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Major joint replacement w MCC

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

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Hospitals
5
Min
$92.82
Median
$29,773
Max
$45,498
Range multiplier
490.2×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare15$19,514$19,514$19,5141.0×
Blue Cross Blue Shield35$95.53$25,934$29,773311.7×
UnitedHealthcare14$19,514$19,514$25,1001.3×
TRICARE13$19,514$19,514$19,5141.0×
Humana12$19,514$19,514$19,5141.0×
Medicare Advantage22$45,498$45,498$45,4981.0×
Cigna22$92.04$9,803.13$19,514212.0×
first choice11$95$95$951.0×
health advantage11$28,470$28,470$28,4701.0×
medipak11$19,711$19,711$19,7111.0×
medipak advantage11$19,514$19,514$19,5141.0×
moda11$93.6$93.6$93.61.0×
municipal health benefit11$23,975$23,975$23,9751.0×
optumhealth11$19,514$19,514$19,5141.0×
pacificsource11$92$92$921.0×
php11$88.43$88.43$88.431.0×
qualchoice advantage11$19,514$19,514$19,5141.0×
va ccn optum health11$19,514$19,514$19,5141.0×
va med center11$19,514$19,514$19,5141.0×
WellCare11$19,514$19,514$19,5141.0×
Aetna11$19,514$19,514$19,5141.0×
windsor sterling11$19,514$19,514$19,5141.0×
Ambetter11$25,693$25,693$25,6931.0×
Anthem BCBS11$25,934$25,934$25,9341.0×
arkansas firstsource11$25,934$25,934$25,9341.0×
blue advantage11$25,934$25,934$25,9341.0×
blue card11$25,934$25,934$25,9341.0×
CHAMPVA11$19,514$19,514$19,5141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LITTLE RIVER MEMORIALASHDOWNAR6$88.43$92.82$95.53
MERCY REHAB HOSPITAL FORT SMITHFORT SMITHAR1$45,498$45,498$45,498$45,498$45,498
ARKANSAS CHILDRENS NORTHWESTSPRINGDALEAR1$45,498$45,498$45,498$45,498$45,498
NATIONAL PARK MEDICAL CENTERHOT SPRINGSAR1$254,196$76,259$29,773$29,773$29,773
OUACHITA COUNTY MEDICAL CENTERCAMDENAR23$19,514$19,514$28,982

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.