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Hip & femur procedures except major joint w MCC

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

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Hospitals
9
Min
$40,630
Median
$74,067
Max
$83,059
Range multiplier
2.0×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield121$21,667$81,524$81,5243.8×
UnitedHealthcare320$8,972.00$23,642$103,90011.6×
Aetna312$22,426$41,973$84,4013.8×
Cigna39$22,751$57,305$91,5194.0×
Humana38$22,142$26,009$74,6963.4×
Anthem BCBS26$25,367$86,650$100,2654.0×
sentara health plan24$26,113$48,343$78,8083.0×
Medicare13$22,101$22,101$22,7511.0×
gateway - tier 222$87,913$94,801$101,6881.2×
gateway - tier 322$74,726$80,581$86,4351.2×
gateway - tier 122$104,397$112,576$120,7551.2×
vhn22$87,913$94,801$101,6881.2×
vhn - link22$98,903$106,651$114,3991.2×
vhn - plus22$84,617$91,246$97,8751.2×
vhn - secondary payors22$104,397$112,576$120,7551.2×
vhn - ultra22$68,133$73,471$78,8081.2×
connecticare22$76,924$82,951$88,9771.2×
first choice vip care plus [4833]11$22,751$22,751$22,7511.0×
pai [3082]11$81,524$81,524$81,5241.0×
select health of sc [4877]11$37,918$37,918$37,9181.0×
devoted health plan [4501]11$21,667$21,667$21,6671.0×
umr [3113]11$8,972.00$8,972.00$8,972.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Medical CenterRoanokeVA15$127,110$44,489$23,378$83,059$120,755
Carilion New River Valley Med CenterChristiansburgVA15$109,892$38,462$25,563$74,067$104,397
Bon Secours Depaul Medical CenterNorfolkVA11——$8,972.00$40,630$81,524
Inova Fairfax HospitalFalls ChurchVA0—————
Inova Fair Oaks HospitalFairfaxVA0—————
Inova Mount Vernon HospitalAlexandriaVA0—————
Childrens Hospital Of The Kings DaNorfolkVA0—————
Inova Alexandria HospitalAlexandriaVA0—————
Inova Loudoun Hospital CenterLeesburgVA0—————

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.