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Major joint replacement w/o MCC

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

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Hospitals
37
Min
$50.67
Median
$16,144
Max
$26,604
Range multiplier
525.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare3475$50.67$20,324$45,577899.5×
Aetna3370$50.67$22,263$44,128870.9×
medical mutual of ohio2457$50.67$24,297$40,455798.4×
Anthem BCBS1747$50.67$22,586$38,695763.7×
Blue Cross Blue Shield1845$8,680.05$22,730$38,1694.4×
Cigna2335$50.67$20,033$38,937768.5×
Molina2934$50.67$15,384$32,411639.7×
Humana3031$50.00$14,748$22,263445.3×
CareSource2831$91.21$16,270$40,073439.4×
the health plan2130$50.67$18,953$32,044632.4×
summacare1725$50.67$20,033$33,302657.2×
devoted health2222$50.67$14,898$22,263439.4×
aultcare1418$39.00$22,718$30,326777.6×
WellCare1515$50.67$14,646$22,263439.4×
perennial advantage of ohio1313$53.20$14,126$23,376439.4×
Ambetter1313$91.21$24,216$40,073439.4×
medigold1313$14,381$15,420$20,3231.4×
paramount1313$52.19$13,857$22,931439.4×
primetime health plan1313$50.67$13,454$22,263439.4×
valor health plans1313$53.20$14,126$23,376439.4×
medical mutual611$65.00$14,498$39,298604.6×
university health employee plan (contigo)1010$17,875$17,875$22,1581.2×
jp farley1010$10,978$21,609$26,6042.4×
allwell99$14,165$15,420$20,3231.4×
buckeye47$2,669.00$17,257$24,2939.1×
custom design benefits36$36,279$38,691$43,3931.2×
medben35$40,409$43,573$48,2521.2×
Medicare15$13,980$13,980$22,3681.6×
healthsmart14$55.00$85.00$85.001.5×
oscar33$17,987$19,189$22,2421.2×
imagine health33$35,369$36,285$40,1811.1×
optum33$14,748$15,129$16,7541.1×
buckeye health plan23$15,133$15,827$25,7271.7×
buckeye community health plan23$15,349$31,902$31,9022.1×
essence healthcare33$14,748$15,129$16,7541.1×
amish church fund12$50.00$52.50$55.001.1×
mi amish medical board11$16,077$16,077$16,0771.0×
valor health plan11$15,133$15,133$15,1331.0×
perennial advantage11$15,890$15,890$15,8901.0×
gateway health11$15,656$15,656$15,6561.0×
prime time health plan11$15,951$15,951$15,9511.0×
medishare11$85.00$85.00$85.001.0×
sidecar health11$42,210$42,210$42,2101.0×
First Health11$78.00$78.00$78.001.0×
valor health11$15,951$15,951$15,9511.0×
TRICARE11$19,419$19,419$19,4191.0×
care source just4me11$27,628$27,628$27,6281.0×
care source11$15,656$15,656$15,6561.0×
mount carmel health plan11$15,827$15,827$15,8271.0×
ohio health choice11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fulton County Health CenterWauseonOH1$8,680.05$8,680.05$8,680.05
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$32,411
Uh Geauga Medical CenterChardonOH17$50.67$50.67$40,765
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$40,765
University Hospitals Avon Rehab HospAvonOH20$20,033$26,604$41,534
Uh Cleveland Medical CenterClevelandOH20$20,033$26,604$41,534
University Hospitals Rehab HospitalBeachwoodOH20$20,033$26,604$41,534
Good Samaritan HospitalCincinnatiOH17$16,754$24,293$48,252
Uh Geneva Medical CenterGenevaOH8$10,978$24,276$45,577
Fort Hamilton HospitalHamiltonOH14$15,133$23,389$39,673
Uh Conneaut Medical CenterConneautOH8$10,978$22,826$40,765
Bethesda HospitalCincinnatiOH17$15,129$22,730$43,573
Uh St. John Medical CenterWestlakeOH20$10,978$22,263$41,946
Uh Ahuja Medical CenterBeachwoodOH20$13,454$21,246$39,441
Adena Regional Medical CenterChillicotheOH12$15,349$20,491$42,210
Doctors HospitalColumbusOH11$20,323$20,323$44,128
Rainbow Babies & Childrens HospitalClevelandOH15$20,033$20,033$21,034
Uh Elyria Medical CenterElyriaOH20$13,139$18,291$26,727
Mccullough-Hyde Memorial HospitalOxfordOH15$14,748$17,987$40,409
Grant Medical CenterColumbusOH12$17,873$17,873$41,728
Riverside Methodist HospitalColumbusOH12$16,190$16,190$41,728
Madison HealthLondonOH10$15,827$16,144$25,324
Alliance Community HospitalAllianceOH11$69.00$15,951$32,411
Grady Memorial HospitalDelawareOH10$15,661$15,661$16,287
Dublin Methodist HospitalDublinOH12$15,420$15,420$41,728
Berger HospitalCirclevilleOH10$14,662$14,662$39,575
Uh Samaritan Medical CenterAshlandOH17$14,646$14,646$26,364
Marion General HospitalMarionOH10$14,498$14,498$15,077
Obleness Memorial HospitalAthensOH12$14,381$14,381$14,525
St. Lukes HospitalMaumeeOH6$72,269$36,134$13,125$14,202$22,368
Medcentral Health SystemMansfieldOH8$14,165$14,165$14,732
Uh Parma Medical CenterParmaOH19$13,299$13,963$28,450
Lake Hospital SystemConcordOH19$12,730$13,367$24,512
Uh Portage Medical CenterRavennaOH19$12,730$13,367$31,380
Wilson Memorial HospitalSidneyOH0$82,619$41,310
Wayne Hospital CompanyGreenvilleOH0$53,492$40,119

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.