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Heart failure & shock w/o CC/MCC

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

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Hospitals
62
Min
$3,994.53
Median
$5,505.78
Max
$9,794.30
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36199$742.97$8,348.97$28,05037.8×
upmc health plan3370$4,059.61$5,591.43$8,540.282.1×
Aetna3362$4,044.24$5,506.69$20,4295.1×
UnitedHealthcare3153$3,907.84$5,173.24$13,2513.4×
Cigna2338$4,071.39$5,610.01$16,2764.0×
upmc work partners2324$9,223.57$10,293$11,9431.3×
pa health & wellness2323$2,315.52$5,109.83$6,432.752.8×
geisinger1618$3,994.53$7,528.13$30,7727.7×
amerihealth caritas1818$2,208.32$5,040.05$6,432.752.9×
keystone health plan612$3,877.51$8,973.56$14,6393.8×
Humana1111$3,877.51$4,750.81$7,014.701.8×
Medicare27$4,250.41$4,599.83$6,042.631.4×
ibc27$6,894.54$10,661$20,9133.0×
health plan of upper ohio valley37$4,043.37$4,797.85$7,529.421.9×
Medicare Advantage25$4,840.05$6,000.15$6,812.771.4×
Multiplan44$11,670$11,670$13,8881.2×
innovage44$4,610.70$6,598.81$7,154.991.6×
keystone autism services44$6,204.02$6,962.27$8,860.021.4×
naphcare34$7,459.20$10,000$10,5221.4×
Oscar Health33$10,063$10,063$10,0631.0×
gateway health plan33$4,670.03$7,575.88$7,575.881.6×
ibc main line health22$5,650.37$6,527.78$7,405.181.3×
allwell pa health_wellness ma22$4,972.32$5,744.44$6,516.561.3×
point of comfort refugee resettlement22$4,520.29$5,222.22$5,924.151.3×
inspira life22$4,520.29$5,222.22$5,924.151.3×
upmc commercial22$10,599$13,437$16,2761.5×
Ambetter22$5,923.84$6,069.92$6,216.001.0×
elder health22$8,417.64$8,417.64$8,417.641.0×
prime health services22$9,677.48$9,677.48$9,677.481.0×
keystone first22$7,365.44$7,365.44$7,365.441.0×
keystone first vip choice22$4,791.51$5,476.31$6,161.111.3×
devoted health participation22$4,746.31$5,483.33$6,220.351.3×
va_champus_tricare22$4,520.29$5,222.22$5,924.151.3×
senior life22$4,703.77$4,703.77$4,703.771.0×
provider partners health plan22$4,520.29$5,429.57$6,338.841.4×
clover health22$7,435.58$7,435.58$7,435.581.0×
city of washington22$7,526.03$7,526.03$7,526.031.0×
optum va ccn22$4,520.29$5,222.22$5,924.151.3×
qualcare jcc12$14,122$20,219$26,3161.9×
pennsylvania health and wellness22$7,716.17$7,716.17$7,716.171.0×
perennial22$5,243.54$6,057.78$6,872.011.3×
health partners plans22$7,895.04$7,895.04$7,895.041.0×
geisinger health plan22$21,074$21,074$21,0741.0×
st agnes22$4,520.29$5,222.22$5,924.151.3×
ibc employee benefit22$5,650.37$6,527.78$7,405.181.3×
wtc health program11$9,352.70$9,352.70$9,352.701.0×
Anthem BCBS11$2,621.15$2,621.15$2,621.151.0×
bravo11$5,956.25$5,956.25$5,956.251.0×
fidelis11$5,291.24$5,291.24$5,291.241.0×
independent health11$5,357.38$5,357.38$5,357.381.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA5$4,878.92$9,794.30$20,429
WellsboroWellsboroPA3$8,540.28$9,739.56$11,553
Muncy Valley HospitalMuncyPA5$2,208.32$9,099.85$12,907
Temple University HospitalPhiladelphiaPA18$7,014.70$8,885.17$30,772
