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

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

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Hospitals
10
Min
$15,855
Median
$20,032
Max
$52,893
Range multiplier
3.3×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna923$12,982$27,539$52,9324.1×
Empire BCBS422$12,815$39,860$329,79125.7×
UnitedHealthcare821$15,082$22,238$329,79121.9×
Cigna717$16,702$41,798$329,79119.7×
Emblem Health516$16,702$45,857$329,79119.7×
Humana88$15,855$18,037$329,79120.8×
Medicare16$12,842$15,855$15,8551.2×
Blue Cross Blue Shield46$15,855$17,157$28,1791.8×
oxford35$17,940$54,578$329,79118.4×
Healthfirst35$17,940$23,464$329,79118.4×
WellCare55$16,952$18,406$329,79119.5×
cdphp24$16,702$37,909$62,1243.7×
oscar34$36,118$36,118$41,5371.2×
geisinger health plan24$16,702$27,857$40,8022.4×
fidelis44$17,036$20,981$329,79119.4×
magnacare33$26,735$55,718$65,1112.4×
mvp33$16,702$17,612$18,1341.1×
local 119933$36,701$44,054$50,4871.4×
horizon12$40,475$44,047$47,6181.2×
vns22$23,464$176,628$329,79114.1×
metroplus22$23,464$176,628$329,79114.1×
upmc22$16,702$17,418$18,1341.1×
health first22$16,702$17,418$18,1341.1×
wellpath11$26,418$26,418$26,4181.0×
1199seiu national benefit funds11$25,100$25,100$25,1001.0×
brighton11$49,006$49,006$49,0061.0×
capital district physicians' health plan11$17,612$17,612$17,6121.0×
elderplan11$329,791$329,791$329,7911.0×
elderplan 131611$15,855$15,855$15,8551.0×
emblemhealth11$19,285$19,285$19,2851.0×
fidelis care11$17,612$17,612$17,6121.0×
longevity11$17,940$17,940$17,9401.0×
northwell direct11$37,024$37,024$37,0241.0×
prime health services11$18,134$18,134$18,1341.0×
st. regis11$17,612$17,612$17,6121.0×
VA Health11$17,612$17,612$17,6121.0×
1199 seiu11$17,346$17,346$17,3461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$17,346$52,893$329,791
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$23,464$41,537$66,305
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$21,044$41,430$71,974
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$12,815$36,118$65,004
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$15,082$20,032$26,735
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$19,112$19,112$19,112
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$18,134$18,134$65,111
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$16,650$17,612$39,571
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$16,702$16,702$61,257
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$15,855$12,842$15,855$22,238

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.