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Major joint replacement w MCC

MS-DRG 469 · negotiated-rate distribution across hospitals in AL

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Hospitals
29
Min
$2,160.69
Median
$23,480
Max
$31,396
Range multiplier
14.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1748$2,329.85$18,950$50,75421.8×
UnitedHealthcare1735$1,288.00$25,126$53,77041.7×
Aetna1632$40.00$23,243$54,8501371.3×
Cigna1431$40.00$24,569$92,7522318.8×
Humana1722$2,160.69$22,817$48,98522.7×
Centene68$24,543$36,868$43,5571.8×
simpra77$19,632$22,300$26,3811.3×
devoted health66$19,438$21,705$24,1981.2×
viva helath55$19,438$21,331$24,1981.2×
viva24$2,703.00$14,174$26,3819.8×
Ambetter44$30,513$31,683$33,2391.1×
Molina24$21,133$24,580$38,1721.8×
Multiplan44$67.00$80.00$80.001.2×
university of utah14$39,698$45,622$52,2711.3×
Medicare34$20,518$22,836$26,3811.3×
First Health22$7,300.00$15,551$23,8023.3×
Bright Health22$21,281$23,464$25,6471.2×
pehp12$48,083$53,756$59,4291.2×
choicecare22$5,872.53$14,142$22,4113.8×
seven corners22$41,715$43,281$44,8481.1×
smarthealth22$26,633$27,679$28,7251.1×
sterling life insurance12$1,075.00$13,531$25,98824.2×
TRICARE12$19,134$19,134$19,1341.0×
occunet22$38,639$40,721$42,8021.1×
Medicaid22$6,803.47$11,050$15,2962.2×
health choice12$37,982$37,982$37,9821.0×
Health Net22$22,749$22,749$22,7491.0×
motivhealth12$55,984$55,984$55,9841.0×
viva health22$23,539$24,104$24,6691.0×
pcc employee11$10,815$10,815$10,8151.0×
select health11$25,010$25,010$25,0101.0×
select health er11$57.80$57.80$57.801.0×
Self-Pay (Cash)11$20,518$20,518$20,5181.0×
southern care11$23,374$23,374$23,3741.0×
state of utah11$24,287$24,287$24,2871.0×
triwest healthcare alliance11$24,287$24,287$24,2871.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$26,473$26,473$26,4731.0×
university of ut11$24,287$24,287$24,2871.0×
usa managed care11$85.00$85.00$85.001.0×
vccn11$26,251$26,251$26,2511.0×
veteran's administration11$24,287$24,287$24,2871.0×
vista hospice11$600.00$600.00$600.001.0×
WellCare11$19,023$19,023$19,0231.0×
aarp11$19,492$19,492$19,4921.0×
Workers Comp11$3,356.00$3,356.00$3,356.001.0×
actin care11$31,802$31,802$31,8021.0×
amerigroup11$24,543$24,543$24,5431.0×
angle insurance11$35,352$35,352$35,3521.0×
avmed empower11$14,888$14,888$14,8881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mountain View HospitalGadsdenAL31$40.00$31,396$92,752
Hale County HospitalGreensboroAL5$24,939$26,251$28,877
Dch Regional Medical CenterTuscaloosaAL12$3,356.00$26,117$44,848
Baptist Medical Center EastMontgomeryAL6$22,613$24,897$77,826
Vaughan Regional Medical CenterSelmaAL12$20,322$24,543$25,711
Fayette Medical CenterFayetteAL9$4,046.00$24,538$41,715
Princeton Baptist Medical CenterBirminghamAL9$56.00$24,319$52,541
Prattville Baptist HospitalPrattvilleAL6$21,577$23,757$77,826
Cullman RegionalCullmanAL6$2,300.00$23,480$24,847
Russell Medical CenterAlexander CityAL4$22,411$22,411$22,859
Brookwood Baptist Medical CenterBirminghamAL12$50.00$22,079$53,770
Washington County HospitalChatomAL5$850.00$975.00$2,160.69$3,129.00
Citizens Baptist Medical CenterTalladegaAL9$14,328$21,438$52,298
St. Vincents St. ClairPell CityAL17$1,796.59$20,518$33,239
Walker Baptist Medical CenterJasperAL11$40.00$19,634$52,217
Shelby Baptist Medical CenterAlabasterAL10$53.00$19,438$52,535
Providence HospitalMobileAL17$7,300.00$19,023$44,380
St. Vincents EastBirminghamAL8$7,840.00$15,296$54,850
Decatur Morgan - Decatur CampusDecaturAL0
Grandview Medical CenterBirminghamAL0
Athens LimestoneAthensAL0
Flowers HospitalDothanAL0
Gadsden Regional Medical CenterGadsdenAL0
Crestwood Medical CenterHuntsvilleAL0
Huntsville HospitalHuntsvilleAL0
Helen Keller HospitalSheffieldAL0
Red Bay HospitalRed BayAL0
Southeast Health Medical CenterDothanAL0
Marshall Medical Centers SouthBoazAL0

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.