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Major small/large bowel procedures w MCC

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

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Hospitals
20
Min
$18,201
Median
$32,868
Max
$52,055
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$16,559$82,53632.4×
Blue Cross Blue Shield19141$8,341.22$34,001$79,3179.5×
UnitedHealthcare17130$1,147.00$15,974$82,53672.0×
Aetna1845$3,825.00$20,300$52,05513.6×
amerigroup mcaid replacement735$18,201$18,880$23,0861.3×
smart health830$10,900$48,656$52,8934.9×
health 2 business721$61,817$65,498$71,0711.1×
Humana1221$11,267$33,354$35,6973.2×
Medicare815$27,935$31,547$37,0721.3×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$39,058$58,98920.2×
wellpoint39$29,885$34,001$36,3901.2×
Medicare Advantage89$27,935$32,165$34,9681.3×
community plan88$21,628$21,628$21,6281.0×
point comfort underwriters77$25,142$28,948$31,4711.3×
nhc advantage77$27,935$32,165$34,9681.3×
healthspring mcr replacement77$27,935$32,165$34,9681.3×
centurion of tn77$27,935$32,165$34,9681.3×
optum va77$27,935$32,165$34,9681.3×
oscar77$53,048$53,048$53,0481.0×
amerigroup mcr replacement77$28,773$32,165$34,9681.2×
Self-Pay (Cash)77$27,935$32,165$34,9681.3×
river valley plan77$4,775.76$23,405$31,9786.7×
celtic insurance company77$45,785$53,441$58,9891.3×
farm bureau36$28,706$30,393$30,7751.1×
devoted health36$34,001$35,826$36,3901.1×
ascension complete66$30,044$32,183$34,9681.2×
TRICARE55$26,818$33,063$34,6571.3×
VA Health44$29,539$31,260$35,8961.2×
triwest va pccc33$27,935$30,044$30,0441.1×
amerigroup23$22,664$23,129$31,0471.4×
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$31,16912.5×
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$32,382$34,120$34,6571.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$34,001$35,826$36,3901.1×
harmony health plan11$31,047$31,047$31,0471.0×
generic hospice vbid [10940000101]11$34,383$34,383$34,3831.0×
devoted health [450111]11$35,414$35,414$35,4141.0×
tennessee rural health improvement association11$31,978$31,978$31,9781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jackson-Madison County General HospJacksonTN9$23,484$52,055$78,370
Dyersburg Regional Medical CenterDyersburgTN7$4,775.76$51,659$67,453
Bolivar General HospitalBolivarTN6$23,405$50,998$78,370
West Tn Healthcare Volunteer HospitaMartinTN7$4,982.61$49,733$67,453
Camden General HospitalCamdenTN6$23,405$48,957$78,370
Milan General HospitalMilanTN8$23,405$39,401$78,370
Methodist H/C Memphis Hospt.MemphisTN15$152,479$33,545$1,397.00$34,383$82,536
Roane County Medical CenterHarrimanTN24$45.00$34,185$70,752
Fort Loudoun Medical CenterLenoir CityTN24$45.00$33,917$70,752
Morristown-Hamblen HospitalMorristownTN24$45.00$32,868$70,752
Henry County Medical CenterParisTN14$1,147.00$31,978$67,453
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$27,935$77,045
Saint Thomas Rutherford HospitalMurfreesboroTN22$8,343.00$23,086$79,317
Saint Thomas West HospitalNashvilleTN22$8,343.00$23,086$79,317
St Thomas Dekalb HospitalSmithvilleTN21$8,001.00$21,048$71,071
Ascension St Thomas River ParkMcminnvilleTN21$8,225.00$20,468$71,071
Saint Thomas Stones River HospitalWoodburyTN21$8,001.00$20,384$71,071
Saint Thomas Highland HospitalSpartaTN21$8,368.19$20,384$71,071
St Thomas Hickman HospitalCentervilleTN9$8,394.50$18,201$71,071
St Thomas AscensionNashvilleTN0$139,358$34,421

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.