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

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

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Hospitals
21
Min
$71.25
Median
$12,902
Max
$33,136
Range multiplier
465.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1845$71.39$18,138$47,138660.3×
Aetna1531$69.22$16,753$34,654500.6×
Blue Cross Blue Shield1729$57$12,030$37,667660.8×
amerigroup1619$3,627$12,894$48,08113.3×
Humana1719$71.25$12,384$18,307256.9×
medica315$91$96$39,033428.9×
medica exchange insure1414$23,250$23,250$23,2501.0×
medica exchange inspire1313$20,866$20,866$20,8661.0×
Molina1213$69.22$12,162$31,878460.5×
iowa total care1212$10,588$12,643$13,2571.3×
health partners open network1010$14,859$16,014$19,2261.3×
amerivantage1010$71.25$12,340$15,793221.7×
midlands choice36$96$96$31,168324.7×
millard public schools36$96$96$29,600308.3×
one world36$96$96$29,600308.3×
greater omaha packing36$96$96$29,600308.3×
Centene35$3,524$11,102$48,08113.6×
bc illinois community24$9,152.04$10,312$11,4711.3×
common ground13$30,372$30,372$30,3721.0×
amps33$7,599$8,708$27,8463.7×
great plains33$3,627$4,156$13,2903.7×
iamolina33$11,319$25,977$49,0244.3×
Multiplan33$85$98$981.2×
pace33$3,454$3,958$12,6573.7×
phcs33$71$98$981.4×
quiktrip33$60$96$961.6×
timpte33$96$96$29,600308.3×
wisconsin physician service13$33,136$34,879$34,8791.1×
Anthem BCBS12$30,413$35,230$40,0471.3×
health alliance22$11,562$14,673$17,7841.5×
Cigna22$33,268$34,795$36,3221.1×
coordinated care12$23,390$25,218$27,0451.2×
healthpartners12$27,149$29,120$31,0921.1×
providence health plan12$15,204$22,141$29,0791.9×
meridian health plan22$11,902$15,104$18,3071.5×
Ambetter22$14,736$18,701$22,6661.5×
todays options11$12,911$12,911$12,9111.0×
total care11$25,478$25,478$25,4781.0×
quartz group11$35,546$35,546$35,5461.0×
quartz health11$11,794$11,794$11,7941.0×
quartz one11$30,378$30,378$30,3781.0×
first choice11$33,807$33,807$33,8071.0×
health payment systems11$30,544$30,544$30,5441.0×
hs technology11$33,913$33,913$33,9131.0×
everpointe elite11$28,615$28,615$28,6151.0×
creighton university employees11$28,017$28,017$28,0171.0×
trilogy11$33,799$33,799$33,7991.0×
Kaiser Permanente11$14,619$14,619$14,6191.0×
community health plan of washington11$16,081$16,081$16,0811.0×
community health plan11$23,390$23,390$23,3901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH MERCY CORNINGCORNINGIA18$60$97$49,024
CHI HEALTH - MISSOURI VALLEYMISSOURI VALLEYIA19$57$96$25,977
IOWA LUTHERAN HOSPITALDES MOINESIA8$69.22$71.25$23,250
WASHINGTON COUNTY HOSPITALWASHINGTONIA16$24,828$33,136$40,047
CHI HEALTH MERCY COUNCIL BLUFFSCOUNCIL BLUFFSIA20$60$25,739$39,033
AVERA HOLY FAMILY HEALTHESTHERVILLEIA13$75$23,390$38,790
JONES REGIONAL MEDICAL CTRANAMOSAIA2$20,866$22,058$23,250
TRINITY MUSCATINEMUSCATINEIA12$9,152.04$18,307$23,250
UNITYPOINT HEALTH-MARSHALLTOWNMARSHALLTOWNIA10$11,979$15,567$23,250
TRINITY REGIONAL MEDICAL CENTERFORT DODGEIA8$12,627$14,465$23,250
TRINITY BETTENDORFBETTENDORFIA12$11,562$13,563$23,250
IOWA METHODIST MEDICAL CENTERDES MOINESIA11$12,894$13,385$23,250
THE FINLEY HOSPITALDUBUQUEIA15$9,152.04$12,902$23,250
GRUNDY COUNTY MEM. HOSPITALGRUNDY CENTERIA11$11,771$12,543$23,250
ALLEN MEMORIAL HOSPITALWATERLOOIA11$11,771$12,543$23,250
ST. LUKES METHODIST HOSPITALCEDAR RAPIDSIA11$11,892$12,320$23,250
GRINNELL REGIONAL MEDICAL CENTERGRINNELLIA11$11,152$11,480$23,250
ST. LUKES REGL MEDICAL CENTERSIOUX CITYIA11$11,152$11,480$23,250
COMMUNITY MEM. HOSPT. SUMMERSUMNERIA11$11,152$11,480$23,250
MERCY HOSPITAL IOWA CITYIOWA CITYIA0
SPENCER MUNICIPAL HOSPITALSPENCERIA0$31,071$23,304

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.