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Major joint replacement w MCC

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

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Hospitals
36
Min
$50.67
Median
$24,185
Max
$39,385
Range multiplier
777.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare3473$50.67$32,909$72,0031421.0×
Aetna3370$50.67$32,909$76,4961509.7×
medical mutual of ohio2457$50.67$42,120$68,7641357.1×
Anthem BCBS1747$50.67$30,252$55,3621092.6×
Blue Cross Blue Shield1845$13,649$35,743$64,6574.7×
Cigna2335$50.67$32,909$67,4981332.1×
Molina2934$50.67$24,274$49,751981.9×
CareSource2831$91.21$24,766$68,593752.0×
Humana3031$50.00$23,230$38,107762.1×
the health plan2130$50.67$29,664$55,5521096.3×
summacare1725$50.67$32,909$57,7321139.4×
devoted health2222$50.67$23,327$38,107752.1×
aultcare1418$39.00$39,385$52,5741348.0×
WellCare1515$50.67$23,960$38,107752.1×
valor health plans1313$53.20$24,045$40,013752.1×
medigold1313$22,152$23,423$30,2081.4×
primetime health plan1313$50.67$22,900$38,107752.1×
perennial advantage of ohio1313$53.20$24,045$40,013752.1×
paramount1313$52.19$23,587$39,251752.1×
Ambetter1313$91.21$41,115$68,593752.0×
medical mutual611$65.00$22,152$68,1221048.0×
university health employee plan (contigo)1010$30,987$30,987$38,4141.2×
jp farley1010$10,978$37,461$46,1214.2×
allwell99$21,812$23,423$30,2081.4×
buckeye47$2,669.00$26,208$36,89413.8×
custom design benefits36$55,885$59,543$65,9011.2×
medben35$62,246$66,994$73,2801.2×
Medicare15$21,772$21,772$34,8351.6×
healthsmart14$55.00$85.00$85.001.5×
imagine health33$54,483$55,789$61,0231.1×
buckeye health plan23$23,230$23,567$39,4911.7×
oscar33$28,285$30,174$34,9761.2×
optum33$22,718$23,262$25,4441.1×
buckeye community health plan23$25,878$48,371$48,3711.9×
essence healthcare33$22,718$23,262$25,4441.1×
amish church fund12$50.00$52.50$55.001.1×
First Health11$78.00$78.00$78.001.0×
prime time health plan11$24,185$24,185$24,1851.0×
sidecar health11$71,164$71,164$71,1641.0×
custom design benefits inc.11$54,588$54,588$54,5881.0×
care source just4me11$46,580$46,580$46,5801.0×
TRICARE11$30,450$30,450$30,4501.0×
care source11$26,395$26,395$26,3951.0×
valor health11$24,185$24,185$24,1851.0×
valor health plan11$23,230$23,230$23,2301.0×
medishare11$85.00$85.00$85.001.0×
workers compensation11$17,555$17,555$17,5551.0×
mi amish medical board11$25,038$25,038$25,0381.0×
mount carmel health plan11$23,567$23,567$23,5671.0×
ohio health choice11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$50,967
Uh Geauga Medical CenterChardonOH17$50.67$50.67$40,765
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$40,765
Uh Geneva Medical CenterGenevaOH8$10,978$39,385$45,577
Uh St. John Medical CenterWestlakeOH20$10,978$38,107$68,593
Uh Ahuja Medical CenterBeachwoodOH20$22,900$36,832$51,884
University Hospitals Rehab HospitalBeachwoodOH20$32,863$36,514$72,003
University Hospitals Avon Rehab HospAvonOH20$32,863$36,514$72,003
Uh Cleveland Medical CenterClevelandOH20$32,863$36,514$72,003
Good Samaritan HospitalCincinnatiOH17$25,444$36,319$73,280
Fort Hamilton HospitalHamiltonOH14$23,230$35,902$68,773
Bethesda HospitalCincinnatiOH17$23,262$35,743$66,994
Adena Regional Medical CenterChillicotheOH12$25,878$34,098$71,164
Rainbow Babies & Childrens HospitalClevelandOH15$32,909$32,909$34,554
Uh Conneaut Medical CenterConneautOH8$10,978$30,987$43,703
Doctors HospitalColumbusOH11$30,208$30,208$76,496
Mccullough-Hyde Memorial HospitalOxfordOH15$22,718$28,285$62,246
Grant Medical CenterColumbusOH12$26,419$26,419$72,335
Uh Samaritan Medical CenterAshlandOH17$25,276$25,276$45,497
Riverside Methodist HospitalColumbusOH12$24,766$24,766$72,335
Alliance Community HospitalAllianceOH11$69.00$24,185$50,967
Madison HealthLondonOH10$23,567$24,038$37,707
Uh Parma Medical CenterParmaOH19$22,842$23,984$49,321
Dublin Methodist HospitalDublinOH12$23,587$23,587$72,335
Grady Memorial HospitalDelawareOH10$23,423$23,423$24,360
Uh Elyria Medical CenterElyriaOH20$18,291$23,354$46,334
Lake Hospital SystemConcordOH19$21,723$22,810$42,493
Uh Portage Medical CenterRavennaOH19$21,723$22,810$54,401
Obleness Memorial HospitalAthensOH12$22,615$22,615$22,841
Berger HospitalCirclevilleOH10$22,381$22,381$68,603
Marion General HospitalMarionOH10$22,152$22,152$23,038
Medcentral Health SystemMansfieldOH8$21,812$21,812$22,685
St. Lukes HospitalMaumeeOH7$87,257$43,628$17,555$21,808$41,112
Fulton County Health CenterWauseonOH1$13,649$13,649$13,649
Wayne Hospital CompanyGreenvilleOH0$110,215$82,661

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.