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Spinal fusion (non-cervical) w MCC

MS-DRG 459 · negotiated-rate distribution across hospitals in IA

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Hospitals
5
Min
$70.24
Median
$97.00
Max
$126,014
Range multiplier
1794.2×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield411$57.00$90.25$149,4122621.3×
UnitedHealthcare410$71.39$40,938$155,8262182.7×
medica210$91.00$96.00$3,958.0043.5×
amerigroup35$3,627.00$34,632$149,98841.4×
millard public schools24$96.00$96.00$96.001.0×
Centene34$3,524.00$19,335$149,98842.6×
greater omaha packing24$96.00$96.00$96.001.0×
Humana44$71.25$1,764.50$3,958.0055.6×
one world24$96.00$96.00$96.001.0×
midlands choice24$96.00$96.00$96.001.0×
quiktrip33$60.00$96.00$96.001.6×
phcs33$71.00$98.00$98.001.4×
Multiplan33$85.00$98.00$98.001.2×
iamolina33$35,311$81,034$152,9294.3×
amps22$7,599.00$8,153.50$8,708.001.1×
great plains22$3,627.00$3,891.50$4,156.001.1×
Aetna22$69.22$69,641$139,2122011.2×
pace22$3,454.00$3,706.00$3,958.001.1×
timpte22$96.00$96.00$96.001.0×
total care11$79,475$79,475$79,4751.0×
first choice11$131,227$131,227$131,2271.0×
providence health plan11$114,470$114,470$114,4701.0×
Cigna11$133,641$133,641$133,6411.0×
amerivantage11$71.25$71.25$71.251.0×
Molina11$69.22$69.22$69.221.0×
Kaiser Permanente11$59,311$59,311$59,3111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health Mercy CorningCorningIA18$60.00$97.00$152,929
Chi Health - Missouri ValleyMissouri ValleyIA19$57.00$96.00$81,034
Iowa Lutheran HospitalDes MoinesIA6$69.22$70.24$71.39
Chi Health Mercy Council BluffsCouncil BluffsIA6$60.00$17,359$35,311
Avera Holy Family HealthEsthervilleIA8$75.00$126,014$155,826

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.