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

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

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Hospitals
20
Min
$10,688
Median
$12,773
Max
$19,059
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$14,782$30,21911.9×
Blue Cross Blue Shield19141$3,098.61$15,440$29,4659.5×
UnitedHealthcare17130$1,147.00$14,019$30,21926.3×
Aetna1845$3,825.00$19,059$20,3005.3×
amerigroup mcaid replacement735$6,208.01$6,439.55$7,874.171.3×
smart health830$10,900$17,814$17,9541.6×
health 2 business721$21,795$23,093$25,0581.1×
Humana1221$10,228$11,992$14,0191.4×
Medicare815$10,228$11,550$15,0041.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$14,300$23,2588.0×
wellpoint39$10,287$12,225$13,0841.3×
Medicare Advantage89$10,228$11,776$14,0191.4×
community plan88$7,993.77$7,993.77$7,993.771.0×
point comfort underwriters77$9,205.06$10,599$11,5221.3×
nhc advantage77$10,228$11,776$12,8031.3×
healthspring mcr replacement77$10,228$11,776$12,8031.3×
centurion of tn77$10,228$11,776$12,8031.3×
optum va77$10,228$11,776$12,8031.3×
oscar77$19,422$19,422$19,4221.0×
amerigroup mcr replacement77$10,535$11,776$12,8031.2×
Self-Pay (Cash)77$10,228$11,776$12,8031.3×
river valley plan77$1,748.53$8,569.33$12,6087.2×
celtic insurance company77$16,763$20,371$23,2581.4×
farm bureau36$10,626$11,251$11,3921.1×
devoted health36$12,225$12,881$13,0841.1×
ascension complete66$11,000$11,783$12,8031.2×
TRICARE55$9,818.73$12,105$12,4611.3×
VA Health44$10,815$12,286$13,1421.2×
triwest va pccc33$10,228$11,000$11,0001.1×
amerigroup23$7,888.83$8,935.90$12,2411.6×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$10,6314.3×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$11,643$12,268$12,4611.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$12,225$12,881$13,0841.1×
harmony health plan11$12,241$12,241$12,2411.0×
generic hospice vbid [10940000101]11$14,019$14,019$14,0191.0×
devoted health [450111]11$14,440$14,440$14,4401.0×
tennessee rural health improvement association11$12,608$12,608$12,6081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Dyersburg Regional Medical CenterDyersburgTN7$1,748.53$19,059$24,696
Jackson-Madison County General HospJacksonTN9$8,597.94$19,059$28,693
West Tn Healthcare Volunteer HospitaMartinTN7$1,824.26$19,025$24,696
Bolivar General HospitalBolivarTN6$8,569.33$18,945$28,693
Camden General HospitalCamdenTN6$8,569.33$18,187$28,693
St Thomas Hickman HospitalCentervilleTN9$6,208.01$15,974$25,058
Milan General HospitalMilanTN8$8,569.33$14,426$28,693
Methodist H/C Memphis Hospt.MemphisTN15$56,252$12,375$1,397.00$14,019$30,219
Saint Thomas Stones River HospitalWoodburyTN21$3,108.63$12,803$25,058
Saint Thomas Highland HospitalSpartaTN21$3,108.63$12,773$25,058
Henry County Medical CenterParisTN14$1,147.00$12,608$24,696
Roane County Medical CenterHarrimanTN24$45.00$12,492$25,439
Fort Loudoun Medical CenterLenoir CityTN24$45.00$12,396$25,439
Ascension St Thomas River ParkMcminnvilleTN21$3,108.63$11,915$25,058
Saint Thomas West HospitalNashvilleTN22$6,208.01$11,915$29,465
Saint Thomas Rutherford HospitalMurfreesboroTN22$6,208.01$11,915$29,465
St Thomas Dekalb HospitalSmithvilleTN21$3,108.63$11,915$26,091
Morristown-Hamblen HospitalMorristownTN24$45.00$11,818$25,439
Saint Thomas Midtown HospitalNashvilleTN23$7,888.83$10,688$28,621
St Thomas AscensionNashvilleTN0$88,463$21,850

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.