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

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

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Hospitals
9
Min
$12,472
Median
$14,535
Max
$16,891
Range multiplier
1.4×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS725$11,131$14,929$23,6112.1×
Aetna817$8,835$11,442$14,9291.7×
UnitedHealthcare816$10,982$14,535$22,9012.1×
WellCare815$9,572.88$14,535$20,5792.1×
Humana714$11,131$13,259$14,9291.3×
optum ccn region 266$14,535$14,535$14,9291.0×
Molina66$11,354$11,354$14,3271.3×
optum ccn region 166$14,535$14,535$14,9291.0×
caresoure kentucky55$24,418$24,418$25,0811.0×
Blue Cross Blue Shield14$12,092$17,392$19,4211.6×
amerihealth12$10,386$13,639$16,8911.6×
the health plan12$11,688$13,111$14,5351.2×
partners11$16,891$16,891$16,8911.0×
trillium11$17,397$17,397$17,3971.0×
alliance coal11$18,708$18,708$18,7081.0×
va community care network11$12,472$12,472$12,4721.0×
vaya11$17,060$17,060$17,0601.0×
amerigroup11$12,472$12,472$12,4721.0×
alliance11$17,229$17,229$17,2291.0×
Ambetter11$11,892$11,892$11,8921.0×
beacon health11$10,982$10,982$10,9821.0×
CareSource11$16,837$16,837$16,8371.0×
carolina complete11$16,891$16,891$16,8911.0×
christian county health dept-cchd11$10,982$10,982$10,9821.0×
Cigna11$12,472$12,472$12,4721.0×
healthy blue11$16,891$16,891$16,8911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$8,835$16,891$19,421
HAZARD ARHHAZARDKY9$13,344$14,929$25,081
HARLAN ARHHARLANKY9$10,575$14,535$24,418
TUG VALLEY ARHSOUTH WILLIAMSONKY10$10,575$14,535$24,418
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY8$10,575$14,535$21,117
WHITESBURG ARHWHITESBURGKY9$9,572.88$14,535$24,418
MIDDLESBORO ARHMIDDLESBOROKY9$10,575$14,535$24,418
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$10,433$12,472$20,579
SPRING VIEW HOSPITALLEBANONKY0$101,126$40,451

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.