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

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

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Hospitals
62
Min
$12,019
Median
$14,957
Max
$29,470
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36199$2,265.90$22,309$72,21431.9×
upmc health plan3370$12,071$16,342$25,3932.1×
Aetna3363$7,800.00$15,505$48,0576.2×
UnitedHealthcare3153$11,758$14,819$73,3396.2×
Cigna2338$12,106$16,370$48,3934.0×
upmc work partners2324$8,604.01$9,674.01$10,4511.2×
pa health & wellness2323$2,315.52$13,969$17,4147.5×
amerihealth caritas1818$2,208.32$13,808$17,4147.9×
geisinger1618$12,019$21,824$64,6515.4×
keystone health plan612$11,529$22,891$36,3083.1×
Humana1111$11,529$13,709$18,9791.6×
health plan of upper ohio valley37$7,529.42$13,315$18,2032.4×
ibc27$20,500$27,481$53,9082.6×
Medicare27$12,224$13,440$17,9671.5×
Medicare Advantage26$14,391$16,648$20,2571.4×
naphcare45$21,505$28,183$28,4681.3×
Multiplan44$9,999.61$9,999.61$11,9001.2×
keystone autism services44$18,447$19,446$24,7891.3×
innovage44$13,709$18,662$19,3581.4×
gateway health plan33$12,270$20,497$20,4971.7×
Oscar Health33$29,922$29,922$29,9221.0×
ibc main line health22$16,800$19,409$22,0181.3×
elder health22$22,774$22,774$22,7741.0×
inspira life22$13,440$15,527$17,6141.3×
st agnes22$13,440$15,527$17,6141.3×
senior life22$13,054$13,054$13,0541.0×
jefferson health plan aca qhp exchange22$13,177$15,038$16,9001.3×
keystone first22$19,927$19,927$19,9271.0×
keystone first vip choice22$14,247$16,283$18,3191.3×
qualcare jcc12$32,461$46,474$60,4881.9×
prime health services22$26,183$26,183$26,1831.0×
city of washington22$20,886$20,886$20,8861.0×
optum va ccn22$13,440$15,527$17,6141.3×
provider partners health plan22$13,440$16,144$18,8471.4×
pennsylvania health and wellness22$20,876$20,876$20,8761.0×
clover health22$20,117$20,117$20,1171.0×
upmc commercial22$31,514$39,954$48,3931.5×
va_champus_tricare22$13,440$15,527$17,6141.3×
geisinger health plan22$51,345$51,345$51,3451.0×
health partners plans22$21,360$21,360$21,3601.0×
devoted health participation22$14,112$16,304$18,4951.3×
allwell pa health_wellness ma22$14,784$17,080$19,3761.3×
point of comfort refugee resettlement22$13,440$15,527$17,6141.3×
ibc employee benefit22$16,800$19,409$22,0181.3×
wtc health program11$25,304$25,304$25,3041.0×
Ambetter11$18,482$18,482$18,4821.0×
Anthem BCBS11$7,793.51$7,793.51$7,793.511.0×
bravo11$15,934$15,934$15,9341.0×
fidelis11$15,139$15,139$15,1391.0×
independent health11$15,328$15,328$15,3281.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA5$14,254$29,470$36,557
WellsboroWellsboroPA3$25,280$27,057$29,742
Muncy Valley HospitalMuncyPA5$2,208.32$26,819$33,229
Upmc LititzLititzPA9$9,830.48$23,945$39,548
Jeanes HospitalPhiladelphiaPA17$18,979$22,355$64,651
Temple University HospitalPhiladelphiaPA18$18,979$22,067$73,339
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$20,250$13,047$20,345$60,488
Memorial HospitalYorkPA10$9,578.62$19,414$39,548
Upmc ShadysidePittsburghPA8$10,293$17,575$72,214
Upmc St MargaretPittsburghPA4$13,847$17,335$61,363
Upmc Mercy HospitalPittsburghPA7$10,293$17,209$37,371
Titusville Area HospitalTitusvillePA5$10,498$17,007$23,483
Upmc MckeesportMckeesportPA6$10,293$16,929$32,884
Upmc HamotEriePA12$9,495.41$16,274$42,071
Charles Cole Memorial HospitalCoudersportPA3$10,287$15,571$18,960
Upmc HanoverHanoverPA11$9,578.62$15,449$39,548
Community General Osteopathic Hosp.HarrisburgPA9$10,451$15,227$38,529
Upmc Pinnacle HospitalsHarrisburgPA9$10,451$15,227$38,529
Upmc Magee-Womens HospitalPittsburghPA9$9,674.01$14,957$25,240
Altoona Regional Health SystemAltoonaPA9$9,674.01$14,957$25,240
The Childrens Home Of PittsburghPittsburghPA9$9,674.01$14,957$25,240
Upmc Childrens Hospital Of PghPittsburghPA9$9,674.01$14,957$25,240
Aria HealthPhiladelphiaPA24$15,359$12,224$14,784$51,345
Curahealth Heritage ValleyBeaverPA7$41,441$12,270$7,800.00$14,701$31,081
The Washington HospitalWashingtonPA9$12,148$14,097$20,886
Whs - GreeneWaynesburgPA9$12,148$14,097$20,886
Divine Providence HospitalWilliamsportPA9$9,052.28$13,968$35,865
Lock Haven HospitalLock HavenPA9$9,052.28$13,968$35,865
Williamsport Hospital & Medical CtrWilliamsportPA9$9,052.28$13,968$35,865
Upmc East HospitalMonroevillePA8$10,293$13,951$62,139
Upmc Horizon HospitalGreenvillePA9$7,793.51$13,791$23,015
Upmc Northwest HospitalSenecaPA8$3,704.00$13,480$23,100
Upmc JamesonNew CastlePA10$8,604.01$13,455$17,442
Upmc Bedford Memorial HospitalEverettPA8$9,223.57$13,381$23,901
Upmc CarlisleCarlislePA11$2,265.90$13,086$41,303
Upmc PassavantPittsburghPA9$7,529.42$12,984$62,698
Meadville Medical CenterMeadvillePA1$12,019$12,019$12,019
Butler Memorial HospitalButlerPA0
Armstrong County MemorialKittanningPA0
Paoli HospitalPaoliPA0
Lankenau Medical CenterWynnewoodPA0
Reading Hospital And Medical CenterReadingPA0
Doylestown HospitalDoylestownPA0$62,970$62,970
Hospital Of The Univ Of PennaPhiladelphiaPA0
Riddle HospitalMediaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Windber Hospital Inc.WindberPA0
Milton S. Hershey Medical CenterHersheyPA0
Physicians Care Surgical HospitalRoyersfordPA0$10,591$8,946.98
Bryn Mawr HospitalBryn MawrPA0
Hampden Medical CenterEnolaPA0
Uniontown HospitalUniontownPA0
Chestnut Hill HospitalPhiladelphiaPA0
Phoenixville HospitalPhoenixvillePA0
Holy Spirit HospitalCamp HillPA0
Wayne Memorial HospitalHonesdalePA0$33,809$23,666
Penn State Hershey Rehabilitation LlHummelstownPA0
St. Joseph Medical CenterReadingPA0
Clarion HospitalClarionPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Pottstown Memorial Medical CenterPottstownPA0

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.