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Fractures of femur w/o MCC

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

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Hospitals
20
Min
$10,004
Median
$13,214
Max
$20,645
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$14,485$28,15012.3×
Blue Cross Blue Shield19141$5,913.60$16,675$56,2339.5×
UnitedHealthcare17130$1,147.00$11,921$28,15024.5×
Aetna1845$3,426.00$17,754$20,3005.9×
amerigroup mcaid replacement735$5,327.08$5,525.76$6,756.801.3×
smart health830$10,900$16,214$16,6971.5×
health 2 business721$18,004$19,076$20,6991.1×
Humana1221$9,527.71$11,671$13,2141.4×
Medicare815$9,527.71$10,759$14,1311.5×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$13,321$21,8458.3×
wellpoint39$8,887.75$11,291$12,0851.4×
Medicare Advantage89$9,527.71$10,970$13,2141.4×
community plan88$6,672.23$6,672.23$6,672.231.0×
point comfort underwriters77$8,574.94$9,873.23$10,7341.3×
nhc advantage77$9,527.71$10,970$11,9261.3×
healthspring mcr replacement77$9,527.71$10,970$11,9261.3×
centurion of tn77$9,527.71$10,970$11,9261.3×
optum va77$9,527.71$10,970$11,9261.3×
oscar77$18,093$18,093$18,0931.0×
amerigroup mcr replacement77$9,813.54$10,970$11,9261.2×
Self-Pay (Cash)77$9,527.71$10,970$11,9261.3×
river valley plan77$1,628.84$7,982.73$11,8427.3×
celtic insurance company77$15,616$18,976$21,8451.4×
farm bureau36$10,368$10,977$11,1161.1×
devoted health36$11,291$11,897$12,0851.1×
ascension complete66$10,247$10,977$11,9261.2×
TRICARE55$9,146.60$11,277$11,5091.3×
VA Health44$10,075$11,536$12,2431.2×
triwest va pccc33$9,527.71$10,247$10,2471.1×
amerigroup23$6,769.39$8,393.09$11,4971.7×
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$9,123.653.6×
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$10,754$11,331$11,5091.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$11,291$11,897$12,0851.1×
harmony health plan11$11,497$11,497$11,4971.0×
generic hospice vbid [10940000101]11$13,214$13,214$13,2141.0×
devoted health [450111]11$13,611$13,611$13,6111.0×
tennessee rural health improvement association11$11,842$11,842$11,8421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$7,982.73$20,645$36,155
Camden General HospitalCamdenTN6$7,982.73$19,369$36,155
West Tn Healthcare Volunteer HospitaMartinTN7$1,699.39$18,089$36,243
Jackson-Madison County General HospJacksonTN9$8,009.38$17,754$49,061
Dyersburg Regional Medical CenterDyersburgTN7$1,628.84$17,754$36,624
St Thomas Hickman HospitalCentervilleTN9$5,327.08$15,974$32,496
Milan General HospitalMilanTN8$7,982.73$13,438$36,155
Saint Thomas West HospitalNashvilleTN22$5,327.08$13,261$56,233
Saint Thomas Rutherford HospitalMurfreesboroTN22$5,327.08$13,261$56,233
Methodist H/C Memphis Hospt.MemphisTN15$31,402$6,908.51$1,397.00$13,214$49,298
Saint Thomas Highland HospitalSpartaTN21$5,327.08$11,966$33,949
Saint Thomas Stones River HospitalWoodburyTN21$5,327.08$11,926$33,949
St Thomas Dekalb HospitalSmithvilleTN21$5,327.08$11,915$49,793
Ascension St Thomas River ParkMcminnvilleTN21$5,327.08$11,915$49,793
Roane County Medical CenterHarrimanTN24$45.00$11,854$23,902
Henry County Medical CenterParisTN14$1,147.00$11,842$23,006
Fort Loudoun Medical CenterLenoir CityTN24$45.00$11,671$23,902
Morristown-Hamblen HospitalMorristownTN24$45.00$11,076$23,902
Saint Thomas Midtown HospitalNashvilleTN23$6,672.23$10,004$54,622
St Thomas AscensionNashvilleTN0$84,174$20,791

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.