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Fractures of femur w/o MCC

MS-DRG 533 · negotiated-rate distribution across hospitals in GA

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Hospitals
13
Min
$10,470
Median
$19,430
Max
$33,668
Range multiplier
3.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$14,701$33,668$47,6063.2×
Blue Cross Blue Shield1142$37.00$17,271$46,0561244.8×
Aetna1131$90.00$24,801$37,487416.5×
UnitedHealthcare1027$9,930.45$17,133$58,8145.9×
Cigna1127$85.00$17,367$43,597512.9×
Humana1120$3,482.62$25,501$39,51211.3×
WellCare78$9,832.13$14,101$17,8731.8×
Oscar Health77$15,731$21,152$22,2801.4×
devoted health66$11,375$16,046$17,6531.6×
Ambetter55$16,223$32,289$35,7472.2×
Kaiser Permanente44$11,375$16,046$16,8621.5×
optum44$11,375$16,046$16,8621.5×
clover health44$11,944$16,848$17,7051.5×
sonder health plans44$11,944$16,848$17,7051.5×
va community care network44$11,375$16,046$16,8621.5×
First Health23$95.00$7,300.00$11,448120.5×
TRICARE23$9,300.67$9,300.67$15,2931.6×
CareSource13$17,677$17,677$29,9921.7×
sonder health plan12$18,020$18,020$18,0201.0×
peach state12$14,688$16,182$17,6771.2×
riverwood behavioral health12$17,138$17,150$17,1621.0×
Health Net12$97.00$5,772.33$11,448118.0×
occunet11$22,122$22,122$22,1221.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$15,357$15,357$15,3571.0×
provider select11$15,673$15,673$15,6731.0×
rural arizona network11$11,448$11,448$11,4481.0×
smarthealth11$13,765$13,765$13,7651.0×
ubh optum11$17,162$17,162$17,1621.0×
united mine workers of america11$11,448$11,448$11,4481.0×
three rivers11$15,357$15,357$15,3571.0×
americas choice provider network11$15,357$15,357$15,3571.0×
arizona medical network11$11,448$11,448$11,4481.0×
banner health11$11,448$11,448$11,4481.0×
blue mcr replacement11$9,832.13$9,832.13$9,832.131.0×
bridgeway health solutions11$11,448$11,448$11,4481.0×
centurion11$25,708$25,708$25,7081.0×
clear spring health plan11$17,138$17,138$17,1381.0×
corvel11$15,040$15,040$15,0401.0×
employer direct healthcare11$22,280$22,280$22,2801.0×
facility billing - op11$9,832.13$9,832.13$9,832.131.0×
georgia workers’ compensation11$15,832$15,832$15,8321.0×
health choice pathway11$11,448$11,448$11,4481.0×
health management network11$11,448$11,448$11,4481.0×
healthspring mcr replacement11$10,029$10,029$10,0291.0×
imperial insurance11$12,020$12,020$12,0201.0×
Medicare11$17,138$17,138$17,1381.0×
Medicare Advantage11$9,832.13$9,832.13$9,832.131.0×
Multiplan11$15,357$15,357$15,3571.0×
naphcare11$26,565$26,565$26,5651.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$14,701$33,668$47,606
Emory Long Term Acute CareDecaturGA5$21,152$29,481$30,449
Ngmc Lumpkin LlcDahlonegaGA6$14,701$24,485$47,606
Emory University Hospital MidtownAtlantaGA14$15,726$19,513$35,747
Emory University HospitalAtlantaGA14$15,726$19,513$35,747
Ngmc BarrowWinderGA6$14,701$19,430$46,056
Emory DecaturDecaturGA14$15,231$18,648$32,372
St. Josephs Of AtlantaAtlantaGA14$11,375$18,439$32,372
Southern Regional Medical CenterRiverdaleGA28$17,138$3,482.62$17,162$29,992
West Central Ga Regional HospitalColumbusGA17$37.00$11,448$58,814
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$10,470$22,122
Memorial HospitalBainbridgeGA0
Southwell MedicalAdelGA0

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.