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Hip & femur procedures except major joint w MCC

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

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Hospitals
10
Min
$26,936
Median
$35,683
Max
$91,532
Range multiplier
3.4×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna923$21,044$48,953$91,6014.4×
Empire BCBS422$22,176$68,979$349,46115.8×
UnitedHealthcare821$26,866$38,483$349,46113.0×
Cigna717$28,408$72,333$349,46112.3×
Emblem Health516$28,408$79,357$349,46112.3×
Humana88$26,936$31,231$349,46113.0×
Medicare16$21,818$26,936$26,9361.2×
Blue Cross Blue Shield46$26,936$30,375$50,1971.9×
oxford35$30,902$94,449$349,46111.3×
Healthfirst35$30,902$40,014$349,46111.3×
WellCare55$28,834$31,556$349,46112.1×
cdphp24$28,408$66,413$107,5083.8×
oscar34$62,504$62,504$71,8811.2×
geisinger health plan24$28,408$47,504$69,9522.5×
fidelis44$28,977$35,863$349,46112.1×
magnacare33$47,624$98,269$112,6772.4×
mvp33$28,408$31,090$31,3731.1×
local 119933$63,511$77,698$87,3691.4×
horizon12$70,044$76,224$82,4041.2×
vns22$40,014$194,737$349,4618.7×
metroplus22$40,014$194,737$349,4618.7×
upmc22$28,408$29,749$31,0901.1×
health first22$28,408$29,749$31,0901.1×
wellpath11$47,059$47,059$47,0591.0×
1199seiu national benefit funds11$44,712$44,712$44,7121.0×
brighton11$84,806$84,806$84,8061.0×
capital district physicians' health plan11$31,373$31,373$31,3731.0×
elderplan11$349,461$349,461$349,4611.0×
elderplan 131611$26,936$26,936$26,9361.0×
emblemhealth11$34,354$34,354$34,3541.0×
fidelis care11$31,373$31,373$31,3731.0×
longevity11$30,902$30,902$30,9021.0×
northwell direct11$64,071$64,071$64,0711.0×
prime health services11$31,090$31,090$31,0901.0×
st. regis11$31,373$31,373$31,3731.0×
VA Health11$31,373$31,373$31,3731.0×
1199 seiu11$30,017$30,017$30,0171.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$30,017$91,532$349,461
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$40,014$71,881$114,742
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$21,044$71,695$124,553
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$22,176$62,504$112,491
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$26,866$35,683$47,624
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$32,142$32,142$32,142
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$29,660$31,373$70,490
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$31,090$31,090$112,677
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$28,408$28,408$108,039
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$26,936$21,818$26,936$38,483

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.