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Major joint replacement w MCC

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

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Hospitals
12
Min
$3,200.00
Median
$17,828
Max
$25,337
Range multiplier
7.9×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield942$60.00$27,541$94,4841574.7×
UnitedHealthcare1131$90.00$43,044$49,195546.6×
Aetna1024$85.00$19,072$94,0961107.0×
Medicare217$17,478$20,361$21,3791.2×
Cigna316$75.90$19,250$73,108963.2×
transplants-case rates [5750]114$60.00$20,361$94,0961568.3×
smarthealth49$24,470$28,464$38,4181.6×
Humana69$2,200.00$17,478$43,31419.7×
Medicaid25$13,978$14,537$15,3761.1×
First Health15$59.28$59.28$59.281.0×
commercial-contracted [8000]14$75.00$18,053$32,577434.4×
kancare sunflower33$15,639$15,639$15,6391.0×
Ambetter23$3,520.00$3,520.00$29,7138.4×
celtic insurance company13$3,200.00$3,520.00$3,520.001.1×
kancare amerigroup33$15,790$15,790$15,7901.0×
kancare healthy blue33$15,639$15,639$15,6391.0×
sunflower state13$3,200.00$3,520.00$13,7904.3×
Medicare Advantage12$17,478$17,566$17,6531.0×
wppa22$1,200.00$1,200.00$1,200.001.0×
Centene22$15,309$20,323$25,3371.7×
healthchoice of ok22$33,870$33,870$33,8701.0×
medica22$10,731$10,731$10,7311.0×
triwest11$79.56$79.56$79.561.0×
avmed empower11$14,888$14,888$14,8881.0×
va11$17,478$17,478$17,4781.0×
vc hope11$17,478$17,478$17,4781.0×
healthy blue kansas11$15,309$15,309$15,3091.0×
via christi research11$17,478$17,478$17,4781.0×
healthy blue11$13,790$13,790$13,7901.0×
WellCare11$3,200.00$3,200.00$3,200.001.0×
health partners11$90.00$90.00$90.001.0×
northwell direct11$20,000$20,000$20,0001.0×
saint lukes health systems11$17,478$17,478$17,4781.0×
corizon11$21,848$21,848$21,8481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Scott County Hospital Inc.Scott CityKS2$1,200.00$6,334.49$11,469
Ninnescah Valley Health SystemsKingmanKS13$79.56$3,200.00$29,497
Stormont-Vail Regional Health CenterTopekaKS5$21,693$25,337$78,320
St. Lukes SouthOverland ParkKS10$66,656$39,994$59.28$20,768$94,484
Via Christi Rehab Center IncWichitaKS7$1,275.15$20,161$38,418
Mercy Regional Health CenterManhattanKS7$15,038$19,072$33,626
Via Christi Hospital Pittsburg Inc.PittsburgKS7$15,038$19,072$33,626
Via Christi Hosp. Wichita St. TeresaWichitaKS15$10,731$17,828$48,940
Wamego Hospital AssociationWamegoKS6$15,038$15,790$40,779
Rehabilitation Hosp Of Overland ParkOverland ParkKS4$15,309$15,309$15,309
Great Plains Of Ottawa County IncMinneapolisKS8$7,840.00$15,296$54,850
Childrens Mercy Hospital KansasOverland ParkKS0

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.