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Heart failure & shock w/o CC/MCC

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

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Hospitals
20
Min
$3,985.52
Median
$6,500.60
Max
$11,485
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$9,648.27$16,5597.2×
Blue Cross Blue Shield19141$1,150.13$5,835.47$18,83216.4×
UnitedHealthcare17130$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$6,409.95$20,3005.9×
amerigroup mcaid replacement735$2,495.36$2,588.42$3,165.081.3×
smart health830$4,815.82$7,051.37$10,9002.3×
health 2 business721$8,317.39$8,812.71$9,562.551.1×
Humana1221$3,439.87$4,199.44$11,7943.4×
Medicare815$3,439.87$3,884.57$6,544.331.9×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$4,809.47$9,560.613.6×
wellpoint39$3,990.78$4,062.91$4,348.371.1×
Medicare Advantage89$3,439.87$3,960.68$6,213.171.8×
community plan88$2,621.08$2,621.08$2,621.081.0×
point comfort underwriters77$3,095.88$3,564.61$3,875.221.3×
nhc advantage77$3,439.87$3,960.68$4,305.801.3×
healthspring mcr replacement77$3,439.87$3,960.68$4,305.801.3×
centurion of tn77$3,439.87$3,960.68$4,305.801.3×
optum va77$3,439.87$3,960.68$4,305.801.3×
oscar77$6,532.21$6,532.21$6,532.211.0×
amerigroup mcr replacement77$3,543.07$3,960.68$4,305.801.2×
Self-Pay (Cash)77$3,439.87$3,960.68$4,305.801.3×
river valley plan77$588.07$2,882.07$5,182.868.8×
celtic insurance company77$5,637.88$8,077.47$9,813.081.7×
farm bureau36$3,568.52$3,778.25$3,825.811.1×
devoted health36$4,062.91$4,280.99$4,348.371.1×
ascension complete66$3,699.59$3,962.96$4,305.801.2×
TRICARE55$3,302.28$4,071.31$4,141.301.3×
VA Health44$3,637.34$4,797.57$5,211.271.4×
triwest va pccc33$3,439.87$3,699.59$3,699.591.1×
amerigroup23$3,170.97$3,673.29$5,031.901.6×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$4,274.121.7×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$3,869.44$4,077.13$4,141.301.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$4,062.91$4,280.99$4,348.371.1×
harmony health plan11$5,031.90$5,031.90$5,031.901.0×
generic hospice vbid [10940000101]11$6,213.17$6,213.17$6,213.171.0×
devoted health [450111]11$6,399.57$6,399.57$6,399.571.0×
tennessee rural health improvement association11$5,182.86$5,182.86$5,182.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas West HospitalNashvilleTN22$2,495.36$8,812.71$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$2,495.36$8,812.71$20,300
Saint Thomas Highland HospitalSpartaTN21$1,153.85$8,603.61$20,300
Saint Thomas Stones River HospitalWoodburyTN21$1,153.85$8,355.95$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,153.85$8,225.00$20,300
St Thomas Dekalb HospitalSmithvilleTN21$1,153.85$7,838.18$20,300
Bolivar General HospitalBolivarTN6$2,882.07$6,532.21$9,813.08
West Tn Healthcare Volunteer HospitaMartinTN7$613.54$6,508.37$8,306.02
Camden General HospitalCamdenTN6$2,882.07$6,500.60$9,813.08
Dyersburg Regional Medical CenterDyersburgTN7$588.07$6,453.45$8,306.02
Jackson-Madison County General HospJacksonTN9$2,891.69$6,409.95$9,650.30
Methodist H/C Memphis Hospt.MemphisTN15$18,779$4,131.45$1,215.00$6,213.17$10,163
Henry County Medical CenterParisTN14$1,147.00$5,182.86$9,560.61
Milan General HospitalMilanTN8$2,882.07$4,851.75$9,650.30
Roane County Medical CenterHarrimanTN24$45.00$4,203.42$8,454.37
Fort Loudoun Medical CenterLenoir CityTN24$45.00$4,138.29$8,454.37
Saint Thomas Midtown HospitalNashvilleTN23$2,621.08$4,041.85$19,970
Morristown-Hamblen HospitalMorristownTN24$45.00$3,985.52$8,454.37
St Thomas Hickman HospitalCentervilleTN9$2,495.36$11,485$20,300
St Thomas AscensionNashvilleTN0$23,668$5,845.95

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.