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Major joint replacement w/o MCC

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

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Hospitals
11
Min
$18,072
Median
$22,572
Max
$60,624
Range multiplier
3.4×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1025$2,892$28,145$60,67021.0×
Empire BCBS525$14,688$44,452$333,72722.7×
UnitedHealthcare923$2,276$22,572$333,727146.6×
Emblem Health619$19,044$40,218$333,72717.5×
Cigna717$19,044$47,908$333,72717.5×
Humana88$18,072$20,630$333,72718.5×
oxford47$2,276$56,575$333,727146.6×
Healthfirst46$20,534$24,674$333,72716.3×
Blue Cross Blue Shield46$18,072$19,579$32,1811.8×
Medicare16$14,638$18,072$18,0721.2×
WellCare66$19,330$21,805$333,72717.3×
fidelis55$19,425$22,572$333,72717.2×
mvp45$2,855$20,113$22,5727.9×
magnacare44$3,506$46,619$74,62921.3×
geisinger health plan24$19,044$31,788$46,6352.4×
oscar34$41,398$41,398$47,6091.2×
cdphp24$19,044$42,823$71,2053.7×
vns33$22,572$26,776$333,72714.8×
local 119933$42,065$49,579$57,8671.4×
1199 seiu22$19,881$20,033$20,1851.0×
health first22$19,044$19,885$20,7271.1×
horizon12$46,392$50,485$54,5781.2×
metroplus22$26,776$180,251$333,72712.5×
upmc22$19,044$19,885$20,7271.1×
emblemhealth11$22,025$22,025$22,0251.0×
1199seiu national benefit funds11$28,665$28,665$28,6651.0×
elderplan 131611$18,072$18,072$18,0721.0×
northwell direct11$42,436$42,436$42,4361.0×
elderplan11$333,727$333,727$333,7271.0×
centers plan for healthy living11$22,572$22,572$22,5721.0×
partners health plan11$22,572$22,572$22,5721.0×
prime health services11$20,727$20,727$20,7271.0×
st. regis11$20,113$20,113$20,1131.0×
capital district physicians' health plan11$20,113$20,113$20,1131.0×
wellpath11$30,170$30,170$30,1701.0×
VA Health11$20,113$20,113$20,1131.0×
brighton11$56,170$56,170$56,1701.0×
longevity11$20,534$20,534$20,5341.0×
fidelis care11$20,113$20,113$20,1131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$19,881$60,624$333,727
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$26,776$47,609$75,997
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$21,044$47,486$82,495
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$14,688$41,398$74,506
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$17,224$22,877$30,532
ST. JOSEPHS MEDICAL CENTERYONKERSNY14$56,986$2,276$22,572$63,349
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$21,481$21,481$21,481
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$20,727$20,727$74,629
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$19,015$20,113$45,192
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$19,044$19,044$68,940
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$18,072$14,638$18,072$25,488

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.