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Laparoscopic cholecystectomy w/o CDE w MCC

MS-DRG 418 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$10,927
Median
$20,963
Max
$36,620
Range multiplier
3.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$15,990$36,620$51,7803.2×
Blue Cross Blue Shield1142$42.00$19,360$50,0941192.7×
Aetna1131$90.00$26,976$40,774453.0×
UnitedHealthcare1027$10,715$18,043$67,2576.3×
Cigna1127$85.00$18,824$47,420557.9×
Humana1120$5,681.26$27,737$42,9777.6×
WellCare78$10,609$15,099$18,9191.8×
Oscar Health77$16,975$23,007$23,4351.4×
devoted health66$12,274$17,002$18,5681.5×
Ambetter55$17,505$34,252$37,8392.2×
Kaiser Permanente44$12,274$17,002$17,8481.5×
optum44$12,274$17,002$17,8481.5×
clover health44$12,888$17,853$18,7411.5×
sonder health plans44$12,888$17,853$18,7411.5×
va community care network44$12,274$17,002$17,8481.5×
First Health23$95.00$7,300.00$12,450131.1×
TRICARE23$9,850.12$9,850.12$16,7431.7×
CareSource13$18,593$18,593$31,5471.7×
sonder health plan12$18,955$18,955$18,9551.0×
peach state12$15,974$17,284$18,5931.2×
riverwood behavioral health12$18,027$18,039$18,0521.0×
Health Net12$97.00$6,273.44$12,450128.3×
occunet11$23,871$23,871$23,8711.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$15,388$15,388$15,3881.0×
provider select11$15,705$15,705$15,7051.0×
rural arizona network11$12,450$12,450$12,4501.0×
smarthealth11$14,853$14,853$14,8531.0×
ubh optum11$18,052$18,052$18,0521.0×
united mine workers of america11$12,450$12,450$12,4501.0×
three rivers11$15,388$15,388$15,3881.0×
americas choice provider network11$15,388$15,388$15,3881.0×
arizona medical network11$12,450$12,450$12,4501.0×
banner health11$12,450$12,450$12,4501.0×
blue mcr replacement11$10,609$10,609$10,6091.0×
bridgeway health solutions11$12,450$12,450$12,4501.0×
centurion11$27,040$27,040$27,0401.0×
clear spring health plan11$18,027$18,027$18,0271.0×
corvel11$15,071$15,071$15,0711.0×
employer direct healthcare11$23,435$23,435$23,4351.0×
facility billing - op11$10,609$10,609$10,6091.0×
georgia workers’ compensation11$15,864$15,864$15,8641.0×
health choice pathway11$12,450$12,450$12,4501.0×
health management network11$12,450$12,450$12,4501.0×
healthspring mcr replacement11$10,821$10,821$10,8211.0×
imperial insurance11$13,072$13,072$13,0721.0×
Medicare11$18,027$18,027$18,0271.0×
Medicare Advantage11$10,609$10,609$10,6091.0×
Multiplan11$15,388$15,388$15,3881.0×
naphcare11$27,941$27,941$27,9411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$15,990$36,620$51,780
Emory Long Term Acute CareDecaturGA5$23,007$32,066$33,119
Ngmc Lumpkin LlcDahlonegaGA6$15,798$26,632$51,780
Ngmc BarrowWinderGA6$15,990$26,395$50,094
Emory University HospitalAtlantaGA14$17,105$20,963$37,839
Emory University Hospital MidtownAtlantaGA14$17,105$20,963$37,839
Emory DecaturDecaturGA14$16,157$20,066$35,210
St. Josephs Of AtlantaAtlantaGA14$12,274$20,056$35,210
Southern Regional Medical CenterRiverdaleGA28$18,026$5,681.26$18,052$31,547
West Central Ga Regional HospitalColumbusGA17$42.00$12,450$67,257
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$10,927$23,871
Southwell MedicalAdelGA0
Memorial HospitalBainbridgeGA0
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.