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

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

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Hospitals
11
Min
$24,291
Median
$37,651
Max
$107,083
Range multiplier
4.4×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1022$21,044$49,677$107,1645.1×
UnitedHealthcare821$31,396$45,021$357,37811.4×
Empire BCBS319$25,944$82,881$357,37813.8×
Cigna616$33,120$80,776$357,37810.8×
Emblem Health516$33,120$92,840$357,37810.8×
Blue Cross Blue Shield510$663.07$33,387$60,24190.9×
Humana88$31,396$36,977$357,37811.4×
Medicare27$25,430$31,396$31,4111.2×
WellCare66$32,045$36,484$357,37811.2×
Healthfirst35$36,119$46,674$357,3789.9×
oxford35$36,119$110,496$357,3789.9×
oscar34$73,123$73,123$84,0941.2×
cdphp24$33,120$73,366$125,7733.8×
fidelis44$33,782$41,852$357,37810.6×
geisinger health plan24$33,120$55,412$81,6842.5×
mvp33$33,120$36,304$37,6511.1×
local 119933$74,302$84,335$102,2131.4×
magnacare33$57,148$106,663$131,8212.3×
health first22$33,120$34,712$36,3041.1×
vns22$46,674$202,026$357,3787.7×
horizon12$81,944$89,174$96,4041.2×
upmc22$33,120$34,712$36,3041.1×
Medicare Advantage12$9,006.04$15,427$21,8482.4×
metroplus22$46,674$202,026$357,3787.7×
capital district physicians health plan cdphp11$31,411$31,411$31,4111.0×
prime health services11$36,304$36,304$36,3041.0×
st. regis11$37,651$37,651$37,6511.0×
TRICARE11$7,813.05$7,813.05$7,813.051.0×
brighton11$99,215$99,215$99,2151.0×
VA Health11$37,651$37,651$37,6511.0×
emblemhealth11$41,225$41,225$41,2251.0×
1199seiu national benefit funds11$53,654$53,654$53,6541.0×
elderplan 131611$31,396$31,396$31,3961.0×
fidelis care11$37,651$37,651$37,6511.0×
wellpath11$56,476$56,476$56,4761.0×
elderplan11$357,378$357,378$357,3781.0×
capital district physicians' health plan11$37,651$37,651$37,6511.0×
longevity11$36,119$36,119$36,1191.0×
capital district physicians health plan mcr adv11$31,411$31,411$31,4111.0×
northwell direct11$74,956$74,956$74,9561.0×
1199 seiu11$35,117$35,117$35,1171.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
New York Presbyterian HospitalNew YorkNY15$46,674$84,094$134,236
South Nassau Communities HospitalOceansideNY12$25,944$73,123$131,603
Nassau University Medical CenterEast MeadowNY6$32,239$42,820$57,148
Elizabethtown Community HospitalElizabethtownNY1$38,086$38,086$38,086
Champlain Valley Physicians HospitalPlattsburghNY10$35,595$37,651$84,595
Garnet Health Medical CenterMiddletownNY17$36,304$36,304$131,821
Garnet Health Medical Center - CatskHarrisNY15$33,120$33,120$117,268
Adirondack Medical CenterSaranac LakeNY8$22,294$13,823$663.07$31,411$33,654
Fredrick Ferris Thompson HospitalCanandaiguaNY6$31,396$25,430$31,396$45,021
Memorial Hospital For Cancer And AllNew YorkNY1$21,044$24,291$27,539
New York Eye And Ear InfirmaryNew YorkNY15$35,117$107,083$357,378

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.