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

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

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Hospitals
4
Min
$13,847
Median
$19,840
Max
$49,409
Range multiplier
3.6×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28$13,329$42,161$65,1404.9×
Aetna26$13,329$28,104$52,9164.0×
Anthem BCBS25$13,329$30,410$45,5063.4×
Humana24$13,329$15,189$26,9252.0×
workers compensation33$18,717$19,840$19,8401.1×
sentara health plan12$15,948$32,679$49,4093.1×
Cigna12$53,713$55,545$57,3781.1×
gateway - tier 111$75,708$75,708$75,7081.0×
martins point11$38,371$38,371$38,3711.0×
Medicaid11$11,427$11,427$11,4271.0×
Medicare11$13,847$13,847$13,8471.0×
Self-Pay (Cash)11$13,847$13,847$13,8471.0×
gateway - tier 211$63,754$63,754$63,7541.0×
connecticare11$55,785$55,785$55,7851.0×
vhn11$63,754$63,754$63,7541.0×
vhn - link11$71,723$71,723$71,7231.0×
vhn - plus11$61,363$61,363$61,3631.0×
vhn - secondary payors11$75,708$75,708$75,7081.0×
vhn - ultra11$49,409$49,409$49,4091.0×
WellCare11$13,329$13,329$13,3291.0×
TRICARE11$38,371$38,371$38,3711.0×
gateway - tier 311$54,191$54,191$54,1911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FRANKLIN MEMORIAL HOSPITALFARMINGTONME15$79,692$27,892$14,278$49,409$75,708
RUMFORD HOSPITALRUMFORDME1$6,052$19,840$19,840$19,840
BRIDGTON HOSPITALBRIDGTONME1$5,795$19,840$19,840$19,840
CENTRAL MAINE MEDICAL CENTERLEWISTONME11$13,847$11,427$13,847$44,397

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.