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Hip & femur procedures except major joint w/o CC/MCC

MS-DRG 482 · negotiated-rate distribution across hospitals in PA

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Hospitals
62
Min
$11,549
Median
$14,772
Max
$28,317
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36196$2,182.76$21,568$70,26132.2×
upmc health plan3370$11,698$15,838$24,6102.1×
Aetna3464$10,400$15,175$46,1774.4×
UnitedHealthcare3154$11,298$14,635$38,1833.4×
Cigna2338$11,732$15,860$46,9014.0×
upmc work partners2324$9,223.57$10,293$37,8054.1×
pa health & wellness2323$2,315.52$13,553$16,8947.3×
geisinger1618$11,549$21,151$54,9224.8×
amerihealth caritas1818$2,208.32$13,398$16,8947.6×
keystone health plan612$11,174$22,011$34,9643.1×
Humana1111$11,174$13,286$18,4231.6×
ibc27$19,868$26,766$52,5072.6×
health plan of upper ohio valley37$11,651$12,919$29,8672.6×
Medicare26$11,757$12,919$17,4131.5×
Medicare Advantage26$13,947$16,135$19,6321.4×
Multiplan44$36,939$36,939$43,9591.2×
innovage44$13,286$18,102$18,7911.4×
keystone autism services44$17,878$18,866$24,0491.3×
naphcare34$21,495$27,474$27,6341.3×
Oscar Health33$28,999$28,999$28,9991.0×
gateway health plan33$11,825$19,896$19,8961.7×
ibc main line health22$16,282$18,811$21,3391.3×
va_champus_tricare22$13,026$15,049$17,0711.3×
point of comfort refugee resettlement22$13,026$15,049$17,0711.3×
inspira life22$13,026$15,049$17,0711.3×
upmc commercial22$30,542$38,722$46,9011.5×
elder health22$22,107$22,107$22,1071.0×
jefferson health plan aca qhp exchange22$12,771$14,575$16,3791.3×
prime health services22$25,416$25,416$25,4161.0×
keystone first22$19,344$19,344$19,3441.0×
keystone first vip choice22$13,807$15,781$17,7541.3×
devoted health participation22$13,677$15,801$17,9251.3×
Ambetter22$17,070$17,491$17,9121.0×
senior life22$12,666$12,666$12,6661.0×
provider partners health plan22$13,026$15,646$18,2661.4×
clover health22$19,528$19,528$19,5281.0×
city of washington22$20,265$20,265$20,2651.0×
optum va ccn22$13,026$15,049$17,0711.3×
qualcare jcc12$30,668$43,908$57,1471.9×
pennsylvania health and wellness22$20,265$20,265$20,2651.0×
perennial22$15,110$17,456$19,8031.3×
health partners plans22$20,735$20,735$20,7351.0×
geisinger health plan22$51,110$51,110$51,1101.0×
st agnes22$13,026$15,049$17,0711.3×
ibc employee benefit22$16,282$18,811$21,3391.3×
wtc health program11$24,563$24,563$24,5631.0×
allwell pa health_wellness ma11$18,778$18,778$18,7781.0×
Anthem BCBS11$7,553.16$7,553.16$7,553.161.0×
bravo11$15,471$15,471$15,4711.0×
fidelis11$14,681$14,681$14,6811.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA5——$14,059$28,317$36,557
WellsboroWellsboroPA3——$24,597$26,222$28,937
Muncy Valley HospitalMuncyPA5——$2,208.32$26,045$32,331
Upmc LititzLititzPA9——$14,880$24,049$38,329
Temple University HospitalPhiladelphiaPA18——$18,423$22,107$69,615
Jeanes HospitalPhiladelphiaPA17——$18,423$21,904$54,922
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$19,648$12,552$19,717$57,147
Memorial HospitalYorkPA10——$11,655$19,451$38,329
Upmc HanoverHanoverPA11——$11,062$18,664$38,329
Upmc ShadysidePittsburghPA8——$10,293$18,418$70,261
Upmc St MargaretPittsburghPA4——$13,428$16,800$59,703
Upmc Mercy HospitalPittsburghPA7——$10,293$16,708$36,360
Upmc MckeesportMckeesportPA6——$10,293$16,442$31,994
Titusville Area HospitalTitusvillePA5——$10,087$16,342$22,564
Upmc CarlisleCarlislePA11——$2,182.76$15,824$39,788
Upmc HamotEriePA12——$9,495.41$15,782$40,933
Charles Cole Memorial HospitalCoudersportPA4——$11,042$15,149$18,447
Aria HealthPhiladelphiaPA24——$11,757$14,980$51,110
Upmc Pinnacle HospitalsHarrisburgPA9——$10,451$14,772$37,103
Community General Osteopathic Hosp.HarrisburgPA9——$10,451$14,772$37,103
The Childrens Home Of PittsburghPittsburghPA9——$9,674.01$14,496$24,462
Altoona Regional Health SystemAltoonaPA9——$9,674.01$14,496$24,462
Upmc Magee-Womens HospitalPittsburghPA9——$9,674.01$14,496$24,462
Upmc Childrens Hospital Of PghPittsburghPA9——$9,674.01$14,496$24,462
Curahealth Heritage ValleyBeaverPA7$27,549$11,825$10,400$14,125$21,330
Williamsport Hospital & Medical CtrWilliamsportPA9——$12,672$14,014$36,939
Divine Providence HospitalWilliamsportPA9——$12,672$14,014$36,939
Lock Haven HospitalLock HavenPA9——$12,672$14,014$36,939
Whs - GreeneWaynesburgPA9——$11,787$13,678$20,265
The Washington HospitalWashingtonPA9——$11,787$13,678$20,265
Upmc East HospitalMonroevillePA8——$10,293$13,532$60,458
Upmc Horizon HospitalGreenvillePA9——$7,553.16$13,388$22,393
Upmc JamesonNew CastlePA10——$12,090$13,105$37,805
Upmc Northwest HospitalSenecaPA8——$3,704.00$13,078$22,476
Upmc Bedford Memorial HospitalEverettPA8——$9,223.57$12,990$23,254
Upmc PassavantPittsburghPA9——$10,293$12,817$61,002
Meadville Medical CenterMeadvillePA1——$11,549$11,549$11,549
Penn State Hershey Rehabilitation LlHummelstownPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Holy Spirit HospitalCamp HillPA0—————
Clarion HospitalClarionPA0—————
St. Joseph Medical CenterReadingPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
Windber Hospital Inc.WindberPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Wayne Memorial HospitalHonesdalePA0$50,783$35,548———
Phoenixville HospitalPhoenixvillePA0—————
Bryn Mawr HospitalBryn MawrPA0—————
Paoli HospitalPaoliPA0—————
Armstrong County MemorialKittanningPA0—————
Butler Memorial HospitalButlerPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Lankenau Medical CenterWynnewoodPA0—————
Doylestown HospitalDoylestownPA0$36,406$36,406———
Riddle HospitalMediaPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————
Uniontown HospitalUniontownPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Physicians Care Surgical HospitalRoyersfordPA0$17,159$8,596.90———
Hampden Medical CenterEnolaPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————

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.