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Hip & femur procedures except major joint w CC

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

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Hospitals
8
Min
$15,522
Median
$18,090
Max
$21,227
Range multiplier
1.4×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS621$13,814$18,581$29,3852.1×
Aetna715$13,111$16,560$18,5811.4×
UnitedHealthcare714$13,802$18,335$31,2732.3×
WellCare713$13,802$18,090$25,6121.9×
Humana612$13,814$17,760$18,5811.3×
optum ccn region 155$18,090$18,090$18,5811.0×
Molina55$14,090$14,090$18,4511.3×
optum ccn region 255$18,090$18,090$18,5811.0×
Blue Cross Blue Shield14$15,197$21,857$24,4071.6×
caresoure kentucky33$30,391$30,391$31,2161.0×
amerihealth12$13,053$17,140$21,2271.6×
healthy blue11$21,227$21,227$21,2271.0×
partners11$21,227$21,227$21,2271.0×
trillium11$21,864$21,864$21,8641.0×
alliance coal11$23,284$23,284$23,2841.0×
va community care network11$15,522$15,522$15,5221.0×
vaya11$21,440$21,440$21,4401.0×
amerigroup11$15,522$15,522$15,5221.0×
alliance11$21,652$21,652$21,6521.0×
Ambetter11$14,946$14,946$14,9461.0×
beacon health11$13,802$13,802$13,8021.0×
CareSource11$20,955$20,955$20,9551.0×
carolina complete11$21,227$21,227$21,2271.0×
christian county health dept-cchd11$13,802$13,802$13,8021.0×
Cigna11$15,522$15,522$15,5221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$13,053$21,227$31,273
HAZARD ARHHAZARDKY9$16,560$18,581$31,216
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY8$13,123$18,090$26,282
HARLAN ARHHARLANKY9$13,123$18,090$30,391
MIDDLESBORO ARHMIDDLESBOROKY9$13,123$18,090$30,391
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY8$16,281$18,090$29,385
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$13,111$15,522$25,612
SPRING VIEW HOSPITALLEBANONKY0$58,730$23,492

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.