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Hip & femur procedures except major joint w CC

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

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Hospitals
13
Min
$75.00
Median
$87.00
Max
$17,127
Range multiplier
228.4×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield525$55.00$87.00$36,268659.4×
Aetna523$45.60$75.00$58,9531292.8×
UnitedHealthcare514$74.30$11,454$40,182540.8×
healthlink [225]412$48.50$65.00$75.501.6×
allied benefits [498]412$58.00$74.30$58,9531016.4×
Cigna412$60.90$18,373$34,363564.3×
cox health systems insurance company [220]412$55.00$60.00$74.001.3×
consociate [478]48$19,217$21,611$24,8541.3×
phcs [244]48$75.00$77.50$80.001.1×
unicare [568]48$65.00$70.25$75.501.2×
med-pay [480]48$65.00$70.00$75.001.2×
healthscope benefits [258]47$65.00$7,900.16$40,182618.2×
Humana36$66.50$16,685$29,916449.9×
sarah bush lincoln [636]45$7,900.16$24,854$24,8543.1×
preferred health professionals [561]44$75.50$75.50$75.501.0×
priority health [648]44$68.70$20,638$34,363500.2×
health alliance [224]44$19,622$23,565$23,5651.2×
health systems inc [620]44$75.00$75.00$75.001.0×
healthcare sol mercy [609]44$75.00$75.00$75.001.0×
detego health [868]44$75.00$75.00$75.001.0×
beechstreet [551]44$75.00$75.00$75.001.0×
hfn [563]44$80.00$80.00$85.001.1×
hope trust [806]44$58.00$58.00$58.001.0×
mail handlers [495]44$60.30$40,696$58,953977.7×
First Health44$74.30$74.30$74.301.0×
medica [661]44$80.00$80.00$80.001.0×
fmh benefit service inc [222]44$60.30$40,696$58,953977.7×
apwu health plan [216]44$68.70$20,638$34,363500.2×
Multiplan44$75.00$75.00$75.001.0×
nalc health benefit plan [242]44$68.70$20,638$34,363500.2×
coresource [497]44$60.30$40,696$58,953977.7×
cox health [757]33$15,481$16,952$18,0871.2×
essence healthcare [221]33$14,744$16,145$17,2261.2×
devoted health plan [847]33$15,481$16,952$18,0871.2×
medica [662]33$15,481$16,952$18,0871.2×
mh magellan health services [270]22$100.00$100.00$100.001.0×
osfdan11$75.00$75.00$75.001.0×
bakersfield school district (smbc)11$2,356.00$2,356.00$2,356.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$65,699$39,419$48.50$93.50$40,696
Progress West HospitalOfallonMO36$67,770$40,662$48.50$87.00$40,696
St. Louis Childrens HospitalSt. LouisMO30$72,578$43,547$48.50$75.50$58,953
Mercy Continuing Care HospitalChesterfieldMO1$75.00$75.00$75.00
Parkland Health Center - FarmingtonFarmingtonMO35$55,280$33,168$45.60$75.00$36,268
Mercy Rehabilitation Hospital-SpgfSpringfieldMO1$31,418$31,418$2,356.00$2,356.00$2,356.00
Saint Francis Medical CenterCape GirardeauMO3$14,833$17,127$25,690
Cox-Monett HospitalMonettMO0
Cox Medical Center BransonBransonMO0
Northeast Regional Medical CenterKirksvilleMO0
Moberly Regional Medical CenterMoberlyMO0
CoxhealthSpringfieldMO0
Barton County Memorial HospitalLamarMO0

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.