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GI hemorrhage w CC

MS-DRG 378 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$7,401.31
Median
$13,297
Max
$21,769
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$9,505.06$21,769$30,7813.2×
Blue Cross Blue Shield1142$29$12,443$29,7791026.8×
Aetna1131$90$16,036$24,238269.3×
UnitedHealthcare1027$6,212.16$12,930$39,8206.4×
Cigna1127$85$12,944$28,189331.6×
Humana1120$3,859.94$16,488$25,5486.6×
WellCare78$6,150.65$9,633.28$13,3332.2×
Oscar Health77$9,841.04$13,676$16,8091.7×
devoted health66$7,115.97$11,516$13,3181.9×
Ambetter55$10,149$22,990$25,8352.5×
Kaiser Permanente44$7,115.97$11,516$12,1871.7×
optum44$7,115.97$11,516$12,1871.7×
clover health44$7,471.77$12,091$12,7961.7×
sonder health plans44$7,471.77$12,091$12,7961.7×
va community care network44$7,115.97$11,516$12,1871.7×
First Health23$95$7,300$7,401.3177.9×
TRICARE23$5,359.02$5,359.02$7,902.311.5×
CareSource13$13,333$13,333$22,6271.7×
sonder health plan12$13,592$13,592$13,5921.0×
peach state12$9,496.19$11,414$13,3331.4×
riverwood behavioral health12$12,930$12,937$12,9441.0×
Health Net12$97$3,749.16$7,401.3176.3×
occunet11$13,839$13,839$13,8391.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$9,260.72$9,260.72$9,260.721.0×
provider select11$9,451.66$9,451.66$9,451.661.0×
rural arizona network11$7,401.31$7,401.31$7,401.311.0×
smarthealth11$8,610.91$8,610.91$8,610.911.0×
ubh optum11$12,944$12,944$12,9441.0×
united mine workers of america11$7,401.31$7,401.31$7,401.311.0×
three rivers11$9,260.72$9,260.72$9,260.721.0×
americas choice provider network11$9,260.72$9,260.72$9,260.721.0×
arizona medical network11$7,401.31$7,401.31$7,401.311.0×
banner health11$7,401.31$7,401.31$7,401.311.0×
blue mcr replacement11$6,150.65$6,150.65$6,150.651.0×
bridgeway health solutions11$7,401.31$7,401.31$7,401.311.0×
centurion11$19,395$19,395$19,3951.0×
clear spring health plan11$12,930$12,930$12,9301.0×
corvel11$9,069.77$9,069.77$9,069.771.0×
employer direct healthcare11$16,809$16,809$16,8091.0×
facility billing - op11$6,150.65$6,150.65$6,150.651.0×
georgia workers’ compensation11$9,547.13$9,547.13$9,547.131.0×
health choice pathway11$7,401.31$7,401.31$7,401.311.0×
health management network11$7,401.31$7,401.31$7,401.311.0×
healthspring mcr replacement11$6,273.66$6,273.66$6,273.661.0×
imperial insurance11$7,771.38$7,771.38$7,771.381.0×
Medicare11$12,930$12,930$12,9301.0×
Medicare Advantage11$6,150.65$6,150.65$6,150.651.0×
Multiplan11$9,260.72$9,260.72$9,260.721.0×
naphcare11$20,041$20,041$20,0411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$29$7,401.31$39,820
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$9,505.06$21,769$30,781
EMORY LONG TERM ACUTE CAREDECATURGA5$13,676$19,061$19,687
NGMC LUMPKIN LLCDAHLONEGAGA6$9,505.06$15,832$30,781
NGMC BARROWWINDERGA6$9,505.06$15,711$29,779
EMORY UNIVERSITY HOSPITALATLANTAGA14$10,168$13,297$25,835
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$10,168$13,297$25,835
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$12,929$3,859.94$12,930$22,627
EMORY DECATURDECATURGA14$10,168$12,586$22,990
ST. JOSEPHS OF ATLANTAATLANTAGA14$7,115.97$11,922$20,931
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$5,359.02$10,149$19,155
MEMORIAL HOSPITALBAINBRIDGEGA0
SOUTHWELL MEDICALADELGA0
CHATUGE REGIONAL HOSPITALHIWASSEEGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0

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.