2
Range multiplier
78.5×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield419$85$3,984.27$10,571124.4×
Aetna419$45.6$75$19,137419.7×
UnitedHealthcare412$74.3$5,594.38$9,486.16127.7×
Cigna39$60.9$5,977.46$9,623.63158.0×
allied benefits [498]39$58$74.3$19,137329.9×
cox health systems insurance company [220]39$55$55$651.2×
healthlink [225]39$48.5$65$75.51.6×
med-pay [480]36$65$70$751.2×
Humana36$66.5$5,594.38$12,783192.2×
unicare [568]36$65$70.25$75.51.2×
consociate [478]36$6,520$7,008.66$7,497.321.1×
phcs [244]36$75$77.5$801.1×
healthscope benefits [258]34$65$9,179.95$9,486.16145.9×
sarah bush lincoln [636]34$7,497.32$7,497.32$9,179.951.2×
essence healthcare [221]33$3,984.27$5,259.81$5,928.941.5×
fmh benefit service inc [222]33$60.3$19,137$19,137317.4×
health alliance [224]33$7,027.2$7,027.2$7,027.21.0×
health systems inc [620]33$75$75$751.0×
healthcare sol mercy [609]33$75$75$751.0×
devoted health plan [847]33$4,183.48$5,522.8$6,225.391.5×
beechstreet [551]33$75$75$751.0×
apwu health plan [216]33$68.7$9,623.63$9,623.63140.1×
First Health33$74.3$74.3$74.31.0×
hfn [563]33$80$80$801.0×
hope trust [806]33$58$58$581.0×
detego health [868]33$75$75$751.0×
mail handlers [495]33$60.3$19,137$19,137317.4×
cox health [757]33$4,183.48$5,522.8$6,225.391.5×
medica [661]33$80$80$801.0×
medica [662]33$4,183.48$5,522.8$6,225.391.5×
Multiplan33$75$75$751.0×
nalc health benefit plan [242]33$68.7$9,623.63$9,623.63140.1×
coresource [497]33$60.3$19,137$19,137317.4×
preferred health professionals [561]33$75.5$75.5$75.51.0×
priority health [648]33$68.7$9,623.63$9,623.63140.1×
mh magellan health services [270]22$100$100$1001.0×
bakersfield school district (smbc)11$2,356$2,356$2,3561.0×
osfdan11$75$75$751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$2,934.6$1,760.76$48.5$93.5$19,137
PROGRESS WEST HOSPITALOFALLONMO36$2,906.7$1,744.02$48.5$87$19,137
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO1$75$75$75
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$2,075$1,245$45.6$75$10,571
SAINT FRANCIS MEDICAL CENTERCAPE GIRARDEAUMO3$5,102.37$5,891.2$8,836.8
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO1$8,490$8,490$2,356$2,356$2,356
COX MEDICAL CENTER BRANSONBRANSONMO0
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0
COX-MONETT HOSPITALMONETTMO0
COXHEALTHSPRINGFIELDMO0
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0

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.