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GI hemorrhage w/o CC/MCC

MS-DRG 379 · negotiated-rate distribution across hospitals in TN

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Hospitals
20
Min
$4,501.73
Median
$7,139.28
Max
$10,900
Range multiplier
2.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$9,656.00$16,5597.2×
Blue Cross Blue Shield19141$1,215.00$6,244.14$18,83215.5×
UnitedHealthcare17130$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$7,139.28$20,3005.9×
amerigroup mcaid replacement735$2,387.93$2,476.99$3,028.811.3×
smart health830$5,363.76$6,920.00$10,9002.0×
health 2 business721$8,119.84$8,603.40$9,335.431.1×
Humana1221$3,831.26$4,872.95$11,7943.1×
Medicare815$3,831.26$4,326.56$7,032.091.8×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$5,356.69$10,3503.9×
wellpoint39$3,932.31$4,714.51$5,045.741.3×
Medicare Advantage89$3,831.26$4,411.33$6,663.261.7×
community plan88$2,964.92$2,964.92$2,964.921.0×
point comfort underwriters77$3,448.13$3,970.20$4,316.151.3×
nhc advantage77$3,831.26$4,411.33$4,795.721.3×
healthspring mcr replacement77$3,831.26$4,411.33$4,795.721.3×
centurion of tn77$3,831.26$4,411.33$4,795.721.3×
optum va77$3,831.26$4,411.33$4,795.721.3×
oscar77$7,275.45$7,275.45$7,275.451.0×
amerigroup mcr replacement77$3,946.20$4,411.33$4,795.721.2×
Self-Pay (Cash)77$3,831.26$4,411.33$4,795.721.3×
river valley plan77$654.99$3,210.00$5,610.998.6×
celtic insurance company77$6,279.36$8,720.87$10,5081.7×
farm bureau36$4,024.20$4,260.70$4,314.341.1×
devoted health36$4,714.51$4,967.57$5,045.741.1×
ascension complete66$4,120.53$4,413.87$4,795.721.2×
TRICARE55$3,678.01$4,534.55$4,805.471.3×
VA Health44$4,051.20$5,225.42$5,626.371.4×
triwest va pccc33$3,831.26$4,120.53$4,120.531.1×
amerigroup23$3,034.45$3,976.72$5,447.561.8×
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$4,090.131.6×
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$4,490.01$4,731.02$4,805.471.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$4,714.51$4,967.57$5,045.741.1×
harmony health plan11$5,447.56$5,447.56$5,447.561.0×
generic hospice vbid [10940000101]11$6,663.26$6,663.26$6,663.261.0×
devoted health [450111]11$6,863.16$6,863.16$6,863.161.0×
tennessee rural health improvement association11$5,610.99$5,610.99$5,610.991.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas Rutherford HospitalMurfreesboroTN22$2,387.93$9,230.00$20,300
Saint Thomas West HospitalNashvilleTN22$2,387.93$9,230.00$20,300
Saint Thomas Highland HospitalSpartaTN21$1,234.66$8,409.12$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,234.66$8,394.50$20,300
St Thomas Dekalb HospitalSmithvilleTN21$1,234.66$8,257.17$20,300
Saint Thomas Stones River HospitalWoodburyTN21$1,234.66$8,257.17$20,300
Bolivar General HospitalBolivarTN6$3,210.00$7,275.45$10,748
West Tn Healthcare Volunteer HospitaMartinTN7$683.35$7,207.37$9,251.08
Dyersburg Regional Medical CenterDyersburgTN7$654.99$7,139.28$9,251.08
Jackson-Madison County General HospJacksonTN9$3,220.71$7,139.28$10,748
Camden General HospitalCamdenTN6$3,210.00$7,098.74$10,748
Methodist H/C Memphis Hospt.MemphisTN15$26,731$5,880.86$1,215.00$6,663.26$11,320
Henry County Medical CenterParisTN14$1,147.00$5,610.99$10,350
Milan General HospitalMilanTN8$3,210.00$5,403.79$10,748
Roane County Medical CenterHarrimanTN24$45.00$4,877.55$9,810.27
Fort Loudoun Medical CenterLenoir CityTN24$45.00$4,801.99$9,810.27
Morristown-Hamblen HospitalMorristownTN24$45.00$4,557.36$9,810.27
Saint Thomas Midtown HospitalNashvilleTN23$2,964.92$4,501.73$19,970
St Thomas Hickman HospitalCentervilleTN9$2,387.93$10,900$20,300
St Thomas AscensionNashvilleTN0$27,778$6,861.20

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.