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Hip & femur procedures except major joint w CC

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

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Hospitals
20
Min
$12,857
Median
$15,895
Max
$26,349
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$15,789$37,61014.8×
Blue Cross Blue Shield19141$5,613.67$16,675$53,3819.5×
UnitedHealthcare17130$1,147.00$15,880$37,61032.8×
Aetna1845$3,825.00$19,970$23,7206.2×
amerigroup mcaid replacement735$7,594.61$7,877.86$9,632.911.3×
smart health830$10,900$21,848$22,3072.0×
health 2 business721$26,707$28,298$30,7051.1×
Humana1221$11,267$15,071$16,8961.5×
Medicare815$12,729$14,375$18,1211.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$17,798$28,3069.7×
wellpoint39$12,715$15,364$16,4431.3×
Medicare Advantage89$12,729$14,657$16,8961.3×
community plan88$9,881.81$9,881.81$9,881.811.0×
point comfort underwriters77$11,456$13,191$14,3401.3×
nhc advantage77$12,729$14,657$15,9341.3×
healthspring mcr replacement77$12,729$14,657$15,9341.3×
centurion of tn77$12,729$14,657$15,9341.3×
optum va77$12,729$14,657$15,9341.3×
oscar77$24,173$24,173$24,1731.0×
amerigroup mcr replacement77$13,111$14,657$15,9341.2×
Self-Pay (Cash)77$12,729$14,657$15,9341.3×
river valley plan77$2,176.19$10,665$15,3457.1×
celtic insurance company77$20,863$25,353$28,3061.4×
farm bureau36$13,187$13,962$14,1371.1×
devoted health36$15,364$16,188$16,4431.1×
ascension complete66$13,690$14,665$15,9341.2×
TRICARE55$12,220$15,066$15,6601.3×
VA Health44$13,460$14,966$16,3571.2×
triwest va pccc33$12,729$13,690$13,6901.1×
amerigroup23$9,650.85$10,875$14,8981.5×
beech street33$85.00$85.00$85.001.0×
ccn managed care33$85.00$85.00$85.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
Medicaid13$2,500.00$2,500.00$13,0075.2×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$14,632$15,418$15,6601.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$15,364$16,188$16,4431.1×
harmony health plan11$14,898$14,898$14,8981.0×
generic hospice vbid [10940000101]11$16,896$16,896$16,8961.0×
devoted health [450111]11$17,403$17,403$17,4031.0×
tennessee rural health improvement association11$15,345$15,345$15,3451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$10,665$26,349$35,711
Camden General HospitalCamdenTN6$10,665$25,261$35,711
West Tn Healthcare Volunteer HospitaMartinTN7$2,270.44$23,946$34,405
Dyersburg Regional Medical CenterDyersburgTN7$2,176.19$23,720$34,767
Jackson-Madison County General HospJacksonTN9$10,701$23,720$46,573
Milan General HospitalMilanTN8$10,665$17,954$35,711
Methodist H/C Memphis Hospt.MemphisTN15$85,491$18,808$1,397.00$17,403$46,798
St Thomas Hickman HospitalCentervilleTN9$7,594.61$15,974$32,228
Saint Thomas Stones River HospitalWoodburyTN21$5,631.82$15,934$47,267
Roane County Medical CenterHarrimanTN24$45.00$15,895$31,970
Saint Thomas Highland HospitalSpartaTN21$5,631.82$15,739$32,228
Fort Loudoun Medical CenterLenoir CityTN24$45.00$15,649$31,970
Henry County Medical CenterParisTN14$1,147.00$15,345$30,737
Morristown-Hamblen HospitalMorristownTN24$45.00$14,852$31,970
Ascension St Thomas River ParkMcminnvilleTN21$5,631.82$14,673$30,958
St Thomas Dekalb HospitalSmithvilleTN21$5,631.82$14,657$30,848
Saint Thomas West HospitalNashvilleTN22$7,594.61$14,375$53,381
Saint Thomas Rutherford HospitalMurfreesboroTN22$7,594.61$14,375$53,381
Saint Thomas Midtown HospitalNashvilleTN23$8,150.00$12,857$51,852
St Thomas AscensionNashvilleTN0$65,121$16,085

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.