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Major joint replacement w MCC

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

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Hospitals
7
Min
$86,507
Median
$86,507
Max
$86,507
Range multiplier
1.0×

By payer (15 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare15$26,680$77,051$110,1654.1×
Aetna15$24,348$68,600$89,4913.7×
Humana13$19,977$25,384$26,4201.3×
Anthem BCBS13$26,420$86,507$96,1223.6×
Cigna12$90,838$93,938$97,0381.1×
sentara health plan12$27,198$55,379$83,5603.1×
gateway - tier 311$91,647$91,647$91,6471.0×
connecticare11$94,342$94,342$94,3421.0×
vhn11$107,820$107,820$107,8201.0×
vhn - link11$121,297$121,297$121,2971.0×
vhn - plus11$103,777$103,777$103,7771.0×
vhn - secondary payors11$128,036$128,036$128,0361.0×
gateway - tier 111$128,036$128,036$128,0361.0×
vhn - ultra11$83,560$83,560$83,5601.0×
gateway - tier 211$107,820$107,820$107,8201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Medical CenterRoanokeVA15$134,775$47,171$19,977$86,507$128,036
Inova Alexandria HospitalAlexandriaVA0—————
Inova Loudoun Hospital CenterLeesburgVA0—————
Inova Fairfax HospitalFalls ChurchVA0—————
Inova Fair Oaks HospitalFairfaxVA0—————
Inova Mount Vernon HospitalAlexandriaVA0—————
Childrens Hospital Of The Kings DaNorfolkVA0—————

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.