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Major small/large bowel procedures w MCC

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

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Hospitals
10
Min
$42,116
Median
$55,711
Max
$144,466
Range multiplier
3.4×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna923$21,044$76,432$144,5746.9×
Empire BCBS422$35,001$108,870$376,40810.8×
UnitedHealthcare821$41,945$60,738$376,4089.0×
Cigna717$44,445$114,163$376,4088.5×
Emblem Health516$44,445$125,250$376,4088.5×
Humana88$42,116$48,827$376,4088.9×
Medicare16$34,114$42,116$42,1161.2×
Blue Cross Blue Shield46$42,116$47,574$78,3741.9×
oxford35$48,659$149,069$376,4087.7×
Healthfirst35$48,659$62,685$376,4087.7×
WellCare55$45,112$49,571$376,4088.3×
cdphp24$44,445$102,334$169,6803.8×
oscar34$98,650$98,650$113,4511.2×
geisinger health plan24$44,445$74,420$109,8862.5×
fidelis44$45,334$56,250$376,4088.3×
magnacare33$74,353$150,518$177,8392.4×
mvp33$44,445$48,838$48,9841.1×
local 119933$100,240$119,009$137,8951.4×
horizon12$110,550$120,304$130,0581.2×
vns22$62,685$219,547$376,4086.0×
metroplus22$62,685$219,547$376,4086.0×
upmc22$44,445$46,642$48,8381.1×
health first22$44,445$46,642$48,8381.1×
wellpath11$73,476$73,476$73,4761.0×
1199seiu national benefit funds11$69,808$69,808$69,8081.0×
brighton11$133,850$133,850$133,8501.0×
capital district physicians' health plan11$48,984$48,984$48,9841.0×
elderplan11$376,408$376,408$376,4081.0×
elderplan 131611$42,116$42,116$42,1161.0×
emblemhealth11$53,636$53,636$53,6361.0×
fidelis care11$48,984$48,984$48,9841.0×
longevity11$48,659$48,659$48,6591.0×
northwell direct11$101,123$101,123$101,1231.0×
prime health services11$48,838$48,838$48,8381.0×
st. regis11$48,984$48,984$48,9841.0×
VA Health11$48,984$48,984$48,9841.0×
1199 seiu11$47,376$47,376$47,3761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$35,001$98,650$177,544
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$41,945$55,711$74,353
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$46,309$48,984$110,059
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$48,838$48,838$177,839
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$48,817$48,817$48,817
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$44,445$44,445$165,482
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$42,116$34,114$42,116$60,738
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$47,376$144,466$376,408
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$62,685$113,451$181,098
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$21,044$113,157$196,583

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.