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GI hemorrhage w CC

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

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Hospitals
61
Min
$7,177.34
Median
$9,119.84
Max
$17,598
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36193$1,306.13$13,108$43,29333.1×
upmc health plan3370$7,034.03$9,523.37$14,7982.1×
Aetna3362$7,007.41$9,185.71$28,6984.1×
UnitedHealthcare3153$7,021.58$8,963.60$22,9593.3×
Cigna2338$7,054.44$9,708.85$28,2014.0×
upmc work partners2324$6,102.33$9,482.92$10,4511.7×
pa health & wellness2323$2,315.52$8,339.92$10,4344.5×
amerihealth caritas1818$2,208.32$8,266.96$10,4344.7×
geisinger1618$7,054.44$12,718$35,7925.1×
keystone health plan612$6,718.51$13,849$21,9473.3×
Humana1111$6,718.51$7,988.89$11,4571.7×
health plan of upper ohio valley37$7,005.87$7,960.18$10,6081.5×
Medicare Advantage26$8,386.29$9,701.74$11,8041.4×
Medicare26$7,412.88$7,969.59$10,4701.4×
ibc26$11,946$18,053$31,5342.6×
naphcare45$12,532$16,424$17,1851.4×
innovage44$7,988.89$11,078$11,6861.5×
Multiplan44$7,092.15$7,092.15$8,439.891.2×
keystone autism services44$10,750$11,597$14,7741.4×
gateway health plan33$7,684.56$12,373$12,3731.6×
Oscar Health33$17,437$17,437$17,4371.0×
prime health services22$15,806$15,806$15,8061.0×
point of comfort refugee resettlement22$7,832.25$9,048.48$10,2651.3×
elder health22$13,748$13,748$13,7481.0×
provider partners health plan22$7,832.25$9,407.73$10,9831.4×
qualcare jcc12$20,091$28,764$37,4371.9×
senior life22$7,804.10$7,804.10$7,804.101.0×
st agnes22$7,832.25$9,048.48$10,2651.3×
upmc commercial22$18,365$23,283$28,2011.5×
va_champus_tricare22$7,832.25$9,048.48$10,2651.3×
geisinger health plan22$31,437$31,437$31,4371.0×
health partners plans22$12,895$12,895$12,8951.0×
allwell pa health_wellness ma22$8,615.47$9,953.29$11,2911.3×
Ambetter22$10,264$10,517$10,7701.0×
inspira life22$7,832.25$9,048.48$10,2651.3×
city of washington22$12,487$12,487$12,4871.0×
jefferson health plan aca qhp exchange22$7,678.88$8,763.54$9,848.191.3×
keystone first22$12,030$12,030$12,0301.0×
keystone first vip choice22$8,302.18$9,488.74$10,6751.3×
clover health22$12,144$12,144$12,1441.0×
optum va ccn22$7,832.25$9,048.48$10,2651.3×
pennsylvania health and wellness22$12,602$12,602$12,6021.0×
devoted health participation22$8,223.86$9,500.88$10,7781.3×
wtc health program11$15,275$15,275$15,2751.0×
Anthem BCBS11$4,541.62$4,541.62$4,541.621.0×
bravo11$9,661.09$9,661.09$9,661.091.0×
fidelis11$8,947.69$8,947.69$8,947.691.0×
ibc employee benefit11$12,831$12,831$12,8311.0×
ibc main line health11$12,831$12,831$12,8311.0×
independent health11$9,059.54$9,059.54$9,059.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Curahealth Heritage ValleyBeaverPA7$18,152$7,684.56$6,488.38$9,721.96$13,614
Upmc HamotEriePA12——$8,947.69$9,601.17$24,339
Upmc Pinnacle HospitalsHarrisburgPA9——$8,581.29$9,188.05$22,377
Community General Osteopathic Hosp.HarrisburgPA9——$8,581.29$9,188.05$22,377
Upmc Magee-Womens HospitalPittsburghPA9——$8,070.65$9,119.84$14,709
Upmc Childrens Hospital Of PghPittsburghPA9——$8,070.65$9,119.84$14,709
Altoona Regional Health SystemAltoonaPA9——$8,070.65$9,119.84$14,709
The Childrens Home Of PittsburghPittsburghPA9——$8,070.65$9,119.84$14,709
Charles Cole Memorial HospitalCoudersportPA3——$5,994.60$9,007.76$10,969
Upmc HanoverHanoverPA11——$6,651.32$9,002.81$23,264
Aria HealthPhiladelphiaPA23—$9,104.35$7,412.88$8,615.47$31,437
Whs - GreeneWaynesburgPA9——$7,262.50$8,427.65$12,487
The Washington HospitalWashingtonPA9——$7,262.50$8,427.65$12,487
Upmc East HospitalMonroevillePA8——$7,592.79$8,352.07$35,948
Lock Haven HospitalLock HavenPA9——$6,420.26$8,339.15$20,748
Williamsport Hospital & Medical CtrWilliamsportPA9——$6,420.26$8,339.15$20,748
Divine Providence HospitalWilliamsportPA9——$6,420.26$8,339.15$20,748
Upmc Horizon HospitalGreenvillePA9——$4,541.62$8,332.93$13,315
Upmc Bedford Memorial HospitalEverettPA8——$7,493.68$8,093.17$13,827
Upmc JamesonNew CastlePA10——$1,500.00$8,076.41$9,985.49
Upmc Northwest HospitalSenecaPA8——$3,704.00$8,030.20$13,364
Upmc CarlisleCarlislePA11——$1,306.13$7,790.82$23,808
Upmc PassavantPittsburghPA9——$7,005.87$7,706.46$36,272
Meadville Medical CenterMeadvillePA1——$7,177.34$7,177.34$7,177.34
American Oncologic HospialPhiladelphiaPA5——$8,453.63$17,598$20,429
WellsboroWellsboroPA3——$14,625$15,767$17,206
Muncy Valley HospitalMuncyPA5——$2,208.32$15,569$19,224
Upmc LititzLititzPA9——$6,972.19$13,954$23,046
Jeanes HospitalPhiladelphiaPA17——$11,457$13,495$35,792
Temple University HospitalPhiladelphiaPA18——$11,457$13,321$43,293
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$12,104$7,950.28$11,856$37,437
Memorial HospitalYorkPA10——$6,793.57$11,599$23,046
Upmc ShadysidePittsburghPA8——$8,439.89$10,468$41,777
Upmc Mercy HospitalPittsburghPA7——$9,661.09$10,434$21,619
Upmc MckeesportMckeesportPA6——$9,339.52$10,367$19,024
Titusville Area HospitalTitusvillePA5——$6,268.78$10,156$14,023
Upmc St MargaretPittsburghPA4——$8,184.68$10,102$35,499
Butler Memorial HospitalButlerPA0—————
Paoli HospitalPaoliPA0—————
Bryn Mawr HospitalBryn MawrPA0—————
Lankenau Medical CenterWynnewoodPA0—————
Phoenixville HospitalPhoenixvillePA0—————
Doylestown HospitalDoylestownPA0$30,101$30,101———
Wayne Memorial HospitalHonesdalePA0$20,946$14,662———
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Windber Hospital Inc.WindberPA0—————
Hampden Medical CenterEnolaPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
St. Joseph Medical CenterReadingPA0—————
Clarion HospitalClarionPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Penn State Hershey Rehabilitation LlHummelstownPA0—————
Uniontown HospitalUniontownPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Armstrong County MemorialKittanningPA0—————
Holy Spirit HospitalCamp HillPA0—————

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.