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Fractures of femur w/o MCC

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

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Hospitals
55
Min
$11,101
Median
$14,264
Max
$27,888
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield35185$1,891.30$22,605$82,90343.8×
upmc health plan3267$11,244$15,224$23,6552.1×
Aetna3158$11,202$14,592$44,3844.0×
UnitedHealthcare3051$11,492$14,536$36,7013.2×
Cigna2237$11,277$15,249$45,0814.0×
pa health & wellness2323$2,315.52$13,046$16,2597.0×
geisinger1618$11,101$20,331$39,6513.6×
amerihealth caritas1818$2,208.32$12,899$16,2597.4×
keystone health plan612$10,740$20,863$33,4483.1×
Humana1111$10,740$12,771$17,7451.7×
ibc27$19,096$23,742$46,5752.4×
Medicare27$11,312$12,520$16,7371.5×
health plan of upper ohio valley37$7,529.42$12,436$16,9572.3×
Medicare Advantage26$13,406$15,509$18,8701.4×
naphcare45$20,032$26,254$26,6171.3×
keystone autism services44$17,184$18,158$23,1461.3×
innovage44$12,771$17,418$18,0991.4×
Oscar Health33$27,874$27,874$27,8741.0×
keystone first vip choice22$13,272$15,168$17,0651.3×
optum va ccn22$12,520$14,464$16,4091.3×
pennsylvania health and wellness22$19,519$19,519$19,5191.0×
perennial22$14,524$16,779$19,0341.3×
point of comfort refugee resettlement22$12,520$14,464$16,4091.3×
prime health services22$24,480$24,480$24,4801.0×
provider partners health plan22$12,520$15,039$17,5571.4×
jefferson health plan aca qhp exchange22$12,275$14,009$15,7431.3×
senior life22$12,193$12,193$12,1931.0×
st agnes22$12,520$14,464$16,4091.3×
city of washington22$19,508$19,508$19,5081.0×
clover health22$18,809$18,809$18,8091.0×
upmc commercial22$29,357$37,219$45,0811.5×
va_champus_tricare22$12,520$14,464$16,4091.3×
devoted health participation22$13,146$15,188$17,2291.3×
elder health22$21,293$21,293$21,2931.0×
Ambetter22$16,408$16,812$17,2171.0×
gateway health plan22$19,164$19,164$19,1641.0×
geisinger health plan22$43,129$43,129$43,1291.0×
health partners plans22$19,971$19,971$19,9711.0×
ibc employee benefit22$15,650$18,081$20,5111.3×
ibc main line health22$15,650$18,081$20,5111.3×
inspira life22$12,520$14,464$16,4091.3×
qualcare jcc12$31,810$45,542$59,2751.9×
keystone first22$18,632$18,632$18,6321.0×
wtc health program11$23,659$23,659$23,6591.0×
allwell pa health_wellness ma11$18,050$18,050$18,0501.0×
Anthem BCBS11$7,260.02$7,260.02$7,260.021.0×
bravo11$14,905$14,905$14,9051.0×
fidelis11$14,123$14,123$14,1231.0×
independent health11$14,300$14,300$14,3001.0×
intergroup11$3,704.00$3,704.00$3,704.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WellsboroWellsboroPA3$23,655$27,888$34,144
American Oncologic HospialPhiladelphiaPA4$13,514$27,219$27,874
Muncy Valley HospitalMuncyPA5$2,208.32$25,205$38,148
Upmc LititzLititzPA8$14,322$22,726$38,598
Jeanes HospitalPhiladelphiaPA17$17,745$20,901$39,651
Temple University HospitalPhiladelphiaPA18$17,745$20,632$67,053
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$18,914$12,081$18,952$59,275
Memorial HospitalYorkPA9$11,219$18,414$36,841
Upmc ShadysidePittsburghPA6$15,054$17,714$82,903
Upmc HanoverHanoverPA10$10,632$17,184$36,841
Charles Cole Memorial HospitalCoudersportPA3$9,582.68$16,550$21,766
Upmc Mercy HospitalPittsburghPA6$14,905$16,247$42,902
Upmc St MargaretPittsburghPA4$12,918$16,148$70,445
Upmc MckeesportMckeesportPA5$14,308$15,994$37,751
Titusville Area HospitalTitusvillePA5$9,695.97$15,708$21,690
Upmc HamotEriePA11$14,123$15,252$48,298
Upmc Pinnacle HospitalsHarrisburgPA8$13,449$14,264$31,826
Community General Osteopathic Hosp.HarrisburgPA8$13,449$14,264$31,826
Whs - GreeneWaynesburgPA9$11,346$14,138$22,605
The Washington HospitalWashingtonPA9$11,346$14,138$22,605
Aria HealthPhiladelphiaPA25$11,312$14,085$43,129
Upmc Childrens Hospital Of PghPittsburghPA8$12,901$13,933$23,512
Altoona Regional Health SystemAltoonaPA8$12,901$13,933$23,512
Upmc Magee-Womens HospitalPittsburghPA8$12,901$13,933$23,512
The Childrens Home Of PittsburghPittsburghPA8$12,901$13,933$23,512
Upmc East HospitalMonroevillePA7$11,945$13,140$71,336
Divine Providence HospitalWilliamsportPA7$12,198$13,046$41,173
Lock Haven HospitalLock HavenPA7$12,198$13,046$41,173
Williamsport Hospital & Medical CtrWilliamsportPA7$12,198$13,046$41,173
Upmc Horizon HospitalGreenvillePA8$7,260.02$12,896$26,422
Upmc Northwest HospitalSenecaPA7$3,704.00$12,587$26,519
Upmc JamesonNew CastlePA9$1,500.00$12,573$15,962
Upmc Bedford Memorial HospitalEverettPA7$11,587$12,514$27,438
Upmc CarlisleCarlislePA10$1,891.30$12,274$36,841
Upmc PassavantPittsburghPA7$7,529.42$12,207$71,978
Meadville Medical CenterMeadvillePA1$11,101$11,101$11,101
Paoli HospitalPaoliPA0
Windber Hospital Inc.WindberPA0
Reading Hospital And Medical CenterReadingPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Phoenixville HospitalPhoenixvillePA0
Milton S. Hershey Medical CenterHersheyPA0
Wayne Memorial HospitalHonesdalePA0$104,907$73,435
Armstrong County MemorialKittanningPA0
Uniontown HospitalUniontownPA0
Chestnut Hill HospitalPhiladelphiaPA0
Pottstown Memorial Medical CenterPottstownPA0
Holy Spirit HospitalCamp HillPA0
Penn State Hershey Rehabilitation LlHummelstownPA0
St. Joseph Medical CenterReadingPA0
Clarion HospitalClarionPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Hampden Medical CenterEnolaPA0

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.