▸ Compare · PriceTransparency
Major small/large bowel procedures w/o CC/MCC
MS-DRG 331 · negotiated-rate distribution across hospitals in VA
Hospitals
11
Min
$31,627
Median
$49,409
Max
$56,168
Range multiplier
1.8×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 30 | $13,342 | $39,926 | $74,051 | 5.6× |
| Aetna | 5 | 22 | $13,509 | $40,563 | $60,154 | 4.5× |
| Blue Cross Blue Shield | 1 | 21 | $13,342 | $42,586 | $42,586 | 3.2× |
| Humana | 5 | 14 | $13,657 | $15,447 | $26,925 | 2.0× |
| Cigna | 5 | 13 | $14,009 | $53,713 | $65,227 | 4.7× |
| Anthem BCBS | 4 | 12 | $14,659 | $42,513 | $55,475 | 3.8× |
| sentara health plan | 4 | 8 | $15,090 | $32,955 | $56,168 | 3.7× |
| vhn - ultra | 4 | 4 | $49,409 | $49,890 | $56,168 | 1.1× |
| connecticare | 4 | 4 | $55,785 | $56,327 | $63,416 | 1.1× |
| gateway - tier 1 | 4 | 4 | $75,708 | $76,444 | $86,064 | 1.1× |
| gateway - tier 2 | 4 | 4 | $63,754 | $64,374 | $72,475 | 1.1× |
| gateway - tier 3 | 4 | 4 | $54,191 | $54,718 | $61,604 | 1.1× |
| vhn | 4 | 4 | $63,754 | $64,374 | $72,475 | 1.1× |
| vhn - link | 4 | 4 | $71,723 | $72,421 | $81,534 | 1.1× |
| vhn - plus | 4 | 4 | $61,363 | $61,960 | $69,757 | 1.1× |
| vhn - secondary payors | 4 | 4 | $75,708 | $76,444 | $86,064 | 1.1× |
| Medicare | 1 | 3 | $13,609 | $13,609 | $14,009 | 1.0× |
| first choice vip care plus [4833] | 1 | 1 | $14,009 | $14,009 | $14,009 | 1.0× |
| devoted health plan [4501] | 1 | 1 | $13,342 | $13,342 | $13,342 | 1.0× |
| pai [3082] | 1 | 1 | $42,586 | $42,586 | $42,586 | 1.0× |
| select health of sc [4877] | 1 | 1 | $23,348 | $23,348 | $23,348 | 1.0× |
| umr [3113] | 1 | 1 | $31,627 | $31,627 | $31,627 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Carilion Medical Center | Roanoke | VA | 15 | $90,594 | $31,708 | $13,509 | $56,168 | $86,064 |
| Carilion New River Valley Med Center | Christiansburg | VA | 15 | $81,243 | $28,435 | $14,772 | $50,370 | $77,180 |
| Carilion Franklin Memorial Hospital | Rocky Mount | VA | 15 | $79,692 | $27,892 | $14,278 | $49,409 | $75,708 |
| Carilion Stonewall Jackson Hospital | Lexington | VA | 15 | $79,692 | $27,892 | $14,278 | $49,409 | $75,708 |
| Bon Secours Depaul Medical Center | Norfolk | VA | 11 | — | — | $13,342 | $31,627 | $42,586 |
| Inova Mount Vernon Hospital | Alexandria | VA | 0 | — | — | — | — | — |
| Childrens Hospital Of The Kings Da | Norfolk | VA | 0 | — | — | — | — | — |
| Inova Alexandria Hospital | Alexandria | VA | 0 | — | — | — | — | — |
| Inova Loudoun Hospital Center | Leesburg | VA | 0 | — | — | — | — | — |
| Inova Fairfax Hospital | Falls Church | VA | 0 | — | — | — | — | — |
| Inova Fair Oaks Hospital | Fairfax | VA | 0 | — | — | — | — | — |
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.