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Major joint replacement w MCC

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

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Hospitals
20
Min
$15,974
Median
$23,397
Max
$36,514
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$16,559$54,46521.4×
Blue Cross Blue Shield19141$7,292.06$24,398$69,3419.5×
UnitedHealthcare17130$1,147.00$15,974$54,46547.5×
Aetna1852$3,825.00$20,300$43,68811.4×
amerigroup mcaid replacement735$11,858$12,300$15,0411.3×
smart health830$10,900$32,108$33,6273.1×
health 2 business721$39,311$41,652$45,1961.1×
Humana1221$11,267$23,075$25,4112.3×
Medicare815$18,434$20,817$25,2311.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$25,774$39,81713.6×
wellpoint39$19,122$24,203$25,9041.4×
Medicare Advantage89$18,434$21,225$23,4571.3×
community plan88$15,116$15,116$15,1161.0×
point comfort underwriters77$16,591$19,103$20,7671.3×
nhc advantage77$18,434$21,225$23,0751.3×
healthspring mcr replacement77$18,434$21,225$23,0751.3×
centurion of tn77$18,434$21,225$23,0751.3×
optum va77$18,434$21,225$23,0751.3×
oscar77$35,006$35,006$35,0061.0×
amerigroup mcr replacement77$18,987$21,225$23,0751.2×
Self-Pay (Cash)77$18,434$21,225$23,0751.3×
river valley plan77$3,151.49$15,445$21,5856.8×
celtic insurance company77$30,213$36,514$39,8171.3×
farm bureau36$21,162$22,406$22,6881.1×
devoted health36$24,203$25,503$25,9041.1×
ascension complete66$19,826$21,238$23,0751.2×
TRICARE55$17,697$23,051$24,6701.4×
VA Health44$19,493$21,079$23,6871.2×
triwest va pccc33$18,434$19,826$19,8261.1×
amerigroup23$15,069$15,298$20,9571.4×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$20,3098.1×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$23,051$24,288$24,6701.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$24,203$25,503$25,9041.1×
harmony health plan11$20,957$20,957$20,9571.0×
generic hospice vbid [10940000101]11$23,457$23,457$23,4571.0×
devoted health [450111]11$24,160$24,160$24,1601.0×
tennessee rural health improvement association11$21,585$21,585$21,5851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$15,445$36,514$51,716
Camden General HospitalCamdenTN6$15,445$35,760$51,716
West Tn Healthcare Volunteer HospitaMartinTN7$3,287.99$34,679$44,691
Jackson-Madison County General HospJacksonTN9$15,497$34,351$60,497
Dyersburg Regional Medical CenterDyersburgTN7$3,151.49$34,351$45,161
Milan General HospitalMilanTN8$15,445$26,001$51,716
Roane County Medical CenterHarrimanTN24$45.00$25,040$50,364
Fort Loudoun Medical CenterLenoir CityTN24$45.00$24,652$50,364
Methodist H/C Memphis Hospt.MemphisTN15$99,795$21,955$1,397.00$23,457$60,789
Morristown-Hamblen HospitalMorristownTN24$45.00$23,397$50,364
Henry County Medical CenterParisTN14$1,147.00$21,585$44,512
Saint Thomas Highland HospitalSpartaTN21$7,315.64$20,300$61,400
Saint Thomas West HospitalNashvilleTN22$8,343.00$19,826$69,341
Saint Thomas Rutherford HospitalMurfreesboroTN22$8,343.00$19,826$69,341
Ascension St Thomas River ParkMcminnvilleTN21$7,315.64$19,547$61,400
St Thomas Dekalb HospitalSmithvilleTN21$7,315.64$19,103$45,196
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$18,434$67,355
Saint Thomas Stones River HospitalWoodburyTN21$7,315.64$18,292$61,400
St Thomas Hickman HospitalCentervilleTN9$8,394.50$15,974$61,400
St Thomas AscensionNashvilleTN0$119,555$29,530

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.