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Major joint replacement w MCC

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

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Hospitals
2
Min
$30,186
Median
$50,959
Max
$50,959
Range multiplier
1.7×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica26$28,749$56,202$77,2792.7×
UnitedHealthcare23$28,882$67,204$72,4422.5×
amerigroup12$16,283$23,305$30,3261.9×
Centene12$16,283$23,016$29,7481.8×
midlands choice12$54,947$58,327$61,7071.1×
millard public schools12$50,959$54,781$58,6031.2×
Humana22$28,749$28,815$28,8821.0×
greater omaha packing12$50,959$54,781$58,6031.2×
one world12$50,959$54,781$58,6031.2×
naphcare11$43,123$43,123$43,1231.0×
pace11$28,882$28,882$28,8821.0×
phcs11$71$71$711.0×
quiktrip11$60$60$601.0×
timpte11$58,603$58,603$58,6031.0×
todays options11$29,459$29,459$29,4591.0×
Aetna11$28,749$28,749$28,7491.0×
WellCare11$30,186$30,186$30,1861.0×
Ambetter11$43,123$43,123$43,1231.0×
amps11$63,540$63,540$63,5401.0×
Blue Cross Blue Shield11$28,882$28,882$28,8821.0×
creighton university employees11$55,470$55,470$55,4701.0×
great plains11$30,326$30,326$30,3261.0×
iamolina11$16,603$16,603$16,6031.0×
medica cost11$30,186$30,186$30,1861.0×
Multiplan11$85$85$851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH-CREIGHTON UNIV MED CENTEROMAHANE20$60$50,959$77,279
REGIONAL WEST MEDICAL CENTERSCOTTSBLUFFNE8$28,749$30,186$72,442

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.