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Major joint replacement w/o MCC

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

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Hospitals
20
Min
$11,840
Median
$14,495
Max
$24,556
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$15,285$34,63613.6×
Blue Cross Blue Shield19141$1,215.00$18,136$58,34548.0×
UnitedHealthcare17130$1,147.00$15,584$34,63630.2×
Aetna1852$3,825.00$19,970$43,68811.4×
amerigroup mcaid replacement735$7,610.17$7,894.00$9,652.641.3×
smart health830$10,900$20,418$21,0801.9×
health 2 business721$24,214$25,656$27,8391.1×
Humana1221$11,267$13,695$15,7391.4×
Medicare815$11,723$13,238$16,8671.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$16,390$26,2759.0×
wellpoint39$11,988$13,961$14,9421.2×
Medicare Advantage89$11,723$13,498$15,7391.3×
community plan88$8,943.87$8,943.87$8,943.871.0×
point comfort underwriters77$10,551$12,148$13,2071.3×
nhc advantage77$11,723$13,498$14,6741.3×
healthspring mcr replacement77$11,723$13,498$14,6741.3×
centurion of tn77$11,723$13,498$14,6741.3×
optum va77$11,723$13,498$14,6741.3×
oscar77$22,261$22,261$22,2611.0×
amerigroup mcr replacement77$12,075$13,498$14,6741.2×
Self-Pay (Cash)77$11,723$13,498$14,6741.3×
river valley plan77$2,004.13$9,821.96$14,2447.1×
celtic insurance company77$19,214$23,348$26,2751.4×
farm bureau36$11,959$12,662$12,8211.1×
devoted health36$13,961$14,711$14,9421.1×
ascension complete66$12,608$13,506$14,6741.2×
TRICARE55$11,254$13,875$14,2311.3×
VA Health44$12,396$13,888$15,0631.2×
triwest va pccc33$11,723$12,608$12,6081.1×
amerigroup23$9,670.62$10,095$13,8291.4×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$13,0345.2×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$13,297$14,010$14,2311.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$13,961$14,711$14,9421.1×
harmony health plan11$13,829$13,829$13,8291.0×
generic hospice vbid [10940000101]11$15,739$15,739$15,7391.0×
devoted health [450111]11$16,211$16,211$16,2111.0×
tennessee rural health improvement association11$14,244$14,244$14,2441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$9,821.96$24,556$37,513
Camden General HospitalCamdenTN6$9,821.96$23,409$37,513
West Tn Healthcare Volunteer HospitaMartinTN7$2,090.93$22,053$37,604
Jackson-Madison County General HospJacksonTN9$9,854.75$21,845$50,904
Dyersburg Regional Medical CenterDyersburgTN7$2,004.13$21,845$38,000
Milan General HospitalMilanTN8$9,821.96$16,535$37,513
St Thomas Hickman HospitalCentervilleTN9$7,610.17$15,974$51,663
Methodist H/C Memphis Hospt.MemphisTN15$64,995$14,299$1,215.00$15,739$51,150
Saint Thomas Stones River HospitalWoodburyTN21$6,155.57$14,674$43,688
Saint Thomas Highland HospitalSpartaTN21$6,155.57$14,495$51,663
Roane County Medical CenterHarrimanTN24$45.00$14,444$29,052
Henry County Medical CenterParisTN14$1,147.00$14,244$28,306
Fort Loudoun Medical CenterLenoir CityTN24$45.00$14,220$29,052
Saint Thomas West HospitalNashvilleTN22$7,610.17$13,695$58,345
Saint Thomas Rutherford HospitalMurfreesboroTN22$7,610.17$13,695$58,345
Ascension St Thomas River ParkMcminnvilleTN21$6,155.57$13,648$51,663
St Thomas Dekalb HospitalSmithvilleTN21$6,155.57$13,498$51,663
Morristown-Hamblen HospitalMorristownTN24$45.00$13,496$29,052
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$11,840$56,674
St Thomas AscensionNashvilleTN0$73,716$18,208

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.