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Major joint replacement w/o MCC

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

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Hospitals
4
Min
$11,540
Median
$32,123
Max
$32,123
Range multiplier
2.8×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18$2,105$11,438$17,5968.4×
UnitedHealthcare13$11,500$15,566$17,2961.5×
Aetna23$11,728$32,123$44,6263.8×
prime health services12$41,760$44,973$48,1851.2×
Humana22$11,728$21,604$31,4812.7×
facility billing - op11$11,386$11,386$11,3861.0×
healthspring mcr replacement11$11,614$11,614$11,6141.0×
ilumed aco reach11$32,123$32,123$32,1231.0×
Medicare11$11,386$11,386$11,3861.0×
occunet11$25,619$25,619$25,6191.0×
Oscar Health11$18,218$18,218$18,2181.0×
palm beach aco reach11$31,160$31,160$31,1601.0×
simply healthcare11$32,123$32,123$32,1231.0×
smarthealth11$11,500$11,500$11,5001.0×
sunshine state health plan11$32,123$32,123$32,1231.0×
triwest11$11,386$11,386$11,3861.0×
velocity provider ppo network11$38,548$38,548$38,5481.0×
WellCare11$11,386$11,386$11,3861.0×
aarp mcr hmo11$11,386$11,386$11,3861.0×
wellmed11$32,123$32,123$32,1231.0×
alignment health11$32,123$32,123$32,1231.0×
Ambetter11$18,788$18,788$18,7881.0×
blue mcr replacement11$11,386$11,386$11,3861.0×
Cigna11$11,580$11,580$11,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL10$31,160$32,123$48,185
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$2,105$11,540$44,626
WELLINGTON REGL MEDICAL CENTERWEST PALM BEACHFL0
LAKEWOOD RANCH MEDICAL CENTERBRADENTONFL0

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.