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Major joint replacement w MCC

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

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Hospitals
3
Min
$25,480
Median
$29,850
Max
$33,410
Range multiplier
1.3×

By payer (10 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare310$25,480$33,410$59,8212.3×
Aetna36$26,053$52,849$71,5352.7×
commonwealth care alliance36$25,480$29,850$33,4101.3×
Blue Cross Blue Shield35$23,384$25,480$29,8501.3×
neighborhood health plan - ri34$25,480$31,630$35,1041.4×
tufts health plan33$25,480$29,850$33,4101.3×
Cigna33$25,480$29,850$33,4101.3×
va community care33$25,480$29,850$33,4101.3×
WellCare33$25,480$29,850$33,4101.3×
harvard pilgrim health care11$29,850$29,850$29,8501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Memorial Hospital Of Rhode IslandPawtucketRI9$28,190$33,410$71,535
The Miriam HospitalProvidenceRI10$23,384$29,850$71,535
Newport HospitalNewportRI9$24,168$25,480$71,535

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.