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Major joint replacement w/o MCC

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

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Hospitals
6
Min
$14,295
Median
$16,659
Max
$19,290
Range multiplier
1.3×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS413$12,527$17,112$27,0622.2×
Aetna511$11,901$15,010$17,9051.5×
UnitedHealthcare510$12,542$18,297$28,4182.3×
WellCare59$12,277$16,659$23,5871.9×
Humana48$12,527$15,052$17,1121.4×
Blue Cross Blue Shield14$13,809$19,862$22,1791.6×
optum ccn region 133$16,659$16,659$17,1121.0×
Molina33$12,778$12,778$16,1241.3×
optum ccn region 233$16,659$16,659$17,1121.0×
amerihealth12$11,862$15,576$19,2901.6×
caresoure kentucky22$27,988$28,368$28,7481.0×
the health plan12$13,154$14,907$16,6591.3×
partners11$19,290$19,290$19,2901.0×
trillium11$19,868$19,868$19,8681.0×
alliance coal11$21,443$21,443$21,4431.0×
va community care network11$14,295$14,295$14,2951.0×
vaya11$19,483$19,483$19,4831.0×
amerigroup11$14,295$14,295$14,2951.0×
alliance11$19,676$19,676$19,6761.0×
Ambetter11$13,581$13,581$13,5811.0×
beacon health11$12,542$12,542$12,5421.0×
CareSource11$19,298$19,298$19,2981.0×
carolina complete11$19,290$19,290$19,2901.0×
christian county health dept-cchd11$12,542$12,542$12,5421.0×
Cigna11$14,295$14,295$14,2951.0×
healthy blue11$19,290$19,290$19,2901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baptist Health LexingtonLexingtonKY12$11,862$19,290$28,418
Hazard ArhHazardKY9$15,018$17,112$28,748
Highlands Regional Medical CenterPrestonsburgKY8$11,901$16,659$24,204
Tug Valley ArhSouth WilliamsonKY10$11,901$16,659$27,988
Jennie Stuart Medical CenterHopkinsvilleKY12$11,915$14,295$23,587
Spring View HospitalLebanonKY0$64,336$25,734

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.