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Major joint replacement w MCC

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

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Hospitals
4
Min
$22,479
Median
$26,908
Max
$33,441
Range multiplier
1.5×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS39$22,479$27,973$42,5551.9×
Aetna49$13,824$23,603$26,9081.9×
UnitedHealthcare49$21,741$26,908$49,2662.3×
WellCare48$21,741$26,386$37,0911.7×
Humana36$20,681$26,197$27,9731.4×
Blue Cross Blue Shield14$23,940$34,432$38,4501.6×
amerihealth12$20,563$27,002$33,4411.6×
Molina22$26,721$27,627$28,5331.1×
optum ccn region 122$26,197$26,553$26,9081.0×
optum ccn region 222$26,197$26,553$26,9081.0×
christian county health dept-cchd11$21,741$21,741$21,7411.0×
Cigna11$22,479$22,479$22,4791.0×
healthy blue11$33,441$33,441$33,4411.0×
partners11$33,441$33,441$33,4411.0×
trillium11$34,444$34,444$34,4441.0×
alliance coal11$33,719$33,719$33,7191.0×
va community care network11$22,479$22,479$22,4791.0×
vaya11$33,775$33,775$33,7751.0×
amerigroup11$22,479$22,479$22,4791.0×
alliance11$34,110$34,110$34,1101.0×
Ambetter11$23,544$23,544$23,5441.0×
beacon health11$21,741$21,741$21,7411.0×
CareSource11$30,347$30,347$30,3471.0×
caresoure kentucky11$45,206$45,206$45,2061.0×
carolina complete11$33,441$33,441$33,4411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$13,824$33,441$49,266
HAZARD ARHHAZARDKY9$26,575$26,908$45,206
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY8$23,577$26,197$42,555
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$20,654$22,479$37,091

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.