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OR procedure for obesity w MCC

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

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Hospitals
34
Min
$51.43
Median
$23,098
Max
$38,471
Range multiplier
748.0×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna3370$50.67$32,044$63,8091259.3×
UnitedHealthcare3164$50.67$27,862$60,0591185.3×
medical mutual of ohio2463$50.67$34,400$60,5571195.1×
Blue Cross Blue Shield1744$12,993$34,025$57,1364.4×
Anthem BCBS1743$50.67$27,862$46,179911.4×
Cigna2337$50.67$27,268$56,3031111.2×
Molina2934$50.67$22,348$47,462936.7×
CareSource2831$91.21$23,634$57,414629.5×
the health plan2130$50.67$26,576$46,337914.5×
Humana2930$50.00$21,708$31,896637.9×
summacare1727$50.67$26,330$48,155950.4×
devoted health2222$50.67$21,844$31,896629.5×
aultcare1418$39.00$32,852$43,8531124.4×
WellCare1515$50.67$21,110$31,896629.5×
primetime health plan1313$50.67$19,197$31,896629.5×
medigold1313$21,141$22,188$28,9031.4×
valor health plans1313$53.20$20,157$33,491629.5×
perennial advantage of ohio1313$53.20$20,157$33,491629.5×
Ambetter1313$91.21$34,554$57,414629.5×
paramount1313$52.19$19,773$32,853629.5×
jp farley1212$22,795$22,795$38,4711.7×
medical mutual611$65.00$21,141$56,824874.2×
university health employee plan (contigo)1010$25,847$25,847$32,0421.2×
allwell99$20,803$22,398$28,9031.4×
buckeye47$2,669.00$25,026$35,23113.2×
custom design benefits36$53,297$56,790$62,9291.2×
medben35$59,363$63,902$69,9751.2×
healthsmart14$55.00$85.00$85.001.5×
buckeye community health plan23$21,751$46,196$46,1962.1×
essence healthcare33$21,665$22,188$24,2971.1×
optum33$21,665$22,188$24,2971.1×
buckeye health plan23$22,161$22,545$37,6731.7×
imagine health33$51,960$53,214$58,2711.1×
oscar33$26,925$28,724$33,2951.2×
amish church fund12$50.00$52.50$55.001.1×
gateway health11$22,186$22,186$22,1861.0×
First Health11$78.00$78.00$78.001.0×
valor health11$23,098$23,098$23,0981.0×
valor health plan11$22,161$22,161$22,1611.0×
care source just4me11$39,151$39,151$39,1511.0×
custom design benefits inc.11$52,076$52,076$52,0761.0×
medishare11$85.00$85.00$85.001.0×
mount carmel health plan11$22,545$22,545$22,5451.0×
ohio health choice11$70.00$70.00$70.001.0×
ohio preferred network11$75.00$75.00$75.001.0×
perennial advantage11$23,269$23,269$23,2691.0×
care source11$22,186$22,186$22,1861.0×
prime time health plan11$23,098$23,098$23,0981.0×
sidecar health11$59,814$59,814$59,8141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$48,517
Uh Regional HospitalsRichmond HeightsOH18$50.67$51.43$34,400
Uh Geauga Medical CenterChardonOH18$50.67$51.43$34,400
University Hospitals Avon Rehab HospAvonOH20$27,862$38,471$60,059
Uh Cleveland Medical CenterClevelandOH20$27,862$38,471$60,059
University Hospitals Rehab HospitalBeachwoodOH20$27,862$38,471$60,059
Good Samaritan HospitalCincinnatiOH17$24,297$34,628$69,975
Fort Hamilton HospitalHamiltonOH14$22,161$34,250$57,366
Bethesda HospitalCincinnatiOH17$22,188$34,025$63,902
Uh St. John Medical CenterWestlakeOH20$20,825$31,896$57,414
Doctors HospitalColumbusOH11$28,903$28,903$63,809
Adena Regional Medical CenterChillicotheOH12$21,751$28,526$59,814
Rainbow Babies & Childrens HospitalClevelandOH15$27,862$27,862$29,255
Uh Conneaut Medical CenterConneautOH7$22,795$26,994$36,453
Mccullough-Hyde Memorial HospitalOxfordOH15$21,665$26,925$59,363
Uh Ahuja Medical CenterBeachwoodOH20$19,197$26,330$43,278
Uh Geneva Medical CenterGenevaOH7$22,795$26,289$36,453
Grant Medical CenterColumbusOH12$25,291$25,291$60,338
Riverside Methodist HospitalColumbusOH12$23,634$23,634$60,338
Alliance Community HospitalAllianceOH11$69.00$23,098$48,517
Madison HealthLondonOH10$22,545$22,996$36,072
Uh Elyria Medical CenterElyriaOH20$18,673$22,795$38,648
Dublin Methodist HospitalDublinOH12$22,508$22,508$60,338
Grady Memorial HospitalDelawareOH10$22,398$22,398$23,294
Obleness Memorial HospitalAthensOH12$21,528$21,528$21,743
Berger HospitalCirclevilleOH10$21,362$21,362$57,224
Marion General HospitalMarionOH10$21,141$21,141$21,987
Uh Samaritan Medical CenterAshlandOH17$21,110$21,110$37,997
Medcentral Health SystemMansfieldOH8$20,803$20,803$21,635
Uh Parma Medical CenterParmaOH19$18,757$20,056$41,140
Lake Hospital SystemConcordOH19$18,198$19,108$32,852
Uh Portage Medical CenterRavennaOH19$18,198$19,108$45,377
Fulton County Health CenterWauseonOH1$12,993$12,993$12,993

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.