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Heart failure & shock w/o CC/MCC

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

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Hospitals
35
Min
$50.67
Median
$5,606.05
Max
$8,122.20
Range multiplier
160.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna3370$50.67$7,290.21$13,508266.6×
UnitedHealthcare3263$50.67$7,217.60$12,087238.5×
medical mutual of ohio2457$50.67$7,588.66$11,871234.3×
Blue Cross Blue Shield1845$2,547.00$6,669.74$11,2004.4×
Anthem BCBS1743$50.67$6,114.71$9,293.33183.4×
Cigna2335$50.67$6,182.75$11,337223.7×
Molina2934$50.67$5,296.52$11,011217.3×
Humana3031$50.00$5,092.55$8,122.20162.4×
CareSource2831$91.21$6,141.53$13,660149.8×
the health plan2130$50.67$7,007.25$9,325.16184.0×
summacare1725$50.67$7,133.10$13,000256.6×
devoted health2222$50.67$5,138.00$8,122.20160.3×
aultcare1418$39.00$6,611.29$8,825.29226.3×
WellCare1515$50.67$4,373.07$7,588.66149.8×
perennial advantage of ohio1313$53.20$4,557.87$7,968.09149.8×
Ambetter1313$91.21$7,813.49$13,660149.8×
medigold1313$4,219.96$5,225.41$8,122.201.9×
paramount1313$52.19$4,471.05$7,816.32149.8×
primetime health plan1313$50.67$4,340.83$7,588.66149.8×
valor health plans1313$53.20$4,557.87$7,968.09149.8×
medical mutual611$65.00$5,050.75$11,442176.0×
university health employee plan (contigo)1010$5,201.68$5,201.68$6,448.321.2×
jp farley1010$6,023.63$7,742.16$10,9781.8×
allwell99$4,219.96$5,340.25$8,122.201.9×
buckeye47$2,669.00$6,209.67$8,741.773.3×
custom design benefits36$12,082$12,955$15,6151.3×
medben35$13,458$14,667$17,3631.3×
Medicare15$4,362.52$4,362.52$6,980.041.6×
healthsmart14$55.00$85.00$85.001.5×
oscar33$5,277.95$5,630.57$6,526.551.2×
imagine health33$11,779$12,213$14,4591.2×
optum33$4,911.50$5,092.55$6,028.811.2×
buckeye health plan23$5,141.17$6,275.36$8,739.991.7×
buckeye community health plan23$5,173.67$11,577$11,5772.2×
essence healthcare33$4,911.50$5,092.55$6,028.811.2×
amish church fund12$50.00$52.50$55.001.1×
mi amish medical board11$5,016.90$5,016.90$5,016.901.0×
valor health plan11$5,141.17$5,141.17$5,141.171.0×
perennial advantage11$5,398.23$5,398.23$5,398.231.0×
gateway health11$5,277.14$5,277.14$5,277.141.0×
prime time health plan11$5,788.56$5,788.56$5,788.561.0×
medishare11$85.00$85.00$85.001.0×
sidecar health11$14,228$14,228$14,2281.0×
First Health11$78.00$78.00$78.001.0×
valor health11$5,788.56$5,788.56$5,788.561.0×
TRICARE11$4,686.23$4,686.23$4,686.231.0×
care source just4me11$9,312.61$9,312.61$9,312.611.0×
care source11$5,277.14$5,277.14$5,277.141.0×
mount carmel health plan11$6,275.36$6,275.36$6,275.361.0×
ohio health choice11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Doctors HospitalColumbusOH11$8,122.20$8,122.20$12,849
Uh Cleveland Medical CenterClevelandOH20$6,448.32$7,968.09$13,660
University Hospitals Avon Rehab HospAvonOH20$6,448.32$7,968.09$13,660
University Hospitals Rehab HospitalBeachwoodOH20$6,448.32$7,968.09$13,660
Rainbow Babies & Childrens HospitalClevelandOH15$7,588.66$7,588.66$7,968.09
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$9,510.50
Grant Medical CenterColumbusOH12$7,326.41$7,326.41$12,150
Fort Hamilton HospitalHamiltonOH14$5,141.17$7,037.08$12,081
Good Samaritan HospitalCincinnatiOH17$6,028.81$7,028.31$17,363
Bethesda HospitalCincinnatiOH17$5,092.55$7,026.97$14,667
Uh St. John Medical CenterWestlakeOH20$3,429.38$6,949.99$12,510
Uh Geneva Medical CenterGenevaOH7$4,753.94$6,837.90$10,978
Uh Conneaut Medical CenterConneautOH7$5,009.08$6,837.90$13,000
Madison HealthLondonOH10$6,275.36$6,400.87$10,041
Uh Ahuja Medical CenterBeachwoodOH20$4,324.34$6,182.75$8,709.52
Adena Regional Medical CenterChillicotheOH12$5,173.67$6,146.96$14,228
Grady Memorial HospitalDelawareOH10$6,080.72$6,080.72$6,323.95
Alliance Community HospitalAllianceOH11$69.00$5,788.56$11,577
Riverside Methodist HospitalColumbusOH12$5,606.05$5,606.05$12,150
Dublin Methodist HospitalDublinOH12$5,340.25$5,340.25$12,150
Mccullough-Hyde Memorial HospitalOxfordOH15$4,911.50$5,277.95$13,458
Uh Elyria Medical CenterElyriaOH20$4,340.83$5,201.68$7,813.49
Berger HospitalCirclevilleOH10$5,134.83$5,134.83$11,523
Marion General HospitalMarionOH10$5,050.75$5,050.75$5,252.78
Uh Geauga Medical CenterChardonOH17$50.67$50.67$91.21
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$91.21
Medcentral Health SystemMansfieldOH8$4,726.71$4,726.71$4,915.78
St. Lukes HospitalMaumeeOH6$11,496$5,748.00$3,851.31$4,434.36$6,980.04
Uh Samaritan Medical CenterAshlandOH17$4,373.07$4,373.07$7,871.53
Uh Parma Medical CenterParmaOH19$3,975.88$4,279.04$8,279.33
Lake Hospital SystemConcordOH19$4,038.31$4,240.23$7,268.96
Uh Portage Medical CenterRavennaOH19$4,038.31$4,240.23$9,132.01
Obleness Memorial HospitalAthensOH12$4,219.96$4,219.96$4,262.16
Fulton County Health CenterWauseonOH1$2,547.00$2,547.00$2,547.00

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.