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Major joint replacement w MCC

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

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Hospitals
7
Min
$20,161
Median
$31,979
Max
$55,411
Range multiplier
2.7×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare314$934.82$20,712$32,82235.1×
Aetna410$60.2$18,824$55,411920.5×
Humana38$19,677$20,712$52,6412.7×
Medicare26$20,306$20,505$20,5051.0×
WellCare25$934.82$20,712$55,41159.3×
Blue Cross Blue Shield35$1,275.15$31,979$55,41143.5×
veterans evaluation serv14$934.82$10,824$20,71222.2×
va ccn optum14$934.82$10,824$20,71222.2×
First Health24$19,109$19,109$53,9592.8×
CHAMPVA14$934.82$10,824$20,71222.2×
mmc allwell13$934.82$20,505$20,71222.2×
first choice health13$19,109$19,109$19,1091.0×
philadelphia american lif13$934.82$20,712$20,71222.2×
mmc healthy blue dual adv13$934.82$20,712$20,71222.2×
mmc mcr hmo miscellaneous13$20,712$20,712$20,7121.0×
neba inc13$934.82$20,712$20,71222.2×
mutual of omaha13$934.82$20,712$20,71222.2×
mmc blue advantage13$934.82$20,712$20,71222.2×
wps vacca12$934.82$10,824$20,71222.2×
all savers12$20,347$20,347$20,3471.0×
bankers life12$20,712$20,712$20,7121.0×
Cigna12$20,712$20,712$20,7121.0×
GEHA12$20,347$20,347$20,3471.0×
gulf south zelis12$20,712$20,712$20,7121.0×
mcr lagniappe12$20,712$20,712$20,7121.0×
medeico ins co12$20,712$20,712$20,7121.0×
mmc dignity care corp12$934.82$10,824$20,71222.2×
mmc vantage hlth12$934.82$10,824$20,71222.2×
sentinel security life12$20,505$20,505$20,5051.0×
smarthealth12$38,418$38,418$38,4181.0×
trustmark health benefits12$20,505$20,505$20,5051.0×
umr12$20,347$20,347$20,3471.0×
premier health11$55,411$55,411$55,4111.0×
velocity provider ppo network11$66,494$66,494$66,4941.0×
Health Net11$55,411$55,411$55,4111.0×
amer contl ins11$19,109$19,109$19,1091.0×
tunica biloxi11$20,712$20,712$20,7121.0×
Ambetter11$55,411$55,411$55,4111.0×
medica11$10,731$10,731$10,7311.0×
healthchoice of ok11$33,870$33,870$33,8701.0×
Multiplan11$80$80$801.0×
mmc priority hlth pffs11$20,712$20,712$20,7121.0×
peoples health11$52,641$52,641$52,6411.0×
meritan health11$19,109$19,109$19,1091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF SHREVEPORTSHREVEPORTLA9$52,641$55,411$66,494
THIBODAUX REGIONAL HEALTH SYSTEMTHIBODAUXLA6$60.2$31,979$53,959
AVOYELLES HOSPITALMARKSVILLELA34$934.82$20,505$20,712
BETHESDA REHABILITATION HOSPITAL INCBATON ROUGELA7$1,275.15$20,161$38,418
OCHSNER LSU HEALTH SHREVEPORTSHREVEPORTLA0
OCHSNER EXTENDED CARE HOSPITALJEFFERSONLA0
NORTHSHORE EXTENDED CARE HOSPITALLACOMBELA0$30.23$12.09

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.