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Major joint replacement w MCC

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

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Hospitals
5
Min
$3,311.91
Median
$37,107
Max
$40,865
Range multiplier
12.3×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield511$3,311.91$40,865$92,37027.9×
mvp34$3,311.91$35,548$76,59923.1×
UnitedHealthcare34$32,622$37,025$115,8393.6×
Cigna33$36,392$51,708$90,3312.5×
Anthem BCBS13$36,392$36,392$50,9481.4×
Aetna22$32,622$35,140$37,6581.2×
capital district physicians' health plan12$32,622$59,131$85,6402.6×
fidelis care12$40,777$40,777$40,7771.0×
Humana22$33,201$34,796$36,3921.1×
VA Health22$32,622$35,140$37,6581.2×
wellsense12$27,138$33,038$38,9391.4×
harvard pilgrim health care11$36,392$36,392$36,3921.0×
mvp healthcare11$36,392$36,392$36,3921.0×
new hampshire healthy families11$27,138$27,138$27,1381.0×
st. regis11$32,622$32,622$32,6221.0×
amerihealth-caritas11$27,138$27,138$27,1381.0×
wellpath11$48,933$48,933$48,9331.0×
WellCare11$38,211$38,211$38,2111.0×
martin's point11$36,392$36,392$36,3921.0×
martins point11$32,622$32,622$32,6221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PORTER HOSPITALMIDDLEBURYVT2$33,201$40,865$40,865
CENTRAL VERMONT HOSPITALBARREVT6$37,658$38,035$76,422
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT11$32,622$37,107$115,839
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT12$27,138$36,392$50,948
NORTH COUNTRY HOSPITAL & HEALTH CTRNEWPORTVT2$3,311.91$3,311.91$3,311.91

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.