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Major small/large bowel procedures w MCC

MS-DRG 329 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$28,828
Median
$55,526
Max
$101,385
Range multiplier
3.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$44,269$101,385$143,3573.2×
Blue Cross Blue Shield1142$133.00$53,591$138,6901042.8×
Aetna1131$90.00$74,684$112,8871254.3×
UnitedHealthcare1027$16,961$39,960$197,76011.7×
Cigna1127$85.00$52,116$131,2861544.5×
Humana1120$5,033.82$76,792$118,98523.6×
WellCare78$28,828$38,143$43,4431.5×
Oscar Health77$46,125$63,696$63,6961.4×
devoted health66$33,352$38,941$40,9841.2×
Ambetter55$47,566$80,269$86,8871.8×
Kaiser Permanente44$33,352$39,424$40,9841.2×
optum44$33,352$39,424$40,9841.2×
clover health44$35,020$41,395$43,0331.2×
sonder health plans44$35,020$41,395$43,0331.2×
va community care network44$33,352$39,424$40,9841.2×
First Health23$95.00$7,300.00$34,472362.9×
TRICARE23$30,715$30,715$35,2671.1×
CareSource13$40,090$40,090$67,9951.7×
sonder health plan12$40,869$40,869$40,8691.0×
peach state12$40,090$42,160$44,2291.1×
riverwood behavioral health12$38,854$38,888$38,9221.0×
Health Net12$97.00$17,285$34,472355.4×
occunet11$64,863$64,863$64,8631.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$42,518$42,518$42,5181.0×
provider select11$43,394$43,394$43,3941.0×
rural arizona network11$34,472$34,472$34,4721.0×
smarthealth11$40,359$40,359$40,3591.0×
ubh optum11$38,922$38,922$38,9221.0×
united mine workers of america11$34,472$34,472$34,4721.0×
three rivers11$42,518$42,518$42,5181.0×
americas choice provider network11$42,518$42,518$42,5181.0×
arizona medical network11$34,472$34,472$34,4721.0×
banner health11$34,472$34,472$34,4721.0×
blue mcr replacement11$28,828$28,828$28,8281.0×
bridgeway health solutions11$34,472$34,472$34,4721.0×
centurion11$58,281$58,281$58,2811.0×
clear spring health plan11$38,854$38,854$38,8541.0×
corvel11$41,641$41,641$41,6411.0×
employer direct healthcare11$50,510$50,510$50,5101.0×
facility billing - op11$28,828$28,828$28,8281.0×
georgia workers’ compensation11$43,833$43,833$43,8331.0×
health choice pathway11$34,472$34,472$34,4721.0×
health management network11$34,472$34,472$34,4721.0×
healthspring mcr replacement11$29,404$29,404$29,4041.0×
imperial insurance11$36,196$36,196$36,1961.0×
Medicare11$38,854$38,854$38,8541.0×
Medicare Advantage11$28,828$28,828$28,8281.0×
Multiplan11$42,518$42,518$42,5181.0×
naphcare11$60,224$60,224$60,2241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Emory Long Term Acute CareDecaturGA5$63,696$88,776$91,692
Ngmc Lumpkin LlcDahlonegaGA6$38,165$73,734$143,357
Ngmc BarrowWinderGA6$39,372$71,321$138,690
Emory University HospitalAtlantaGA14$40,984$55,526$97,482
Emory DecaturDecaturGA14$37,863$55,526$97,482
Emory University Hospital MidtownAtlantaGA14$40,984$55,526$97,482
St. Josephs Of AtlantaAtlantaGA14$33,352$55,526$97,482
Southern Regional Medical CenterRiverdaleGA28$38,854$5,033.82$42,079$70,074
West Central Ga Regional HospitalColumbusGA17$85.00$34,472$197,760
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$28,828$64,863
Northeast Georgia Medical CenterGainesvilleGA6$39,960$101,385$143,357
Southwell MedicalAdelGA0
Memorial HospitalBainbridgeGA0
Union General HospitalBlairsvilleGA0

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.