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Hip & femur procedures except major joint w MCC

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

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Hospitals
13
Min
$75
Median
$87
Max
$23,138
Range multiplier
308.5×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield525$55$87$50,923925.9×
Aetna523$45.6$75$58,9531292.8×
UnitedHealthcare514$74.3$20,270$48,810656.9×
healthlink [225]412$48.5$65$75.51.6×
allied benefits [498]412$58$74.3$58,9531016.4×
Cigna412$60.9$20,168$34,363564.3×
cox health systems insurance company [220]412$55$60$741.3×
consociate [478]48$19,217$30,203$34,7351.8×
phcs [244]48$75$77.5$801.1×
unicare [568]48$65$70.25$75.51.2×
med-pay [480]48$65$70$751.2×
healthscope benefits [258]47$65$7,743.38$48,810750.9×
Humana36$66.5$22,619$29,916449.9×
sarah bush lincoln [636]45$7,743.38$34,735$34,7354.5×
preferred health professionals [561]44$75.5$75.5$75.51.0×
priority health [648]44$68.7$29,792$34,363500.2×
health alliance [224]44$19,622$33,401$33,4011.7×
health systems inc [620]44$75$75$751.0×
healthcare sol mercy [609]44$75$75$751.0×
detego health [868]44$75$75$751.0×
beechstreet [551]44$75$75$751.0×
hfn [563]44$80$80$851.1×
hope trust [806]44$58$58$581.0×
mail handlers [495]44$60.3$40,696$58,953977.7×
First Health44$74.3$74.3$74.31.0×
medica [661]44$80$80$801.0×
fmh benefit service inc [222]44$60.3$40,696$58,953977.7×
apwu health plan [216]44$68.7$29,792$34,363500.2×
Multiplan44$75$75$751.0×
nalc health benefit plan [242]44$68.7$29,792$34,363500.2×
coresource [497]44$60.3$40,696$58,953977.7×
cox health [757]33$21,526$23,067$24,4341.1×
essence healthcare [221]33$20,501$21,968$23,2701.1×
devoted health plan [847]33$21,526$23,067$24,4341.1×
medica [662]33$21,526$23,067$24,4341.1×
mh magellan health services [270]22$100$100$1001.0×
osfdan11$75$75$751.0×
bakersfield school district (smbc)11$2,356$2,356$2,3561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$75,658$45,395$48.5$93.5$50,923
PROGRESS WEST HOSPITALOFALLONMO36$96,375$57,825$48.5$87$50,923
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO30$73,976$44,385$48.5$75.5$58,953
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO1$75$75$75
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$55,490$33,294$45.6$75$50,923
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO1$43,685$43,685$2,356$2,356$2,356
SAINT FRANCIS MEDICAL CENTERCAPE GIRARDEAUMO3$20,040$23,138$34,707
COX-MONETT HOSPITALMONETTMO0
COX MEDICAL CENTER BRANSONBRANSONMO0
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0
COXHEALTHSPRINGFIELDMO0
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0

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.