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Major small/large bowel procedures w MCC

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

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Hospitals
61
Min
$33,429
Median
$40,853
Max
$79,632
Range multiplier
2.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36193$6,130.59$50,188$189,65030.9×
upmc health plan3370$32,658$44,636$69,3562.1×
Aetna3362$27,590$41,548$133,6554.8×
UnitedHealthcare3154$32,548$41,285$127,4723.9×
Cigna2338$33,064$44,995$132,1774.0×
upmc work partners2324$3,713.14$9,482.92$10,4512.8×
pa health & wellness2323$2,315.52$37,327$46,63320.1×
geisinger1618$33,064$59,609$158,1924.8×
amerihealth caritas1818$2,208.32$36,799$46,63321.1×
keystone health plan612$31,489$67,275$112,8053.6×
Humana1111$31,489$37,444$50,1881.6×
health plan of upper ohio valley37$7,529.42$35,533$49,7176.6×
Medicare27$33,497$36,709$49,0721.5×
ibc27$55,991$79,832$156,6062.8×
naphcare45$58,735$75,282$76,9761.3×
keystone autism services44$50,383$52,011$66,3431.3×
innovage44$37,444$50,132$51,1921.4×
Multiplan44$4,315.43$4,315.43$5,135.501.2×
Medicare Advantage24$40,380$49,622$55,3271.4×
Oscar Health33$81,726$81,726$81,7261.0×
gateway health plan33$32,548$54,203$54,2031.7×
ibc main line health22$45,887$53,012$60,1381.3×
allwell pa health_wellness ma22$40,380$46,651$52,9211.3×
ibc employee benefit22$45,887$53,012$60,1381.3×
health partners plans22$56,486$56,486$56,4861.0×
Ambetter22$48,108$49,294$50,4801.0×
geisinger health plan22$160,717$160,717$160,7171.0×
jefferson health plan aca qhp exchange22$35,991$41,074$46,1581.3×
upmc commercial22$86,074$109,126$132,1771.5×
keystone first22$52,697$52,697$52,6971.0×
keystone first vip choice22$38,912$44,473$50,0351.3×
elder health22$60,225$60,225$60,2251.0×
devoted health participation22$38,545$44,530$50,5161.3×
st agnes22$36,709$42,410$48,1101.3×
senior life22$34,836$34,836$34,8361.0×
qualcare jcc12$104,586$149,737$194,8871.9×
city of washington22$55,738$55,738$55,7381.0×
optum va ccn22$36,709$42,410$48,1101.3×
clover health22$53,199$53,199$53,1991.0×
provider partners health plan22$36,709$44,094$51,4781.4×
pennsylvania health and wellness22$55,207$55,207$55,2071.0×
perennial22$42,583$49,195$55,8081.3×
point of comfort refugee resettlement22$36,709$42,410$48,1101.3×
prime health services22$69,239$69,239$69,2391.0×
wtc health program11$66,916$66,916$66,9161.0×
Anthem BCBS11$21,286$21,286$21,2861.0×
bravo11$41,964$41,964$41,9641.0×
fidelis11$40,829$40,829$40,8291.0×
independent health11$41,339$41,339$41,3391.0×
inspira life11$48,110$48,110$48,1101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA5——$27,590$79,632$89,829
WellsboroWellsboroPA3——$54,702$66,855$78,444
Upmc LititzLititzPA9——$4,242.44$65,400$108,018
Muncy Valley HospitalMuncyPA5——$2,208.32$65,236$78,444
Temple University HospitalPhiladelphiaPA18——$50,188$60,225$189,650
Jeanes HospitalPhiladelphiaPA17——$50,188$59,116$158,192
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$54,048$35,585$55,567$194,887
Upmc St MargaretPittsburghPA4——$37,341$47,346$132,776
Titusville Area HospitalTitusvillePA5——$29,197$47,302$65,313
Upmc ShadysidePittsburghPA8——$5,135.50$47,065$153,991
Memorial HospitalYorkPA10——$4,133.75$46,009$108,018
Upmc Mercy HospitalPittsburghPA7——$10,293$45,321$86,514
Upmc MckeesportMckeesportPA6——$10,293$44,245$71,153
Upmc HamotEriePA12——$9,495.41$43,889$91,033
Aria HealthPhiladelphiaPA24—$41,311$33,497$42,583$160,717
The Childrens Home Of PittsburghPittsburghPA9——$9,674.01$40,853$68,938
Altoona Regional Health SystemAltoonaPA9——$9,674.01$40,853$68,938
Upmc Childrens Hospital Of PghPittsburghPA9——$9,674.01$40,853$68,938
Upmc Magee-Womens HospitalPittsburghPA9——$9,674.01$40,853$68,938
Community General Osteopathic Hosp.HarrisburgPA9——$10,451$40,768$109,279
Upmc Pinnacle HospitalsHarrisburgPA9——$10,451$40,768$109,279
Upmc HanoverHanoverPA11——$4,133.75$40,337$119,573
Upmc East HospitalMonroevillePA8——$10,293$37,498$134,456
Divine Providence HospitalWilliamsportPA9——$3,906.60$37,323$78,444
Williamsport Hospital & Medical CtrWilliamsportPA9——$3,906.60$37,323$78,444
Lock Haven HospitalLock HavenPA9——$3,906.60$37,323$78,444
The Washington HospitalWashingtonPA9——$28,760$36,642$55,738
Whs - GreeneWaynesburgPA9——$28,760$36,642$55,738
Upmc Horizon HospitalGreenvillePA9——$9,470.42$36,440$49,800
Curahealth Heritage ValleyBeaverPA7$57,882$32,548$22,547$36,249$45,595
Upmc Northwest HospitalSenecaPA8——$3,704.00$36,098$49,984
Upmc JamesonNew CastlePA10——$3,713.14$35,772$46,802
Upmc PassavantPittsburghPA9——$5,135.50$35,463$135,665
Upmc Bedford Memorial HospitalEverettPA8——$9,223.57$35,320$51,716
Upmc CarlisleCarlislePA11——$4,332.68$35,058$111,749
Charles Cole Memorial HospitalCoudersportPA3——$28,096$33,691$44,637
Meadville Medical CenterMeadvillePA1——$33,429$33,429$33,429
St. Joseph Medical CenterReadingPA0—————
Doylestown HospitalDoylestownPA0$134,824$134,824———
Clarion HospitalClarionPA0—————
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Hampden Medical CenterEnolaPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Uniontown HospitalUniontownPA0—————
Penn State Hershey Rehabilitation LlHummelstownPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Holy Spirit HospitalCamp HillPA0—————
Windber Hospital Inc.WindberPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Wayne Memorial HospitalHonesdalePA0$82,375$57,663———
Phoenixville HospitalPhoenixvillePA0—————
Bryn Mawr HospitalBryn MawrPA0—————
Paoli HospitalPaoliPA0—————
Armstrong County MemorialKittanningPA0—————
Butler Memorial HospitalButlerPA0—————
Lankenau Medical CenterWynnewoodPA0—————

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.