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Major small/large bowel procedures w MCC

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

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Hospitals
11
Min
$86,382
Median
$86,856
Max
$126,522
Range multiplier
1.5×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare530$33,073$86,382$166,8055.0×
Aetna522$34,230$66,273$135,5014.0×
Blue Cross Blue Shield121$33,073$86,632$86,6322.6×
Humana514$33,766$42,189$86,8562.6×
Cigna513$34,726$90,445$146,9294.2×
Anthem BCBS412$40,038$116,114$151,5193.8×
sentara health plan48$41,215$62,897$126,5223.1×
gateway - tier 344$88,538$100,081$138,7661.6×
connecticare44$91,142$103,024$142,8481.6×
gateway - tier 144$123,693$139,819$193,8651.6×
gateway - tier 244$104,163$117,742$163,2551.6×
vhn44$104,163$117,742$163,2551.6×
vhn - link44$117,183$132,460$183,6621.6×
vhn - plus44$100,256$113,327$157,1331.6×
vhn - secondary payors44$123,693$139,819$193,8651.6×
vhn - ultra44$80,726$91,250$126,5221.6×
Medicare13$33,734$33,734$34,7261.0×
pai [3082]11$86,632$86,632$86,6321.0×
first choice vip care plus [4833]11$34,726$34,726$34,7261.0×
umr [3113]11$86,382$86,382$86,3821.0×
devoted health plan [4501]11$33,073$33,073$33,0731.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Franklin Memorial HospitalRocky MountVA15$130,203$45,571$38,996$86,856$124,289
Carilion Stonewall Jackson HospitalLexingtonVA15$130,203$45,571$38,996$86,856$124,289
Bon Secours Depaul Medical CenterNorfolkVA10——$33,073$86,382$90,445
Carilion Medical CenterRoanokeVA15$204,068$71,424$36,897$126,522$193,865
Carilion New River Valley Med CenterChristiansburgVA15$164,152$57,453$40,346$108,997$155,944
Inova Mount Vernon HospitalAlexandriaVA0—————
Childrens Hospital Of The Kings DaNorfolkVA0—————
Inova Alexandria HospitalAlexandriaVA0—————
Inova Loudoun Hospital CenterLeesburgVA0—————
Inova Fairfax HospitalFalls ChurchVA0—————
Inova Fair Oaks HospitalFairfaxVA0—————

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.