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Major joint replacement w/o MCC

MS-DRG 470 · negotiated-rate distribution across hospitals in CO

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Hospitals
3
Min
$11,994
Median
$31,802
Max
$31,802
Range multiplier
2.7×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$9,216.46$12,175$29,3373.2×
prime health services12$41,343$44,523$47,7041.2×
amerihealth caritas pennsylvania11$31,802$31,802$31,8021.0×
Centene11$31,802$31,802$31,8021.0×
employer direct healthcare11$12,363$12,363$12,3631.0×
geisinger11$32,438$32,438$32,4381.0×
Humana11$12,175$12,175$12,1751.0×
presbyterian of nm: mcd11$11,994$11,994$11,9941.0×
presbyterian of nm: mcr ppo11$8,729.07$8,729.07$8,729.071.0×
presbyterian of nm: php salud plan11$7,909.81$7,909.81$7,909.811.0×
prime health services work comp11$11,836$11,836$11,8361.0×
provider partners health plan11$31,802$31,802$31,8021.0×
rocky mountain health plan: mcd11$21.91$21.91$21.911.0×
rocky mountain health plan: mcr adv11$12,175$12,175$12,1751.0×
southwest health alliance11$22,136$22,136$22,1361.0×
velocity provider ppo network11$38,163$38,163$38,1631.0×
Aetna11$31,802$31,802$31,8021.0×
vibra health plan11$31,802$31,802$31,8021.0×
albright care services11$31,802$31,802$31,8021.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pam Specialty Hospital Of DenverDenverCO10$29,337$31,802$47,704
Animas Surgical HospitalDurangoCO10$22,136$21.91$11,994$22,136
Vail Valley Medical CenterVailCO0$20,288$15,216

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.