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Major joint replacement w/o MCC

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

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Hospitals
12
Min
$75
Median
$93.5
Max
$15,909
Range multiplier
212.1×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield419$85$13,578$32,825386.2×
Aetna419$45.6$75$24,702541.7×
UnitedHealthcare412$74.3$15,484$32,328435.1×
Cigna39$60.9$10,469$18,710307.2×
allied benefits [498]39$58$74.3$24,702425.9×
cox health systems insurance company [220]39$55$55$651.2×
healthlink [225]39$48.5$65$75.51.6×
med-pay [480]36$65$70$751.2×
Humana36$66.5$15,484$37,912570.1×
unicare [568]36$65$70.25$75.51.2×
consociate [478]36$20,246$21,765$23,2841.2×
phcs [244]36$75$77.5$801.1×
healthscope benefits [258]34$65$31,285$32,328497.4×
sarah bush lincoln [636]34$23,284$23,284$31,2851.3×
essence healthcare [221]33$13,578$14,965$16,0021.2×
fmh benefit service inc [222]33$60.3$24,702$24,702409.7×
health alliance [224]33$21,414$21,414$21,4141.0×
health systems inc [620]33$75$75$751.0×
healthcare sol mercy [609]33$75$75$751.0×
devoted health plan [847]33$14,257$15,714$16,8021.2×
beechstreet [551]33$75$75$751.0×
apwu health plan [216]33$68.7$18,710$18,710272.3×
First Health33$74.3$74.3$74.31.0×
hfn [563]33$80$80$801.0×
hope trust [806]33$58$58$581.0×
detego health [868]33$75$75$751.0×
mail handlers [495]33$60.3$24,702$24,702409.7×
cox health [757]33$14,257$15,714$16,8021.2×
medica [661]33$80$80$801.0×
medica [662]33$14,257$15,714$16,8021.2×
Multiplan33$75$75$751.0×
nalc health benefit plan [242]33$68.7$18,710$18,710272.3×
coresource [497]33$60.3$24,702$24,702409.7×
preferred health professionals [561]33$75.5$75.5$75.51.0×
priority health [648]33$68.7$18,710$18,710272.3×
mh magellan health services [270]22$100$100$1001.0×
bakersfield school district (smbc)11$2,356$2,356$2,3561.0×
osfdan11$75$75$751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$55,479$33,287$48.5$93.5$37,912
PROGRESS WEST HOSPITALOFALLONMO36$54,557$32,734$48.5$87$37,912
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$48,415$29,049$45.6$75$32,825
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO1$75$75$75
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO1$28,934$28,934$2,356$2,356$2,356
SAINT FRANCIS MEDICAL CENTERCAPE GIRARDEAUMO3$13,779$15,909$23,864
COX MEDICAL CENTER BRANSONBRANSONMO0
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0
COX-MONETT HOSPITALMONETTMO0
COXHEALTHSPRINGFIELDMO0
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0

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.