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Major joint replacement w MCC

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

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Hospitals
3
Min
$18,853
Median
$58,906
Max
$58,906
Range multiplier
3.1×

By payer (18 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$14,967$18,492$54,3403.6×
prime health services12$76,577$82,468$88,3591.2×
amerihealth caritas pennsylvania11$58,906$58,906$58,9061.0×
Centene11$58,906$58,906$58,9061.0×
employer direct healthcare11$22,654$22,654$22,6541.0×
geisinger11$60,084$60,084$60,0841.0×
Humana11$19,753$19,753$19,7531.0×
presbyterian of nm: mcd11$17,567$17,567$17,5671.0×
presbyterian of nm: mcr ppo11$14,175$14,175$14,1751.0×
presbyterian of nm: php salud plan11$12,845$12,845$12,8451.0×
prime health services work comp11$19,215$19,215$19,2151.0×
provider partners health plan11$58,906$58,906$58,9061.0×
rocky mountain health plan: mcr adv11$19,753$19,753$19,7531.0×
southwest health alliance11$39,678$39,678$39,6781.0×
velocity provider ppo network11$70,687$70,687$70,6871.0×
Aetna11$58,906$58,906$58,9061.0×
vibra health plan11$58,906$58,906$58,9061.0×
albright care services11$58,906$58,906$58,9061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pam Specialty Hospital Of DenverDenverCO10$54,340$58,906$88,359
Animas Surgical HospitalDurangoCO9$39,678$12,845$18,853$39,678
Vail Valley Medical CenterVailCO0$37,707$28,281

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.