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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in FL

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Hospitals
4
Min
$17,191
Median
$32,123
Max
$32,123
Range multiplier
1.9×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18$2,105$11,438$17,5968.4×
UnitedHealthcare13$15,566$17,296$17,3631.1×
Aetna23$17,707$32,123$32,8201.9×
prime health services12$41,760$44,973$48,1851.2×
Humana22$17,707$24,594$31,4811.8×
facility billing - op11$17,191$17,191$17,1911.0×
healthspring mcr replacement11$17,535$17,535$17,5351.0×
ilumed aco reach11$32,123$32,123$32,1231.0×
Medicare11$17,191$17,191$17,1911.0×
occunet11$38,681$38,681$38,6811.0×
Oscar Health11$27,506$27,506$27,5061.0×
palm beach aco reach11$31,160$31,160$31,1601.0×
simply healthcare11$32,123$32,123$32,1231.0×
smarthealth11$17,363$17,363$17,3631.0×
sunshine state health plan11$32,123$32,123$32,1231.0×
triwest11$17,191$17,191$17,1911.0×
velocity provider ppo network11$38,548$38,548$38,5481.0×
WellCare11$17,191$17,191$17,1911.0×
aarp mcr hmo11$17,191$17,191$17,1911.0×
wellmed11$32,123$32,123$32,1231.0×
alignment health11$32,123$32,123$32,1231.0×
Ambetter11$28,366$28,366$28,3661.0×
blue mcr replacement11$17,191$17,191$17,1911.0×
Cigna11$11,580$11,580$11,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL10$31,160$32,123$48,185
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$2,105$17,191$38,681
WELLINGTON REGL MEDICAL CENTERWEST PALM BEACHFL0
LAKEWOOD RANCH MEDICAL CENTERBRADENTONFL0

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.