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Hip & femur procedures except major joint w CC

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

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Hospitals
10
Min
$19,565
Median
$25,175
Max
$65,829
Range multiplier
3.4×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna923$16,157$34,537$65,8784.1×
Empire BCBS422$15,949$49,609$336,37621.1×
UnitedHealthcare821$18,954$27,677$336,37617.7×
Cigna717$20,621$52,021$336,37616.3×
Emblem Health516$20,621$57,073$336,37616.3×
Humana88$19,565$22,376$336,37617.2×
Medicare16$15,847$19,565$19,5651.2×
Blue Cross Blue Shield46$19,565$21,530$35,4141.8×
oxford35$22,280$67,927$336,37615.1×
Healthfirst35$22,280$29,005$336,37615.1×
WellCare55$20,931$22,809$336,37616.1×
cdphp24$20,621$47,028$77,3183.7×
oscar34$44,952$44,952$51,6961.2×
geisinger health plan24$20,621$34,435$50,5612.5×
fidelis44$21,034$25,963$336,37616.0×
magnacare33$33,599$69,144$81,0362.4×
mvp33$20,621$22,134$22,4721.1×
local 119933$45,677$54,669$62,8351.4×
horizon12$50,375$54,819$59,2641.2×
vns22$29,005$182,691$336,37611.6×
metroplus22$29,005$182,691$336,37611.6×
upmc22$20,621$21,546$22,4721.1×
health first22$20,621$21,546$22,4721.1×
wellpath11$33,201$33,201$33,2011.0×
1199seiu national benefit funds11$31,545$31,545$31,5451.0×
brighton11$60,992$60,992$60,9921.0×
capital district physicians' health plan11$22,134$22,134$22,1341.0×
elderplan11$336,376$336,376$336,3761.0×
elderplan 131611$19,565$19,565$19,5651.0×
emblemhealth11$24,237$24,237$24,2371.0×
fidelis care11$22,134$22,134$22,1341.0×
longevity11$22,280$22,280$22,2801.0×
northwell direct11$46,079$46,079$46,0791.0×
prime health services11$22,472$22,472$22,4721.0×
st. regis11$22,134$22,134$22,1341.0×
VA Health11$22,134$22,134$22,1341.0×
1199 seiu11$21,588$21,588$21,5881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$21,588$65,829$336,376
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$29,005$51,696$82,521
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$21,044$51,562$89,578
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$15,949$44,952$80,902
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$18,954$25,175$33,599
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$23,394$23,394$23,394
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$22,472$22,472$81,036
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$20,925$22,134$49,731
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$20,621$20,621$76,018
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$19,565$15,847$19,565$27,677

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.