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Laparoscopic cholecystectomy w/o CDE w CC

MS-DRG 419 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$9,891.43
Median
$17,223
Max
$29,093
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$12,703$29,093$41,1373.2×
Blue Cross Blue Shield1142$30.00$15,529$39,7971326.6×
Aetna1131$90.00$21,431$32,393359.9×
UnitedHealthcare1027$8,651.53$15,691$52,6646.1×
Cigna1127$85.00$15,711$37,673443.2×
Humana1120$6,687.06$22,036$34,1435.1×
WellCare78$8,565.87$12,525$16,1831.9×
Oscar Health77$13,705$18,278$20,3981.5×
devoted health66$9,910.26$14,488$16,1621.6×
Ambetter55$14,134$29,091$32,3382.3×
Kaiser Permanente44$9,910.26$14,488$15,2541.5×
optum44$9,910.26$14,488$15,2541.5×
clover health44$10,406$15,212$16,0161.5×
sonder health plans44$10,406$15,212$16,0161.5×
va community care network44$9,910.26$14,488$15,2541.5×
First Health23$95.00$7,300.00$9,891.43104.1×
TRICARE23$7,976.93$7,976.93$14,1351.8×
CareSource13$16,183$16,183$27,4591.7×
sonder health plan12$16,497$16,497$16,4971.0×
peach state12$12,691$14,437$16,1831.3×
riverwood behavioral health12$15,691$15,701$15,7111.0×
Health Net12$97.00$4,994.22$9,891.43102.0×
occunet11$19,273$19,273$19,2731.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$12,361$12,361$12,3611.0×
provider select11$12,616$12,616$12,6161.0×
rural arizona network11$9,891.43$9,891.43$9,891.431.0×
smarthealth11$11,992$11,992$11,9921.0×
ubh optum11$15,711$15,711$15,7111.0×
united mine workers of america11$9,891.43$9,891.43$9,891.431.0×
three rivers11$12,361$12,361$12,3611.0×
americas choice provider network11$12,361$12,361$12,3611.0×
arizona medical network11$9,891.43$9,891.43$9,891.431.0×
banner health11$9,891.43$9,891.43$9,891.431.0×
blue mcr replacement11$8,565.87$8,565.87$8,565.871.0×
bridgeway health solutions11$9,891.43$9,891.43$9,891.431.0×
centurion11$23,536$23,536$23,5361.0×
clear spring health plan11$15,691$15,691$15,6911.0×
corvel11$12,107$12,107$12,1071.0×
employer direct healthcare11$20,398$20,398$20,3981.0×
facility billing - op11$8,565.87$8,565.87$8,565.871.0×
georgia workers’ compensation11$12,744$12,744$12,7441.0×
health choice pathway11$9,891.43$9,891.43$9,891.431.0×
health management network11$9,891.43$9,891.43$9,891.431.0×
healthspring mcr replacement11$8,737.19$8,737.19$8,737.191.0×
imperial insurance11$10,386$10,386$10,3861.0×
Medicare11$15,691$15,691$15,6911.0×
Medicare Advantage11$8,565.87$8,565.87$8,565.871.0×
Multiplan11$12,361$12,361$12,3611.0×
naphcare11$24,321$24,321$24,3211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
West Central Ga Regional HospitalColumbusGA17$30.00$9,891.43$52,664
Northeast Georgia Medical CenterGainesvilleGA6$12,703$29,093$41,137
Emory Long Term Acute CareDecaturGA5$18,278$25,475$26,311
Ngmc Lumpkin LlcDahlonegaGA6$12,703$21,158$41,137
Ngmc BarrowWinderGA6$12,703$20,061$39,797
Emory University HospitalAtlantaGA14$13,589$17,223$32,338
Emory University Hospital MidtownAtlantaGA14$13,589$17,223$32,338
Emory DecaturDecaturGA14$13,589$16,412$29,091
St. Josephs Of AtlantaAtlantaGA14$9,910.26$15,933$27,973
Southern Regional Medical CenterRiverdaleGA28$15,690$6,687.06$15,691$27,459
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$10,470$19,273
Memorial HospitalBainbridgeGA0
Southwell MedicalAdelGA0
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.