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Major joint replacement w MCC

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

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Hospitals
3
Min
$24,117
Median
$35,758
Max
$35,758
Range multiplier
1.5×

By payer (11 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
workers compensation33$33,734$35,758$35,7581.1×
UnitedHealthcare12$23,184$23,650$24,1171.0×
Anthem BCBS12$23,184$38,996$54,8092.4×
Medicaid11$22,624$22,624$22,6241.0×
Aetna11$23,184$23,184$23,1841.0×
Self-Pay (Cash)11$24,117$24,117$24,1171.0×
TRICARE11$66,780$66,780$66,7801.0×
WellCare11$23,184$23,184$23,1841.0×
Medicare11$24,117$24,117$24,1171.0×
Humana11$23,184$23,184$23,1841.0×
martins point11$66,780$66,780$66,7801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rumford HospitalRumfordME1$7,397.00$35,758$35,758$35,758
Bridgton HospitalBridgtonME1$7,083.00$35,758$35,758$35,758
Central Maine Medical CenterLewistonME11$24,116$22,624$24,117$66,780

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.