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Hip & femur procedures except major joint w MCC

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

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Hospitals
12
Min
$80.76
Median
$28,220
Max
$55,555
Range multiplier
687.9×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1040$83.60$45,920$101,3781212.7×
UnitedHealthcare1021$80.76$39,631$93,2361154.5×
Aetna916$80.15$29,129$106,8581333.2×
Humana913$60.00$26,844$31,300521.7×
Cigna711$84.30$54,381$83,457990.0×
Kaiser Permanente611$24,893$28,844$63,7132.6×
Molina610$24,893$29,998$57,7672.3×
providence health plan58$60.60$28,586$64,9441071.7×
first choice48$62.00$74,108$92,7501496.0×
coordinated care46$25,296$46,101$53,3622.1×
moda23$90.40$28,743$30,452336.9×
Health Net23$28,821$31,300$95,6183.3×
community health plan33$28,743$39,828$46,1511.6×
amerigroup33$27,382$28,743$31,7291.2×
pacificsource13$29,365$41,559$55,5961.9×
First Health22$65.00$80.00$95.001.5×
community health plan of washington22$27,382$29,555$31,7291.2×
Medicare Advantage12$27,985$27,985$27,9851.0×
the health plan12$17,080$21,304$25,5281.5×
devoted health11$28,549$28,549$28,5491.0×
community health network of wa [1055]11$47,497$47,497$47,4971.0×
healthcare partners11$31,300$31,300$31,3001.0×
chpw med advantage [210102]11$26,318$26,318$26,3181.0×
chp advantage [4001]11$32,093$32,093$32,0931.0×
Medicare11$26,318$26,318$26,3181.0×
Anthem BCBS11$25,528$25,528$25,5281.0×
central health plan11$31,300$31,300$31,3001.0×
atrio11$28,005$28,005$28,0051.0×
Multiplan11$62,332$62,332$62,3321.0×
optum ccn region 111$25,528$25,528$25,5281.0×
optum ccn region 211$25,528$25,528$25,5281.0×
asuris truadvantage [4011]11$27,985$27,985$27,9851.0×
phcs11$43,530$43,530$43,5301.0×
asuris11$28,220$28,220$28,2201.0×
scan11$31,300$31,300$31,3001.0×
WellCare11$25,528$25,528$25,5281.0×
umr11$39,631$39,631$39,6311.0×
Empire BCBS11$31,300$31,300$31,3001.0×
first choice health network11$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence Mount Carmel HospitalColvilleWA4$91.37$94.70$100.00
St. Lukes Rehabilitation Inst.SpokaneWA5$73.90$80.76$84.30
Overlake Hospital Medical CenterBellevueWA11$25,296$55,555$78,341
Swedish Medical CenterSeattleWA14$60.00$44,708$106,858
Providence Holy Family HospitalSpokaneWA13$75.00$39,828$69,099
Providence St Josephs HospitalChewelahWA11$19,288$31,300$95,618
Legacy Salmon Creek HospitalVancouverWA12$28,005$30,452$80,088
Kadlec Regional Medical CenterRichlandWA15$60.60$28,220$79,795
Wenatchee Valley HospitalWenatcheeWA7$89,252$89,252$25,545$27,985$57,767
Valley Medical CenterRentonWA5$143,884$100,719$26,318$26,318$26,844
East Adams Rural HospitalRitzvilleWA10$17,080$25,528$60,273
Kfh - WashingtonSeattleWA0

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.