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Hip & femur procedures except major joint w MCC

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

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Hospitals
7
Min
$21,583
Median
$25,153
Max
$30,088
Range multiplier
1.4×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS517$19,632$25,836$40,8592.1×
Aetna613$13,824$22,662$25,8361.9×
UnitedHealthcare612$19,563$25,494$44,3272.3×
WellCare611$19,563$25,153$35,6121.8×
Humana510$19,632$24,963$25,8361.3×
Blue Cross Blue Shield14$21,540$30,980$34,5951.6×
Molina44$20,025$22,647$25,6561.3×
optum ccn region 144$25,153$25,153$25,8361.0×
optum ccn region 244$25,153$25,153$25,8361.0×
caresoure kentucky22$42,257$42,830$43,4041.0×
amerihealth12$18,502$24,295$30,0881.6×
healthy blue11$30,088$30,088$30,0881.0×
partners11$30,088$30,088$30,0881.0×
trillium11$30,991$30,991$30,9911.0×
alliance coal11$32,375$32,375$32,3751.0×
va community care network11$21,583$21,583$21,5831.0×
vaya11$30,389$30,389$30,3891.0×
amerigroup11$21,583$21,583$21,5831.0×
alliance11$30,690$30,690$30,6901.0×
Ambetter11$21,184$21,184$21,1841.0×
beacon health11$19,563$19,563$19,5631.0×
CareSource11$29,137$29,137$29,1371.0×
carolina complete11$30,088$30,088$30,0881.0×
christian county health dept-cchd11$19,563$19,563$19,5631.0×
Cigna11$21,583$21,583$21,5831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$13,824$30,088$44,327
HAZARD ARHHAZARDKY9$23,535$25,836$43,404
HARLAN ARHHARLANKY9$18,651$25,153$42,257
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY8$18,651$25,153$36,544
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY8$22,638$25,153$40,859
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$18,584$21,583$35,612
SPRING VIEW HOSPITALLEBANONKY0$77,000$30,800

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.