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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$65.00$56,296$138,2302126.6×
Cigna44$50.67$64.44$134,4902654.2×
aultcare24$59.00$64.00$69.001.2×
Anthem BCBS33$50.67$50.67$63,3661250.6×
summacare33$50.67$50.67$77.001.5×
paramount22$52.19$52.19$52.191.0×
perennial advantage of ohio22$53.20$53.20$53.201.0×
primetime health plan22$50.67$50.67$50.671.0×
the health plan22$50.67$50.67$50.671.0×
valor health plans22$53.20$53.20$53.201.0×
WellCare22$50.67$50.67$50.671.0×
Ambetter22$91.21$91.21$91.211.0×
amish church fund12$50.00$52.50$55.001.1×
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$85.00$85.00$85.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Lake Hospital SystemConcordOH1$83,618$83,618$83,618
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$111,443
Uh Geneva Medical CenterGenevaOH1$72,908$72,908$72,908
Alliance Community HospitalAllianceOH2$69.00$69.00$75.00
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.