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

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

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Hospitals
19
Min
$15,974
Median
$22,904
Max
$36,433
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$16,559$61,17924.0×
Blue Cross Blue Shield19141$3,299.41$18,832$50,41915.3×
UnitedHealthcare17130$1,147.00$15,974$61,17953.3×
Aetna1845$3,825.00$20,300$38,58510.1×
amerigroup mcaid replacement735$15,034$15,595$19,0691.3×
smart health830$10,900$36,066$37,2653.4×
health 2 business721$44,787$47,454$51,4921.1×
Humana1221$11,267$25,637$27,4382.4×
Medicare815$20,707$23,384$28,0631.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$28,951$44,40315.2×
wellpoint39$20,918$26,135$27,9711.3×
Medicare Advantage89$20,707$23,842$26,0701.3×
community plan88$15,256$15,256$15,2561.0×
point comfort underwriters77$18,636$21,458$23,3271.3×
nhc advantage77$20,707$23,842$25,9191.3×
healthspring mcr replacement77$20,707$23,842$25,9191.3×
centurion of tn77$20,707$23,842$25,9191.3×
optum va77$20,707$23,842$25,9191.3×
oscar77$39,321$39,321$39,3211.0×
amerigroup mcr replacement77$21,328$23,842$25,9191.2×
Self-Pay (Cash)77$20,707$23,842$25,9191.3×
river valley plan77$3,539.98$17,349$24,0716.8×
celtic insurance company77$33,938$40,562$44,4031.3×
farm bureau36$20,342$21,538$21,8091.1×
devoted health36$26,135$27,537$27,9711.1×
ascension complete66$22,270$23,855$25,9191.2×
TRICARE55$19,878$24,890$26,6391.3×
VA Health44$21,895$23,514$26,6071.2×
triwest va pccc33$20,707$22,270$22,2701.1×
amerigroup23$17,060$19,104$23,3701.4×
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$25,74610.3×
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$24,890$26,226$26,6391.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$26,135$27,537$27,9711.1×
harmony health plan11$23,370$23,370$23,3701.0×
generic hospice vbid [10940000101]11$26,070$26,070$26,0701.0×
devoted health [450111]11$26,852$26,852$26,8521.0×
tennessee rural health improvement association11$24,071$24,071$24,0711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Dyersburg Regional Medical CenterDyersburgTN7$3,539.98$36,433$49,999
West Tn Healthcare Volunteer HospitaMartinTN7$3,693.30$30,345$49,999
Bolivar General HospitalBolivarTN6$17,349$29,206$58,091
Camden General HospitalCamdenTN6$17,349$29,206$58,091
Jackson-Madison County General HospJacksonTN9$17,407$27,405$58,091
Methodist H/C Memphis Hospt.MemphisTN15$175,855$38,688$1,397.00$26,070$61,179
Roane County Medical CenterHarrimanTN24$45.00$24,224$54,383
Henry County Medical CenterParisTN14$1,147.00$24,071$49,999
Fort Loudoun Medical CenterLenoir CityTN24$45.00$23,882$54,383
Morristown-Hamblen HospitalMorristownTN24$45.00$22,904$54,383
Milan General HospitalMilanTN8$17,349$22,634$58,091
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$20,707$50,419
Saint Thomas Rutherford HospitalMurfreesboroTN22$8,343.00$18,832$51,492
Saint Thomas West HospitalNashvilleTN22$8,343.00$18,832$51,492
Saint Thomas Highland HospitalSpartaTN21$3,310.07$18,562$51,492
Ascension St Thomas River ParkMcminnvilleTN21$3,310.07$18,292$51,492
Saint Thomas Stones River HospitalWoodburyTN21$3,310.07$18,163$51,492
St Thomas Dekalb HospitalSmithvilleTN21$3,310.07$18,163$51,492
St Thomas Hickman HospitalCentervilleTN9$8,394.50$15,974$51,492

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.