Upmc LititzLititzPA9$5,482.13$8,860.02$13,301
Upmc ShadysidePittsburghPA8$5,752.87$8,552.25$28,050
Jeanes HospitalPhiladelphiaPA17$7,014.70$8,417.64$30,772
Memorial HospitalYorkPA10$4,321.07$6,983.55$13,301
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$7,293.64$4,599.83$6,842.39$26,316
Upmc HanoverHanoverPA11$3,838.73$6,477.00$15,517
Upmc MckeesportMckeesportPA6$5,829.61$6,457.60$12,773
Upmc Mercy HospitalPittsburghPA7$5,956.25$6,432.75$14,516
Upmc St MargaretPittsburghPA4$4,840.73$5,830.08$23,835
Charles Cole Memorial HospitalCoudersportPA3$3,459.71$5,772.25$7,364.69
Upmc CarlisleCarlislePA11$742.97$5,717.58$13,543
Upmc HamotEriePA12$5,173.24$5,687.82$16,342
Titusville Area HospitalTitusvillePA5$3,488.87$5,652.21$7,804.50
Community General Osteopathic Hosp.HarrisburgPA9$5,142.19$5,505.78$14,703
Upmc Pinnacle HospitalsHarrisburgPA9$5,142.19$5,505.78$14,703
Curahealth Heritage ValleyBeaverPA7$9,173.75$4,670.03$3,907.84$5,410.73$8,639.12
The Childrens Home Of PittsburghPittsburghPA9$4,738.50$5,354.51$9,674.01
Altoona Regional Health SystemAltoonaPA9$4,738.50$5,354.51$9,674.01
Upmc Magee-Womens HospitalPittsburghPA9$4,738.50$5,354.51$9,674.01
Upmc Childrens Hospital Of PghPittsburghPA9$4,738.50$5,354.51$9,674.01
Divine Providence HospitalWilliamsportPA9$4,689.42$5,185.85$13,931
Lock Haven HospitalLock HavenPA9$4,689.42$5,185.85$13,931
Williamsport Hospital & Medical CtrWilliamsportPA9$4,689.42$5,185.85$13,931
Upmc Horizon HospitalGreenvillePA9$2,621.15$5,109.35$9,470.42
Aria HealthPhiladelphiaPA24$5,410.58$4,250.41$5,107.93$21,074
The Washington HospitalWashingtonPA9$4,377.33$5,104.19$7,648.52
Whs - GreeneWaynesburgPA9$4,377.33$5,104.19$7,648.52
Upmc Bedford Memorial HospitalEverettPA8$4,602.10$4,970.27$9,283.70
Upmc East HospitalMonroevillePA8$4,518.02$4,969.82$24,137
Upmc JamesonNew CastlePA10$1,500.00$4,900.41$11,943
Upmc Northwest HospitalSenecaPA8$3,704.00$4,810.26$9,223.57
Upmc PassavantPittsburghPA9$4,043.37$4,609.45$24,354
Meadville Medical CenterMeadvillePA1$3,994.53$3,994.53$3,994.53
Butler Memorial HospitalButlerPA0
Uniontown HospitalUniontownPA0
Paoli HospitalPaoliPA0
Lankenau Medical CenterWynnewoodPA0
Miners HospitalHastingsPA0$11,180$4,472.09
Doylestown HospitalDoylestownPA0$32,570$32,570
Phoenixville HospitalPhoenixvillePA0
Riddle HospitalMediaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Chestnut Hill HospitalPhiladelphiaPA0
Milton S. Hershey Medical CenterHersheyPA0
Wayne Memorial HospitalHonesdalePA0$26,323$18,426
Hampden Medical CenterEnolaPA0
Pottstown Memorial Medical CenterPottstownPA0
Windber Hospital Inc.WindberPA0
Holy Spirit HospitalCamp HillPA0
Miners HospitalHastingsPA0$11,180$4,472.09
Hospital Of The Univ Of PennaPhiladelphiaPA0
Penn State Hershey Rehabilitation LlHummelstownPA0
St. Joseph Medical CenterReadingPA0
Clarion HospitalClarionPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Armstrong County MemorialKittanningPA0
Reading Hospital And Medical CenterReadingPA0

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.