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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in CO

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Hospitals
3
Min
$12,241
Median
$31,802
Max
$31,802
Range multiplier
2.6×

By payer (17 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$9,252.73$12,241$29,3373.2×
prime health services12$41,343$44,523$47,7041.2×
amerihealth caritas pennsylvania11$31,802$31,802$31,8021.0×
Centene11$31,802$31,802$31,8021.0×
geisinger11$32,438$32,438$32,4381.0×
Humana11$13,427$13,427$13,4271.0×
presbyterian of nm: mcd11$8,790.09$8,790.09$8,790.091.0×
presbyterian of nm: mcr ppo11$9,628.48$9,628.48$9,628.481.0×
presbyterian of nm: php salud plan11$8,724.81$8,724.81$8,724.811.0×
prime health services work comp11$13,054$13,054$13,0541.0×
provider partners health plan11$31,802$31,802$31,8021.0×
rocky mountain health plan: mcr adv11$13,427$13,427$13,4271.0×
southwest health alliance11$25,779$25,779$25,7791.0×
velocity provider ppo network11$38,163$38,163$38,1631.0×
Aetna11$31,802$31,802$31,8021.0×
vibra health plan11$31,802$31,802$31,8021.0×
albright care services11$31,802$31,802$31,8021.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF DENVERDENVERCO10$29,337$31,802$47,704
ANIMAS SURGICAL HOSPITALDURANGOCO8$25,779$8,724.81$12,241$25,779
VAIL VALLEY MEDICAL CENTERVAILCO0$25,192$18,894

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.