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Major small/large bowel procedures w/o CC/MCC

MS-DRG 331 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$11,153
Median
$20,874
Max
$36,454
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$15,917$36,454$51,5463.2×
Blue Cross Blue Shield1142$54$19,306$49,868923.5×
Aetna1131$90$26,854$40,590451.0×
UnitedHealthcare1027$10,660$17,979$68,0756.4×
Cigna1127$85$18,739$47,205555.4×
Humana1120$6,855.65$27,612$42,7826.2×
WellCare78$10,555$15,036$18,8461.8×
Oscar Health77$16,887$22,903$23,3541.4×
devoted health66$12,211$16,935$18,5031.5×
Ambetter55$17,415$34,114$37,6922.2×
Kaiser Permanente44$12,211$16,935$17,7791.5×
optum44$12,211$16,935$17,7791.5×
clover health44$12,822$17,782$18,6681.5×
sonder health plans44$12,822$17,782$18,6681.5×
va community care network44$12,211$16,935$17,7791.5×
First Health23$95$7,300$12,394130.5×
TRICARE23$11,153$11,153$17,4861.6×
CareSource13$18,529$18,529$31,4381.7×
sonder health plan12$18,889$18,889$18,8891.0×
peach state12$15,902$17,216$18,5291.2×
riverwood behavioral health12$17,964$17,977$17,9891.0×
Health Net12$97$6,245.66$12,394127.8×
occunet11$23,748$23,748$23,7481.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$15,739$15,739$15,7391.0×
provider select11$16,063$16,063$16,0631.0×
rural arizona network11$12,394$12,394$12,3941.0×
smarthealth11$14,776$14,776$14,7761.0×
ubh optum11$17,989$17,989$17,9891.0×
united mine workers of america11$12,394$12,394$12,3941.0×
three rivers11$15,739$15,739$15,7391.0×
americas choice provider network11$15,739$15,739$15,7391.0×
arizona medical network11$12,394$12,394$12,3941.0×
banner health11$12,394$12,394$12,3941.0×
blue mcr replacement11$10,555$10,555$10,5551.0×
bridgeway health solutions11$12,394$12,394$12,3941.0×
centurion11$26,947$26,947$26,9471.0×
clear spring health plan11$17,964$17,964$17,9641.0×
corvel11$15,414$15,414$15,4141.0×
employer direct healthcare11$23,354$23,354$23,3541.0×
facility billing - op11$10,555$10,555$10,5551.0×
georgia workers’ compensation11$16,226$16,226$16,2261.0×
health choice pathway11$12,394$12,394$12,3941.0×
health management network11$12,394$12,394$12,3941.0×
healthspring mcr replacement11$10,766$10,766$10,7661.0×
imperial insurance11$13,014$13,014$13,0141.0×
Medicare11$17,964$17,964$17,9641.0×
Medicare Advantage11$10,555$10,555$10,5551.0×
Multiplan11$15,739$15,739$15,7391.0×
naphcare11$27,845$27,845$27,8451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$15,917$36,454$51,546
EMORY LONG TERM ACUTE CAREDECATURGA5$22,903$31,921$32,969
NGMC BARROWWINDERGA6$15,917$28,162$49,868
NGMC LUMPKIN LLCDAHLONEGAGA6$15,731$28,162$51,546
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$17,027$20,874$37,692
EMORY UNIVERSITY HOSPITALATLANTAGA14$17,027$20,874$37,692
EMORY DECATURDECATURGA14$16,092$19,980$35,051
ST. JOSEPHS OF ATLANTAATLANTAGA14$12,211$19,965$35,051
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$17,964$6,855.65$17,989$31,438
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$54$12,394$68,075
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$7,300$11,153$23,748
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.