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Major joint replacement w MCC

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

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Hospitals
15
Min
$23,942
Median
$33,522
Max
$57,678
Range multiplier
2.4×

By payer (46 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1450$19,788$36,152$126,5386.4×
Cigna1340$85.00$37,190$86,1501013.5×
Blue Cross Blue Shield1338$92.00$42,647$123,1691338.8×
Aetna1332$90.00$29,392$75,551839.5×
Humana1423$19,911$31,624$56,1392.8×
allwell612$23,942$24,609$26,3631.1×
health choice612$23,942$31,377$40,0721.7×
WellCare89$23,942$24,746$31,6241.3×
Medicare58$19,911$38,056$52,2022.6×
Molina77$23,942$24,746$32,2571.3×
Health Net27$97.00$53,120$67,676697.7×
devoted health77$23,942$24,746$26,3631.1×
azpc66$23,942$24,609$26,3631.1×
Ambetter66$33,519$34,453$36,9081.1×
banner66$23,942$24,609$26,3631.1×
banner university health plan66$23,942$24,609$26,3631.1×
Oscar Health66$28,470$28,470$28,4701.0×
scan desert health plan66$23,942$24,609$26,3631.1×
triwest66$23,942$24,609$26,3631.1×
mercy care plan55$23,942$24,746$26,3631.1×
az health advantage55$23,942$24,473$26,3631.1×
gold kidney of arizona55$24,355$24,746$26,3631.1×
commercial | az foundation | pos44$65,886$68,420$84,4851.3×
commercial | connected care | intel44$42,574$43,223$63,8661.5×
Bright Health44$27,266$27,763$48,1431.8×
First Health23$95.00$24,539$212,7342239.3×
la care health plan12$31,624$36,368$41,1121.3×
bridgeway health solutions11$24,539$24,539$24,5391.0×
brandman centers11$31,624$31,624$31,6241.0×
imperial health11$25,059$25,059$25,0591.0×
imperial insurance11$25,766$25,766$25,7661.0×
Kaiser Permanente11$31,624$31,624$31,6241.0×
health management network11$24,539$24,539$24,5391.0×
brand new day11$31,624$31,624$31,6241.0×
health choice pathway11$24,539$24,539$24,5391.0×
banner health11$24,539$24,539$24,5391.0×
monarch health plan11$31,624$31,624$31,6241.0×
Multiplan11$14,157$14,157$14,1571.0×
Empire BCBS11$31,624$31,624$31,6241.0×
rural arizona network11$24,539$24,539$24,5391.0×
arizona medical network11$24,539$24,539$24,5391.0×
scan health plan11$31,624$31,624$31,6241.0×
wellpoint11$31,624$31,624$31,6241.0×
central health plan11$34,787$34,787$34,7871.0×
caremore11$31,624$31,624$31,6241.0×
commercial | azfmc | pos11$77,220$77,220$77,2201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Josephs Hospital & Medical CtrPhoenixAZ9$23,441$57,678$123,169
Arizona General HospitalLaveenAZ8$28,260$51,188$77,220
Chandler Regional Medical CenterChandlerAZ9$20,090$42,574$84,274
Mercy Gilbert Medical CenterGilbertAZ9$19,788$42,076$84,274
Carondelet St. Joseph HospitalTucsonAZ8$22,789$40,685$84,621
Canyon Vista Medical CenterSierra VistaAZ2$168,133$67,253$33,924$34,141$34,358
Carondelet Holy Cross HospitalNogalesAZ20$14,157$33,522$212,734
Honorhealth Scottsdale Thompson PeakScottsdaleAZ20$26,363$26,363$59,464
Honorhealth John C. Lincoln Med CtrPhoenixAZ21$25,059$25,059$59,464
Honorhealth Scottsdale Osborn Med CtScottsdaleAZ19$24,746$24,746$59,464
Yavapai Regional Medical CenterPrescottAZ16$85.00$24,539$126,538
Honorhealth Sonoran Crossing Med CtrPhoenixAZ19$24,473$24,473$59,464
Honorhealth Deer Valley Med CtrPhoenixAZ20$24,355$24,355$59,464
Honorhealth Scottsdale Shea Med CtrScottsdaleAZ19$23,942$23,942$59,464
Abrazo West CampusGoodyearAZ0$256,581$56,448

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.