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Major joint replacement w MCC

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

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Hospitals
20
Min
$71.25
Median
$25,544
Max
$58,265
Range multiplier
817.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1845$71.39$35,910$80,7051130.5×
Aetna1531$69.22$33,168$68,606991.1×
Blue Cross Blue Shield1729$57.00$23,281$75,0141316.0×
amerigroup1619$3,627.00$25,529$82,31922.7×
Humana1719$71.25$23,966$36,244508.7×
medica315$91.00$96.00$77,279849.2×
medica exchange insure1414$44,508$44,508$44,5081.0×
medica exchange inspire1313$39,943$39,943$39,9431.0×
Molina1213$69.22$23,373$63,112911.8×
iowa total care1212$20,962$25,031$26,2461.3×
health partners open network1010$29,418$31,705$38,0641.3×
amerivantage1010$71.25$23,966$31,267438.8×
midlands choice36$96.00$96.00$61,707642.8×
millard public schools36$96.00$96.00$58,603610.4×
one world36$96.00$96.00$58,603610.4×
greater omaha packing36$96.00$96.00$58,603610.4×
Centene35$3,524.00$19,008$82,31923.4×
bc illinois community24$18,119$20,415$22,7111.3×
common ground13$50,407$50,407$50,4071.0×
amps33$7,599.00$8,708.00$53,8137.1×
great plains33$3,627.00$4,156.00$25,6847.1×
iamolina33$19,380$44,475$83,9334.3×
Multiplan33$85.00$98.00$98.001.2×
pace33$3,454.00$3,958.00$24,4617.1×
phcs33$71.00$98.00$98.001.4×
quiktrip33$60.00$96.00$96.001.6×
timpte33$96.00$96.00$58,603610.4×
wisconsin physician service13$61,821$65,073$65,0731.1×
coordinated care12$41,445$44,682$47,9201.2×
Ambetter22$28,647$36,760$44,8741.6×
health alliance22$22,477$28,843$35,2091.6×
Anthem BCBS12$60,213$69,749$79,2861.3×
meridian health plan22$23,138$29,691$36,2441.6×
healthpartners12$53,751$57,653$61,5561.1×
Cigna22$65,860$68,886$71,9111.1×
providence health plan12$26,939$39,700$52,4601.9×
Kaiser Permanente12$25,903$26,134$26,3661.0×
quartz group11$70,375$70,375$70,3751.0×
quartz health11$23,148$23,148$23,1481.0×
quartz one11$60,144$60,144$60,1441.0×
first choice11$63,930$63,930$63,9301.0×
health payment systems11$60,471$60,471$60,4711.0×
hs technology11$58,859$58,859$58,8591.0×
everpointe elite11$47,412$47,412$47,4121.0×
creighton university employees11$55,470$55,470$55,4701.0×
trilogy11$57,359$57,359$57,3591.0×
community health plan of washington11$28,493$28,493$28,4931.0×
community health plan11$41,445$41,445$41,4451.0×
medical associates health plan11$27,632$27,632$27,6321.0×
meridian11$26,852$26,852$26,8521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health Mercy CorningCorningIA18$60.00$97.00$83,933
Chi Health - Missouri ValleyMissouri ValleyIA19$57.00$96.00$44,475
Iowa Lutheran HospitalDes MoinesIA8$69.22$71.25$44,508
Washington County HospitalWashingtonIA16$44,951$58,265$79,286
Chi Health Mercy Council BluffsCouncil BluffsIA20$60.00$50,959$77,279
Jones Regional Medical CtrAnamosaIA2$39,943$42,225$44,508
Trinity MuscatineMuscatineIA12$18,119$36,244$44,874
Avera Holy Family HealthEsthervilleIA13$75.00$34,969$76,793
Unitypoint Health-MarshalltownMarshalltownIA10$23,717$30,820$44,508
Trinity Regional Medical CenterFort DodgeIA8$24,938$28,607$44,508
Trinity BettendorfBettendorfIA12$22,477$26,590$44,508
Iowa Methodist Medical CenterDes MoinesIA11$25,050$25,787$44,508
The Finley HospitalDubuqueIA15$18,119$25,544$44,508
St. Lukes Methodist HospitalCedar RapidsIA11$23,373$24,106$44,508
Allen Memorial HospitalWaterlooIA11$23,281$24,011$44,508
Grundy County Mem. HospitalGrundy CenterIA11$23,281$24,011$44,508
Grinnell Regional Medical CenterGrinnellIA11$22,079$22,728$44,508
Community Mem. Hospt. SummerSumnerIA11$22,079$22,728$44,508
St. Lukes Regl Medical CenterSioux CityIA11$22,079$22,728$44,508
Mercy Hospital Iowa CityIowa CityIA0

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.