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Laparoscopic cholecystectomy w/o CDE w CC

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

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Hospitals
20
Min
$8,715.69
Median
$11,915
Max
$15,468
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$13,795$24,5259.6×
Blue Cross Blue Shield19141$2,440.25$12,381$23,2049.5×
UnitedHealthcare17130$1,147.00$11,915$24,52521.4×
Aetna1845$3,825.00$15,468$20,3005.3×
amerigroup mcaid replacement735$4,835.12$5,015.46$6,132.811.3×
smart health830$10,900$13,817$14,5461.3×
health 2 business721$16,762$17,760$19,2721.1×
Humana1221$8,300.66$10,084$11,8031.4×
Medicare815$8,300.66$9,373.76$12,6021.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$11,606$19,3696.6×
wellpoint39$7,958.41$9,756.32$10,4421.3×
Medicare Advantage89$8,300.66$9,557.42$11,8031.4×
community plan88$6,104.79$6,104.79$6,104.791.0×
point comfort underwriters77$7,470.59$8,601.68$9,351.191.3×
nhc advantage77$8,300.66$9,557.42$10,3901.3×
healthspring mcr replacement77$8,300.66$9,557.42$10,3901.3×
centurion of tn77$8,300.66$9,557.42$10,3901.3×
optum va77$8,300.66$9,557.42$10,3901.3×
oscar77$15,763$15,763$15,7631.0×
amerigroup mcr replacement77$8,549.68$9,557.42$10,3901.2×
Self-Pay (Cash)77$8,300.66$9,557.42$10,3901.3×
river valley plan77$1,419.07$6,954.65$10,5007.4×
celtic insurance company77$13,605$16,532$19,3691.4×
farm bureau36$8,345.82$8,836.32$8,947.541.1×
devoted health36$9,756.32$10,280$10,4421.1×
ascension complete66$8,927.39$9,562.91$10,3901.2×
TRICARE55$7,968.63$9,790.47$9,944.551.2×
VA Health44$8,777.17$10,221$10,6661.2×
triwest va pccc33$8,300.66$8,927.39$8,927.391.1×
amerigroup23$6,144.23$7,441.78$10,1941.7×
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$8,281.143.3×
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$9,291.73$9,790.47$9,944.551.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$9,756.32$10,280$10,4421.1×
harmony health plan11$10,194$10,194$10,1941.0×
generic hospice vbid [10940000101]11$11,803$11,803$11,8031.0×
devoted health [450111]11$12,157$12,157$12,1571.0×
tennessee rural health improvement association11$10,500$10,500$10,5001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roane County Medical CenterHarrimanTN24$45.00$9,903.80$20,302
Fort Loudoun Medical CenterLenoir CityTN24$45.00$9,826.76$20,302
Morristown-Hamblen HospitalMorristownTN24$45.00$9,431.11$20,302
Saint Thomas Midtown HospitalNashvilleTN23$6,104.79$8,715.69$22,540
Jackson-Madison County General HospJacksonTN9$6,977.87$15,468$23,287
Dyersburg Regional Medical CenterDyersburgTN7$1,419.07$15,468$20,043
West Tn Healthcare Volunteer HospitaMartinTN7$1,480.53$15,212$20,043
Bolivar General HospitalBolivarTN6$6,954.65$14,920$23,287
Camden General HospitalCamdenTN6$6,954.65$14,322$23,287
St Thomas Hickman HospitalCentervilleTN9$4,835.12$14,009$20,547
St Thomas Dekalb HospitalSmithvilleTN21$2,448.14$11,915$20,300
Saint Thomas West HospitalNashvilleTN22$4,835.12$11,915$23,204
Saint Thomas Highland HospitalSpartaTN21$2,448.14$11,915$20,547
Ascension St Thomas River ParkMcminnvilleTN21$2,448.14$11,915$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$4,835.12$11,915$23,204
Saint Thomas Stones River HospitalWoodburyTN21$2,448.14$11,888$20,547
Methodist H/C Memphis Hospt.MemphisTN15$57,337$12,614$1,397.00$11,803$24,525
Milan General HospitalMilanTN8$6,954.65$11,708$23,287
Henry County Medical CenterParisTN14$1,147.00$10,500$20,043
St Thomas AscensionNashvilleTN0$79,712$19,689

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.