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Major small/large bowel procedures w CC

MS-DRG 330 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$15,035
Median
$28,833
Max
$52,191
Range multiplier
3.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$22,788$52,191$73,7973.2×
Blue Cross Blue Shield1142$85.00$27,238$71,394839.9×
Aetna1131$90.00$38,446$58,112645.7×
UnitedHealthcare1027$15,185$23,224$101,8306.7×
Cigna1127$85.00$26,828$67,583795.1×
Humana1120$5,224.16$39,531$61,25111.7×
WellCare78$15,035$20,673$24,8761.7×
Oscar Health77$24,055$32,789$32,7891.4×
devoted health66$17,394$22,449$23,7781.4×
Ambetter55$24,807$45,430$49,7522.0×
Kaiser Permanente44$17,394$22,449$23,4681.3×
optum44$17,394$22,449$23,4681.3×
clover health44$18,264$23,571$24,6421.3×
sonder health plans44$18,264$23,571$24,6421.3×
va community care network44$17,394$22,449$23,4681.3×
First Health23$95.00$7,300.00$17,745186.8×
TRICARE23$14,642$14,642$20,9381.4×
CareSource13$23,815$23,815$40,4001.7×
sonder health plan12$24,277$24,277$24,2771.0×
peach state12$22,767$23,291$23,8151.0×
riverwood behavioral health12$23,086$23,104$23,1211.0×
Health Net12$97.00$8,920.83$17,745182.9×
occunet11$33,828$33,828$33,8281.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$22,329$22,329$22,3291.0×
provider select11$22,789$22,789$22,7891.0×
rural arizona network11$17,745$17,745$17,7451.0×
smarthealth11$21,048$21,048$21,0481.0×
ubh optum11$23,121$23,121$23,1211.0×
united mine workers of america11$17,745$17,745$17,7451.0×
three rivers11$22,329$22,329$22,3291.0×
americas choice provider network11$22,329$22,329$22,3291.0×
arizona medical network11$17,745$17,745$17,7451.0×
banner health11$17,745$17,745$17,7451.0×
blue mcr replacement11$15,035$15,035$15,0351.0×
bridgeway health solutions11$17,745$17,745$17,7451.0×
centurion11$34,629$34,629$34,6291.0×
clear spring health plan11$23,086$23,086$23,0861.0×
corvel11$21,869$21,869$21,8691.0×
employer direct healthcare11$30,011$30,011$30,0111.0×
facility billing - op11$15,035$15,035$15,0351.0×
georgia workers’ compensation11$23,020$23,020$23,0201.0×
health choice pathway11$17,745$17,745$17,7451.0×
health management network11$17,745$17,745$17,7451.0×
healthspring mcr replacement11$15,335$15,335$15,3351.0×
imperial insurance11$18,632$18,632$18,6321.0×
Medicare11$23,086$23,086$23,0861.0×
Medicare Advantage11$15,035$15,035$15,0351.0×
Multiplan11$22,329$22,329$22,3291.0×
naphcare11$35,783$35,783$35,7831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$21,984$52,191$73,797
Emory Long Term Acute CareDecaturGA5$32,789$45,700$47,201
Ngmc BarrowWinderGA6$22,788$44,250$71,394
Ngmc Lumpkin LlcDahlonegaGA6$21,231$44,250$73,797
Emory University Hospital MidtownAtlantaGA14$23,468$28,833$50,181
Emory University HospitalAtlantaGA14$23,468$28,833$50,181
St. Josephs Of AtlantaAtlantaGA14$17,394$28,584$50,181
Emory DecaturDecaturGA14$21,429$28,584$50,181
Southern Regional Medical CenterRiverdaleGA28$23,085$5,224.16$23,450$40,400
West Central Ga Regional HospitalColumbusGA17$85.00$17,745$101,830
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$15,035$33,828
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.