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Major joint replacement w/o MCC

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

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Hospitals
12
Min
$80.76
Median
$18,927
Max
$35,829
Range multiplier
443.7×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1038$83.6$31,528$65,349781.7×
UnitedHealthcare1022$80.76$30,295$59,774740.1×
Aetna916$80.15$19,625$53,045661.8×
Humana912$60$18,205$20,892348.2×
Kaiser Permanente612$16,027$20,207$42,1992.6×
Cigna711$84.3$36,018$53,505634.7×
Molina610$16,675$20,207$38,6742.3×
first choice48$62$47,771$58,250939.5×
providence health plan58$60.6$19,264$43,014709.8×
coordinated care46$16,955$31,041$36,1152.1×
Health Net23$19,563$20,892$61,3013.1×
pacificsource13$19,933$27,525$36,8231.8×
moda23$90.4$19,278$20,671228.7×
community health plan33$19,278$26,680$31,2341.6×
amerigroup33$18,342$19,278$21,4741.2×
First Health22$65$80$951.5×
community health plan of washington22$18,342$19,908$21,4741.2×
Medicare Advantage12$18,735$18,735$18,7351.0×
Multiplan22$1,600$21,442$41,28425.8×
the health plan12$10,225$13,567$16,9081.7×
healthcare partners11$20,892$20,892$20,8921.0×
community health network of wa [1055]11$31,799$31,799$31,7991.0×
chp advantage [4001]11$21,486$21,486$21,4861.0×
umr11$26,248$26,248$26,2481.0×
central health plan11$20,892$20,892$20,8921.0×
atrio11$19,010$19,010$19,0101.0×
Anthem BCBS11$16,908$16,908$16,9081.0×
optum ccn region 111$16,908$16,908$16,9081.0×
optum ccn region 211$16,908$16,908$16,9081.0×
asuris truadvantage [4011]11$18,735$18,735$18,7351.0×
phcs11$28,831$28,831$28,8311.0×
asuris11$18,927$18,927$18,9271.0×
scan11$20,892$20,892$20,8921.0×
WellCare11$16,908$16,908$16,9081.0×
first choice health network11$75$75$751.0×
Empire BCBS11$20,892$20,892$20,8921.0×
devoted health11$19,379$19,379$19,3791.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PROVIDENCE MOUNT CARMEL HOSPITALCOLVILLEWA4$91.37$94.7$100
ST. LUKES REHABILITATION INST.SPOKANEWA5$73.9$80.76$84.3
OVERLAKE HOSPITAL MEDICAL CENTERBELLEVUEWA11$16,955$35,829$51,887
PROVIDENCE HOLY FAMILY HOSPITALSPOKANEWA13$75$26,523$44,300
SWEDISH MEDICAL CENTERSEATTLEWA14$60$23,751$65,349
PROVIDENCE ST JOSEPHS HOSPITALCHEWELAHWA11$20,892$20,892$61,301
LEGACY SALMON CREEK HOSPITALVANCOUVERWA12$19,010$20,671$53,045
KADLEC REGIONAL MEDICAL CENTERRICHLANDWA15$60.6$18,927$51,157
WENATCHEE VALLEY HOSPITALWENATCHEEWA7$75,886$75,886$16,919$18,735$38,674
VALLEY MEDICAL CENTERRENTONWA4$97,787$68,451$1,600$17,890$34,630
EAST ADAMS RURAL HOSPITALRITZVILLEWA10$10,225$16,908$39,921
KFH - WASHINGTONSEATTLEWA0

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.