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Hip & femur procedures except major joint w CC

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

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Hospitals
4
Min
$12,488
Median
$32,123
Max
$32,123
Range multiplier
2.6×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18$2,105$11,438$17,5968.4×
UnitedHealthcare13$12,488$15,566$17,2961.4×
Aetna23$12,735$32,123$32,8202.6×
prime health services12$41,760$44,973$48,1851.2×
Humana22$12,735$22,108$31,4812.5×
facility billing - op11$12,364$12,364$12,3641.0×
healthspring mcr replacement11$12,611$12,611$12,6111.0×
ilumed aco reach11$32,123$32,123$32,1231.0×
Medicare11$12,364$12,364$12,3641.0×
occunet11$27,819$27,819$27,8191.0×
Oscar Health11$19,782$19,782$19,7821.0×
palm beach aco reach11$31,160$31,160$31,1601.0×
simply healthcare11$32,123$32,123$32,1231.0×
smarthealth11$12,488$12,488$12,4881.0×
sunshine state health plan11$32,123$32,123$32,1231.0×
triwest11$12,364$12,364$12,3641.0×
velocity provider ppo network11$38,548$38,548$38,5481.0×
WellCare11$12,364$12,364$12,3641.0×
aarp mcr hmo11$12,364$12,364$12,3641.0×
wellmed11$32,123$32,123$32,1231.0×
alignment health11$32,123$32,123$32,1231.0×
Ambetter11$20,401$20,401$20,4011.0×
blue mcr replacement11$12,364$12,364$12,3641.0×
Cigna11$11,580$11,580$11,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL10$31,160$32,123$48,185
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$2,105$12,488$32,820
WELLINGTON REGL MEDICAL CENTERWEST PALM BEACHFL0
LAKEWOOD RANCH MEDICAL CENTERBRADENTONFL0

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.