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OR procedure for obesity w MCC

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

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Hospitals
11
Min
$74.3
Median
$75
Max
$22,955
Range multiplier
308.9×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield311$85$18,579$46,128542.7×
Aetna39$45.6$74.3$21,956481.5×
UnitedHealthcare37$74.3$31,448$48,393651.3×
allied benefits [498]26$58$60.3$74.31.3×
healthlink [225]26$48.5$65$75.51.6×
Cigna26$60.9$62.2$68.71.1×
cox health systems insurance company [220]26$55$55$651.2×
consociate [478]24$34,411$36,993$39,5751.2×
unicare [568]24$65$70.25$75.51.2×
healthscope benefits [258]24$65$24,229$48,393744.5×
med-pay [480]24$65$70$751.2×
phcs [244]24$75$77.5$801.1×
healthcare sol mercy [609]22$75$75$751.0×
hope trust [806]22$58$58$581.0×
Humana22$66.5$66.5$66.51.0×
mail handlers [495]22$60.3$60.3$60.31.0×
medica [661]22$80$80$801.0×
Multiplan22$75$75$751.0×
nalc health benefit plan [242]22$68.7$68.7$68.71.0×
preferred health professionals [561]22$75.5$75.5$75.51.0×
priority health [648]22$68.7$68.7$68.71.0×
sarah bush lincoln [636]22$39,575$39,575$39,5751.0×
hfn [563]22$80$80$801.0×
beechstreet [551]22$75$75$751.0×
apwu health plan [216]22$68.7$68.7$68.71.0×
coresource [497]22$60.3$60.3$60.31.0×
detego health [868]22$75$75$751.0×
First Health22$74.3$74.3$74.31.0×
fmh benefit service inc [222]22$60.3$60.3$60.31.0×
health alliance [224]22$30,018$30,018$30,0181.0×
health systems inc [620]22$75$75$751.0×
osfdan11$75$75$751.0×
bakersfield school district (smbc)11$2,356$2,356$2,3561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO1$75$75$75
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO31$94,478$56,687$45.6$74.3$48,393
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO31$94,478$56,687$45.6$74.3$48,393
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO1$43,311$43,311$2,356$2,356$2,356
SAINT FRANCIS MEDICAL CENTERCAPE GIRARDEAUMO3$19,881$22,955$34,432
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0
COX-MONETT HOSPITALMONETTMO0
COX MEDICAL CENTER BRANSONBRANSONMO0
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0
COXHEALTHSPRINGFIELDMO0

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.