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Spinal fusion (non-cervical) w MCC

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

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Hospitals
9
Min
$50.67
Median
$30,364
Max
$122,850
Range multiplier
2424.5×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare714$50.67$57,388$139,5502754.1×
Aetna58$50.67$90.19$115,5652280.7×
Blue Cross Blue Shield24$60,951$98,228$122,8502.0×
medical mutual34$65$56,296$138,2302126.6×
Cigna44$50.67$64.44$134,4902654.2×
aultcare24$59$64$691.2×
Anthem BCBS33$50.67$50.67$63,3661250.6×
summacare33$50.67$50.67$771.5×
paramount22$52.19$52.19$52.191.0×
perennial advantage of ohio22$53.2$53.2$53.21.0×
primetime health plan22$50.67$50.67$50.671.0×
the health plan22$50.67$50.67$50.671.0×
valor health plans22$53.2$53.2$53.21.0×
WellCare22$50.67$50.67$50.671.0×
Ambetter22$91.21$91.21$91.211.0×
amish church fund12$50$52.5$551.1×
CareSource22$91.21$91.21$91.211.0×
devoted health22$50.67$50.67$50.671.0×
Humana22$50.67$50.67$50.671.0×
medical mutual of ohio22$50.67$50.67$50.671.0×
Molina22$50.67$50.67$50.671.0×
medishare11$85$85$851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LAKE HOSPITAL SYSTEMCONCORDOH1$83,618$83,618$83,618
AULTMAN ORRVILLE HOSPITALORRVILLEOH9$50$75.45$111,443
UH GENEVA MEDICAL CENTERGENEVAOH1$72,908$72,908$72,908
ALLIANCE COMMUNITY HOSPITALALLIANCEOH2$69$69$75
UH ST. JOHN MEDICAL CENTERWESTLAKEOH2$49,321$63,366$67,101
UH REGIONAL HOSPITALSRICHMOND HEIGHTSOH17$50.67$50.67$65,214
UH GEAUGA MEDICAL CENTERCHARDONOH17$50.67$50.67$65,214
UH ELYRIA MEDICAL CENTERELYRIAOH1$28,766$30,364$31,962
FORT HAMILTON HOSPITALHAMILTONOH5$85,013$122,850$139,550

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.