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Laparoscopic cholecystectomy w/o CDE w MCC

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

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Hospitals
20
Min
$10,795
Median
$12,839
Max
$21,987
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$14,820$30,37511.9×
Blue Cross Blue Shield19141$1,215.00$16,675$40,26433.1×
UnitedHealthcare17130$1,147.00$14,080$30,37526.5×
Aetna1845$3,825.00$19,157$20,3005.3×
amerigroup mcaid replacement735$6,172.45$6,402.66$7,829.061.3×
smart health830$10,900$17,631$18,0161.7×
health 2 business721$21,515$22,796$24,7361.1×
Humana1221$10,281$12,046$14,0801.4×
Medicare815$10,281$11,610$15,0701.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$14,374$23,3658.0×
wellpoint39$10,164$12,280$13,1431.3×
Medicare Advantage89$10,281$11,837$14,0801.4×
community plan88$7,770.16$7,770.16$7,770.161.0×
point comfort underwriters77$9,252.65$10,654$11,5821.3×
nhc advantage77$10,281$11,837$12,8691.3×
healthspring mcr replacement77$10,281$11,837$12,8691.3×
centurion of tn77$10,281$11,837$12,8691.3×
optum va77$10,281$11,837$12,8691.3×
oscar77$19,523$19,523$19,5231.0×
amerigroup mcr replacement77$10,589$11,837$12,8691.2×
Self-Pay (Cash)77$10,281$11,837$12,8691.3×
river valley plan77$1,757.57$8,613.63$12,6667.2×
celtic insurance company77$16,850$20,476$23,3651.4×
farm bureau36$10,389$11,000$11,1381.1×
devoted health36$12,280$12,939$13,1431.1×
ascension complete66$11,057$11,844$12,8691.2×
TRICARE55$9,869.49$12,168$12,5171.3×
VA Health44$10,871$12,343$13,2101.2×
triwest va pccc33$10,281$11,057$11,0571.1×
amerigroup23$7,843.64$8,976.89$12,2971.6×
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$10,5724.2×
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$11,695$12,323$12,5171.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$12,280$12,939$13,1431.1×
harmony health plan11$12,297$12,297$12,2971.0×
generic hospice vbid [10940000101]11$14,080$14,080$14,0801.0×
devoted health [450111]11$14,503$14,503$14,5031.0×
tennessee rural health improvement association11$12,666$12,666$12,6661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$8,613.63$21,987$28,842
Camden General HospitalCamdenTN6$8,613.63$20,755$28,842
West Tn Healthcare Volunteer HospitaMartinTN7$1,833.69$19,423$25,951
Jackson-Madison County General HospJacksonTN9$8,642.38$19,157$35,129
Dyersburg Regional Medical CenterDyersburgTN7$1,757.57$19,157$26,224
St Thomas Hickman HospitalCentervilleTN9$6,172.45$15,974$24,736
Milan General HospitalMilanTN8$8,613.63$14,500$28,842
Methodist H/C Memphis Hospt.MemphisTN15$66,345$14,596$1,215.00$14,080$35,299
Saint Thomas Stones River HospitalWoodburyTN21$4,247.98$12,869$35,653
Saint Thomas Highland HospitalSpartaTN21$4,247.98$12,839$24,736
Roane County Medical CenterHarrimanTN24$45.00$12,704$25,553
Henry County Medical CenterParisTN14$1,147.00$12,666$24,824
Saint Thomas West HospitalNashvilleTN22$6,172.45$12,538$40,264
Saint Thomas Rutherford HospitalMurfreesboroTN22$6,172.45$12,538$40,264
Fort Loudoun Medical CenterLenoir CityTN24$45.00$12,508$25,553
St Thomas Dekalb HospitalSmithvilleTN21$4,247.98$11,915$35,653
Ascension St Thomas River ParkMcminnvilleTN21$4,247.98$11,915$24,736
Morristown-Hamblen HospitalMorristownTN24$45.00$11,870$25,553
Saint Thomas Midtown HospitalNashvilleTN23$7,770.16$10,795$39,111
St Thomas AscensionNashvilleTN0$99,322$24,533

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.