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Major joint replacement w MCC

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

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Hospitals
12
Min
$80.76
Median
$29,362
Max
$59,739
Range multiplier
739.7×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1038$83.60$49,452$110,4491321.2×
UnitedHealthcare920$80.76$50,404$103,6181283.0×
Aetna815$80.15$30,890$118,7581481.7×
Humana912$60.00$28,208$32,580543.0×
Kaiser Permanente612$25,903$29,833$66,3582.6×
Cigna711$84.30$56,639$92,7501100.2×
Molina610$25,903$31,190$60,1142.3×
first choice48$62.00$80,740$94,5921525.7×
providence health plan58$60.60$29,732$67,6401116.2×
coordinated care46$26,321$47,952$55,4822.1×
Health Net23$29,959$32,580$106,2653.5×
pacificsource13$30,524$43,284$57,9041.9×
moda23$90.40$29,906$31,655350.2×
community health plan33$29,906$41,445$47,9841.6×
amerigroup33$28,493$29,906$32,9891.2×
First Health22$65.00$80.00$95.001.5×
community health plan of washington22$28,493$30,741$32,9891.2×
Medicare Advantage12$29,122$29,122$29,1221.0×
the health plan12$15,267$20,927$26,5881.7×
devoted health11$29,677$29,677$29,6771.0×
healthcare partners11$32,580$32,580$32,5801.0×
community health network of wa [1055]11$49,427$49,427$49,4271.0×
chp advantage [4001]11$33,397$33,397$33,3971.0×
Anthem BCBS11$26,588$26,588$26,5881.0×
central health plan11$32,580$32,580$32,5801.0×
atrio11$29,111$29,111$29,1111.0×
Multiplan11$64,920$64,920$64,9201.0×
optum ccn region 111$26,588$26,588$26,5881.0×
optum ccn region 211$26,588$26,588$26,5881.0×
asuris truadvantage [4011]11$29,122$29,122$29,1221.0×
phcs11$45,337$45,337$45,3371.0×
asuris11$29,362$29,362$29,3621.0×
scan11$32,580$32,580$32,5801.0×
WellCare11$26,588$26,588$26,5881.0×
umr11$41,276$41,276$41,2761.0×
first choice health network11$75.00$75.00$75.001.0×
Empire BCBS11$32,580$32,580$32,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence Mount Carmel HospitalColvilleWA4$91.37$94.70$100.00
St. Lukes Rehabilitation Inst.SpokaneWA5$73.90$80.76$84.30
Overlake Hospital Medical CenterBellevueWA11$26,321$59,739$81,593
Swedish Medical CenterSeattleWA14$60.00$46,485$118,758
Providence Holy Family HospitalSpokaneWA13$75.00$34,969$76,793
Providence St Josephs HospitalChewelahWA11$32,580$32,580$106,265
Legacy Salmon Creek HospitalVancouverWA12$29,111$31,655$83,413
Kadlec Regional Medical CenterRichlandWA15$60.60$29,362$88,681
Wenatchee Valley HospitalWenatcheeWA7$109,046$109,046$26,606$29,122$60,114
Valley Medical CenterRentonWA1$129,584$90,709$27,923$27,923$27,923
East Adams Rural HospitalRitzvilleWA10$15,267$26,588$62,775
Kfh - WashingtonSeattleWA0

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.