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OR procedure for obesity w MCC

MS-DRG 619 · negotiated-rate distribution across hospitals in GA

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Hospitals
13
Min
$18,180
Median
$33,418
Max
$60,199
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$26,285$60,199$85,1213.2×
Blue Cross Blue Shield1142$90$31,413$82,349915.0×
Aetna1131$90$44,345$67,029744.8×
UnitedHealthcare1027$16,961$26,823$124,0647.3×
Cigna1127$85$30,945$77,953917.1×
Humana1120$8,895.53$45,597$70,6497.9×
WellCare78$18,109$24,403$29,0151.6×
Oscar Health77$28,974$37,821$37,8211.3×
devoted health66$20,951$26,232$27,3981.3×
Ambetter55$29,880$53,195$58,0291.9×
Kaiser Permanente44$20,951$26,232$27,3721.3×
optum44$20,951$26,232$27,3721.3×
clover health44$21,999$27,544$28,7411.3×
sonder health plans44$21,999$27,544$28,7411.3×
va community care network44$20,951$26,232$27,3721.3×
First Health23$95$7,300$20,468215.5×
TRICARE23$33,400$33,400$33,6441.0×
CareSource13$27,443$27,443$46,5511.7×
sonder health plan12$27,975$27,975$27,9751.0×
peach state12$26,262$26,852$27,4431.0×
riverwood behavioral health12$26,600$26,622$26,6431.0×
Health Net12$97$10,283$20,468211.0×
occunet11$40,745$40,745$40,7451.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$24,498$24,498$24,4981.0×
provider select11$25,003$25,003$25,0031.0×
rural arizona network11$20,468$20,468$20,4681.0×
smarthealth11$25,352$25,352$25,3521.0×
ubh optum11$26,643$26,643$26,6431.0×
united mine workers of america11$20,468$20,468$20,4681.0×
three rivers11$24,498$24,498$24,4981.0×
americas choice provider network11$24,498$24,498$24,4981.0×
arizona medical network11$20,468$20,468$20,4681.0×
banner health11$20,468$20,468$20,4681.0×
blue mcr replacement11$18,109$18,109$18,1091.0×
bridgeway health solutions11$20,468$20,468$20,4681.0×
centurion11$39,900$39,900$39,9001.0×
clear spring health plan11$26,600$26,600$26,6001.0×
corvel11$23,993$23,993$23,9931.0×
employer direct healthcare11$34,580$34,580$34,5801.0×
facility billing - op11$18,109$18,109$18,1091.0×
georgia workers’ compensation11$25,256$25,256$25,2561.0×
health choice pathway11$20,468$20,468$20,4681.0×
health management network11$20,468$20,468$20,4681.0×
healthspring mcr replacement11$18,471$18,471$18,4711.0×
imperial insurance11$21,492$21,492$21,4921.0×
Medicare11$26,600$26,600$26,6001.0×
Medicare Advantage11$18,109$18,109$18,1091.0×
Multiplan11$24,498$24,498$24,4981.0×
naphcare11$41,230$41,230$41,2301.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$25,990$60,199$85,121
EMORY LONG TERM ACUTE CAREDECATURGA5$37,821$52,712$54,443
NGMC LUMPKIN LLCDAHLONEGAGA6$25,005$43,781$85,121
NGMC BARROWWINDERGA6$26,285$43,014$82,349
EMORY UNIVERSITY HOSPITALATLANTAGA14$27,372$33,418$58,029
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$27,372$33,418$58,029
ST. JOSEPHS OF ATLANTAATLANTAGA14$20,951$32,970$57,881
EMORY DECATURDECATURGA14$25,092$32,970$57,881
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$26,600$8,895.53$27,443$46,551
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$85$20,468$124,064
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$7,300$18,180$40,745
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.