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Laparoscopic cholecystectomy w/o CDE w/o CC/MCC

MS-DRG 420 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$21,368
Median
$42,678
Max
$77,925
Range multiplier
3.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$34,025$77,925$110,1853.2×
Blue Cross Blue Shield1142$107.00$39,795$106,598996.2×
Aetna1131$90.00$57,402$86,765964.1×
UnitedHealthcare1027$16,961$30,639$138,4228.2×
Cigna1127$85.00$40,056$100,9071187.1×
Humana1120$4,836.47$59,023$91,45218.9×
WellCare78$21,368$29,268$33,4021.6×
Oscar Health77$34,189$48,957$48,9571.4×
devoted health66$24,722$30,106$31,5111.3×
Ambetter55$35,258$61,428$66,8041.9×
Kaiser Permanente44$24,722$30,243$31,5111.3×
optum44$24,722$30,243$31,5111.3×
clover health44$25,958$31,755$33,0871.3×
sonder health plans44$25,958$31,755$33,0871.3×
va community care network44$24,722$30,243$31,5111.3×
First Health23$95.00$7,300.00$26,497278.9×
TRICARE23$34,529$34,529$51,7391.5×
CareSource13$31,288$31,288$53,0711.7×
sonder health plan12$31,896$31,896$31,8961.0×
peach state12$31,288$32,642$33,9961.1×
riverwood behavioral health12$30,326$30,352$30,3771.0×
Health Net12$97.00$13,297$26,497273.2×
occunet11$48,079$48,079$48,0791.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$30,130$30,130$30,1301.0×
provider select11$30,751$30,751$30,7511.0×
rural arizona network11$26,497$26,497$26,4971.0×
smarthealth11$29,916$29,916$29,9161.0×
ubh optum11$30,377$30,377$30,3771.0×
united mine workers of america11$26,497$26,497$26,4971.0×
three rivers11$30,130$30,130$30,1301.0×
americas choice provider network11$30,130$30,130$30,1301.0×
arizona medical network11$26,497$26,497$26,4971.0×
banner health11$26,497$26,497$26,4971.0×
blue mcr replacement11$21,368$21,368$21,3681.0×
bridgeway health solutions11$26,497$26,497$26,4971.0×
centurion11$45,490$45,490$45,4901.0×
clear spring health plan11$30,326$30,326$30,3261.0×
corvel11$29,509$29,509$29,5091.0×
employer direct healthcare11$39,424$39,424$39,4241.0×
facility billing - op11$21,368$21,368$21,3681.0×
georgia workers’ compensation11$31,062$31,062$31,0621.0×
health choice pathway11$26,497$26,497$26,4971.0×
health management network11$26,497$26,497$26,4971.0×
healthspring mcr replacement11$21,796$21,796$21,7961.0×
imperial insurance11$27,821$27,821$27,8211.0×
Medicare11$30,326$30,326$30,3261.0×
Medicare Advantage11$21,368$21,368$21,3681.0×
Multiplan11$30,130$30,130$30,1301.0×
naphcare11$47,006$47,006$47,0061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$30,238$77,925$110,185
Emory Long Term Acute CareDecaturGA5$48,957$68,234$70,475
Ngmc Lumpkin LlcDahlonegaGA6$29,007$56,672$110,185
Ngmc BarrowWinderGA6$30,639$54,985$106,598
Emory University HospitalAtlantaGA14$31,511$42,678$74,925
Emory DecaturDecaturGA14$28,975$42,678$74,925
Emory University Hospital MidtownAtlantaGA14$31,511$42,678$74,925
St. Josephs Of AtlantaAtlantaGA14$24,722$42,678$74,925
Southern Regional Medical CenterRiverdaleGA28$30,326$4,836.47$31,288$53,071
West Central Ga Regional HospitalColumbusGA17$85.00$26,497$138,422
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$21,368$48,079
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.