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Hip & femur procedures except major joint w MCC

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

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Hospitals
20
Min
$15,974
Median
$21,051
Max
$35,205
Range multiplier
2.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$16,559$52,29420.5×
Blue Cross Blue Shield19141$6,314.26$21,885$60,0439.5×
UnitedHealthcare17130$1,147.00$15,974$52,29445.6×
Aetna1845$3,825.00$20,300$32,9828.6×
amerigroup mcaid replacement735$11,187$11,604$14,1901.3×
smart health830$10,900$30,828$32,1042.9×
health 2 business721$38,547$40,843$44,3181.1×
Humana1221$11,267$21,362$22,8632.0×
Medicare815$17,700$19,988$24,3161.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$24,747$38,33513.1×
wellpoint39$18,383$21,777$23,3071.3×
Medicare Advantage89$17,700$20,379$22,6121.3×
community plan88$13,875$13,875$13,8751.0×
point comfort underwriters77$15,930$18,341$19,9401.3×
nhc advantage77$17,700$20,379$22,1551.3×
healthspring mcr replacement77$17,700$20,379$22,1551.3×
centurion of tn77$17,700$20,379$22,1551.3×
optum va77$17,700$20,379$22,1551.3×
oscar77$33,611$33,611$33,6111.0×
amerigroup mcr replacement77$18,231$20,379$22,1551.2×
Self-Pay (Cash)77$17,700$20,379$22,1551.3×
river valley plan77$3,025.88$14,829$20,7816.9×
celtic insurance company77$29,009$35,205$38,3351.3×
farm bureau36$18,741$19,843$20,0921.1×
devoted health36$21,777$22,946$23,3071.1×
ascension complete66$19,036$20,391$22,1551.2×
TRICARE55$16,992$20,949$22,1971.3×
VA Health44$18,716$20,292$22,7431.2×
triwest va pccc33$17,700$19,036$19,0361.1×
amerigroup23$14,216$14,729$20,1761.4×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$19,1607.7×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$20,740$21,853$22,1971.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$21,777$22,946$23,3071.1×
harmony health plan11$20,176$20,176$20,1761.0×
generic hospice vbid [10940000101]11$22,612$22,612$22,6121.0×
devoted health [450111]11$23,290$23,290$23,2901.0×
tennessee rural health improvement association11$20,781$20,781$20,7811.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$14,829$35,205$49,655
Camden General HospitalCamdenTN6$14,829$34,408$49,655
West Tn Healthcare Volunteer HospitaMartinTN7$3,156.93$33,296$42,738
Jackson-Madison County General HospJacksonTN9$14,879$32,982$52,385
Dyersburg Regional Medical CenterDyersburgTN7$3,025.88$32,982$42,738
Milan General HospitalMilanTN8$14,829$24,964$49,655
Methodist H/C Memphis Hospt.MemphisTN15$106,662$23,466$1,397.00$22,612$52,638
Roane County Medical CenterHarrimanTN24$45.00$22,530$45,315
Fort Loudoun Medical CenterLenoir CityTN24$45.00$22,181$45,315
Morristown-Hamblen HospitalMorristownTN24$45.00$21,051$45,315
Henry County Medical CenterParisTN14$1,147.00$20,781$42,738
Saint Thomas Highland HospitalSpartaTN21$6,334.68$19,833$53,166
Saint Thomas West HospitalNashvilleTN22$8,343.00$18,832$60,043
Saint Thomas Rutherford HospitalMurfreesboroTN22$8,343.00$18,832$60,043
St Thomas Dekalb HospitalSmithvilleTN21$6,334.68$18,317$44,318
Ascension St Thomas River ParkMcminnvilleTN21$6,334.68$18,292$44,318
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$17,700$58,323
Saint Thomas Stones River HospitalWoodburyTN21$6,334.68$16,675$44,318
St Thomas Hickman HospitalCentervilleTN9$8,394.50$15,974$44,318
St Thomas AscensionNashvilleTN0$124,279$30,697

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.