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Major joint replacement w MCC

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

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Hospitals
2
Min
$26,363
Median
$28,635
Max
$28,635
Range multiplier
1.1×

By payer (11 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield26$26,363$72,113$73,3022.8×
Aetna25$92.00$92.00$28,635311.2×
amerihealth caritas24$89.00$13,490$29,208328.2×
health options22$26,363$27,499$28,6351.1×
pace your life22$26,363$27,499$28,6351.1×
UnitedHealthcare22$26,891$28,049$29,2081.1×
vitalcore22$73.00$73.00$73.001.0×
WellCare22$26,363$27,499$28,6351.1×
welsh & associates22$78.00$78.00$78.001.0×
Ambetter22$90.00$90.00$90.001.0×
Cigna22$82.40$82.40$82.401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bayhealth Hospital Kent CampusDoverDE11$73.00$28,635$73,302
Bayhealth Hospital Sussex CampusMilfordDE11$73.00$26,363$72,113

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.