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

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

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Hospitals
20
Min
$10,408
Median
$12,563
Max
$21,331
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,549.00$14,555$29,28711.5×
Blue Cross Blue Shield19141$4,242.55$16,675$40,3439.5×
UnitedHealthcare17130$1,147.00$14,620$29,28725.5×
Aetna1845$3,825.00$18,471$20,3005.3×
amerigroup mcaid replacement735$6,183.56$6,414.19$7,843.151.3×
smart health830$10,900$17,265$17,6341.6×
health 2 business721$20,988$22,238$24,1311.1×
Humana1221$9,912.42$11,794$13,6571.4×
Medicare815$9,912.42$11,194$14,6111.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,920.00$13,859$22,6217.7×
wellpoint39$10,020$11,747$12,5721.3×
Medicare Advantage89$9,912.42$11,413$13,6571.4×
community plan88$7,700.46$7,700.46$7,700.461.0×
point comfort underwriters77$8,921.18$10,272$11,1671.3×
nhc advantage77$9,912.42$11,413$12,4081.3×
healthspring mcr replacement77$9,912.42$11,413$12,4081.3×
centurion of tn77$9,912.42$11,413$12,4081.3×
optum va77$9,912.42$11,413$12,4081.3×
oscar77$18,823$18,823$18,8231.0×
amerigroup mcr replacement77$10,210$11,413$12,4081.2×
Self-Pay (Cash)77$9,912.42$11,413$12,4081.3×
river valley plan77$1,694.61$8,305.05$12,2637.2×
celtic insurance company77$16,246$19,742$22,6211.4×
farm bureau36$10,095$10,688$10,8231.1×
devoted health36$11,747$12,377$12,5721.1×
ascension complete66$10,661$11,420$12,4081.2×
TRICARE55$9,515.92$11,732$11,9731.3×
VA Health44$10,481$11,948$12,7371.2×
triwest va pccc33$9,912.42$10,661$10,6611.1×
amerigroup23$7,857.76$8,691.34$11,9061.5×
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$10,5904.2×
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$11,187$11,788$11,9731.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$11,747$12,377$12,5721.1×
harmony health plan11$11,906$11,906$11,9061.0×
generic hospice vbid [10940000101]11$13,657$13,657$13,6571.0×
devoted health [450111]11$14,066$14,066$14,0661.0×
tennessee rural health improvement association11$12,263$12,263$12,2631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$8,305.05$21,331$27,809
Camden General HospitalCamdenTN6$8,305.05$20,077$27,809
West Tn Healthcare Volunteer HospitaMartinTN7$1,768.00$18,770$26,002
Jackson-Madison County General HospJacksonTN9$8,332.78$18,471$35,197
Dyersburg Regional Medical CenterDyersburgTN7$1,694.61$18,471$26,275
St Thomas Hickman HospitalCentervilleTN9$6,183.56$15,974$35,723
Methodist H/C Memphis Hospt.MemphisTN15$65,838$14,484$1,397.00$14,066$35,368
Milan General HospitalMilanTN8$8,305.05$13,981$27,809
Saint Thomas Rutherford HospitalMurfreesboroTN22$6,183.56$12,563$40,343
Saint Thomas West HospitalNashvilleTN22$6,183.56$12,563$40,343
Saint Thomas Stones River HospitalWoodburyTN21$4,256.27$12,408$24,131
Saint Thomas Highland HospitalSpartaTN21$4,256.27$12,379$24,356
Henry County Medical CenterParisTN14$1,147.00$12,263$23,935
Roane County Medical CenterHarrimanTN24$45.00$12,153$24,443
Fort Loudoun Medical CenterLenoir CityTN24$45.00$11,965$24,443
Ascension St Thomas River ParkMcminnvilleTN21$4,256.27$11,915$24,131
St Thomas Dekalb HospitalSmithvilleTN21$4,256.27$11,915$24,131
Morristown-Hamblen HospitalMorristownTN24$45.00$11,355$24,443
Saint Thomas Midtown HospitalNashvilleTN23$7,700.46$10,408$39,187
St Thomas AscensionNashvilleTN0$82,263$20,319

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.