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Major joint replacement w MCC

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

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Hospitals
10
Min
$22,532
Median
$32,480
Max
$66,450
Range multiplier
2.9×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare59$3,773$28,220$69,55018.4×
Medicare56$22,983$25,634$32,0971.4×
Humana55$22,532$25,653$66,4502.9×
Blue Cross Blue Shield25$23,674$32,480$52,5372.2×
Aetna44$22,532$24,745$66,4502.9×
Anthem BCBS44$22,532$24,745$66,4502.9×
silver summit24$26,411$52,769$74,4242.8×
TRICARE23$26,410$35,067$35,9371.4×
healthpartners [3081368]13$38,293$38,293$38,2931.0×
Cigna33$40,102$54,619$54,6191.4×
imperial insurance companies13$39,616$39,616$48,8591.2×
employer direct healthcare22$34,334$35,510$36,6861.1×
Molina22$26,411$49,753$73,0952.8×
naphcare22$40,936$42,339$43,7411.1×
pa health & wellness12$23,674$28,769$33,8641.4×
prime health services12$86,385$93,030$99,6751.2×
imperial health12$69,773$76,418$83,0631.2×
ubh12$23,674$25,947$28,2201.2×
intermountain healthcare (hcp)12$26,411$33,013$39,6161.5×
health partners plan12$23,674$29,430$35,1851.5×
6 degrees health11$47,011$47,011$47,0111.0×
velocity provider ppo network11$79,740$79,740$79,7401.0×
alignment11$26,939$26,939$26,9391.0×
alignment health11$66,450$66,450$66,4501.0×
Auto Insurance11$31,042$31,042$31,0421.0×
carelon health of nevada11$66,450$66,450$66,4501.0×
health services coalition11$39,616$39,616$39,6161.0×
healthchoice11$66,450$66,450$66,4501.0×
hometown health11$66,450$66,450$66,4501.0×
ilumed aco reach11$66,450$66,450$66,4501.0×
keystone11$24,621$24,621$24,6211.0×
luminary11$29,782$29,782$29,7821.0×
national healthcare solutions, inc11$42,257$42,257$42,2571.0×
nevada health partners11$43,289$43,289$43,2891.0×
providers partner health plan11$29,066$29,066$29,0661.0×
renal payor solutions11$26,411$26,411$26,4111.0×
scan health plan11$66,450$66,450$66,4501.0×
spartan11$29,631$29,631$29,6311.0×
triwest11$26,146$26,146$26,1461.0×
va black hills health care system 12115 [3081206]11$31,054$31,054$31,0541.0×
va ccn optum [3081339]11$31,054$31,054$31,0541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF LAS VEGASLAS VEGASNV14$66,450$66,450$99,675
NORTH VISTA HOSPITALNORTH LAS VEGASNV18$26,410$3,773$34,334$48,859
ORTHOPEDIC SPECIALTY HOSPITALLAS VEGASNV7$75,888$75,888$31,054$32,480$38,293
MT. GRANT GENERAL HOSPITALHAWTHORNENV16$28,219$23,674$29,281$52,537
ST. ROSE DOMINICAN - DELIMAHENDERSONNV6$23,080$23,080$69,550
ST. ROSE DOMINICAN - SAN MARTINLAS VEGASNV6$22,532$22,532$69,550
SPRING VALLEY HOSPITAL MEDICAL CNTRLAS VEGASNV0
HENDERSON HOSPITALHENDERSONNV0
SUMMERLIN HOSPITAL MEDICAL CENTERLAS VEGASNV0
VALLEY HOSPITAL MEDICAL CENTERLAS VEGASNV0

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.