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Major joint replacement w MCC

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

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Hospitals
12
Min
$75.00
Median
$93.50
Max
$24,027
Range multiplier
320.4×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield419$85.00$21,352$55,480652.7×
Aetna419$45.60$75.00$24,702541.7×
UnitedHealthcare412$74.30$23,496$50,836684.2×
Cigna39$60.90$17,000$30,384498.9×
allied benefits [498]39$58.00$74.30$24,702425.9×
cox health systems insurance company [220]39$55.00$55.00$65.001.2×
healthlink [225]39$48.50$65.00$75.501.6×
med-pay [480]36$65.00$70.00$75.001.2×
Humana36$66.50$23,496$37,912570.1×
unicare [568]36$65.00$70.25$75.501.2×
consociate [478]36$33,853$36,393$38,9331.2×
phcs [244]36$75.00$77.50$80.001.1×
healthscope benefits [258]34$65.00$49,195$50,836782.1×
sarah bush lincoln [636]34$38,933$38,933$49,1951.3×
essence healthcare [221]33$21,352$22,829$24,1641.1×
fmh benefit service inc [222]33$60.30$24,702$24,702409.7×
health alliance [224]33$37,120$37,120$37,1201.0×
health systems inc [620]33$75.00$75.00$75.001.0×
healthcare sol mercy [609]33$75.00$75.00$75.001.0×
devoted health plan [847]33$22,419$23,971$25,3721.1×
beechstreet [551]33$75.00$75.00$75.001.0×
apwu health plan [216]33$68.70$30,384$30,384442.3×
First Health33$74.30$74.30$74.301.0×
hfn [563]33$80.00$80.00$80.001.0×
hope trust [806]33$58.00$58.00$58.001.0×
detego health [868]33$75.00$75.00$75.001.0×
mail handlers [495]33$60.30$24,702$24,702409.7×
cox health [757]33$22,419$23,971$25,3721.1×
medica [661]33$80.00$80.00$80.001.0×
medica [662]33$22,419$23,971$25,3721.1×
Multiplan33$75.00$75.00$75.001.0×
nalc health benefit plan [242]33$68.70$30,384$30,384442.3×
coresource [497]33$60.30$24,702$24,702409.7×
preferred health professionals [561]33$75.50$75.50$75.501.0×
priority health [648]33$68.70$30,384$30,384442.3×
mh magellan health services [270]22$100.00$100.00$100.001.0×
bakersfield school district (smbc)11$2,356.00$2,356.00$2,356.001.0×
osfdan11$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$75,494$45,296$48.50$93.50$55,480
Progress West HospitalOfallonMO36$66,654$39,993$48.50$87.00$55,480
Mercy Continuing Care HospitalChesterfieldMO1$75.00$75.00$75.00
Parkland Health Center - FarmingtonFarmingtonMO35$94,717$56,830$45.60$75.00$55,480
Saint Francis Medical CenterCape GirardeauMO3$20,809$24,027$36,040
Mercy Rehabilitation Hospital-SpgfSpringfieldMO1$45,498$45,498$2,356.00$2,356.00$2,356.00
Cox Medical Center BransonBransonMO0
Moberly Regional Medical CenterMoberlyMO0
Barton County Memorial HospitalLamarMO0
Cox-Monett HospitalMonettMO0
CoxhealthSpringfieldMO0
Northeast Regional Medical CenterKirksvilleMO0

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.