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OR procedure for obesity w CC

MS-DRG 620 · negotiated-rate distribution across hospitals in TN

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Hospitals
19
Min
$10,212
Median
$13,421
Max
$20,998
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17161$2,463.00$15,789$28,73611.7×
Blue Cross Blue Shield19141$1,215.00$16,675$43,61135.9×
UnitedHealthcare17130$1,147.00$13,442$28,73625.1×
Aetna1852$3,825.00$19,970$42,51511.1×
amerigroup mcaid replacement735$6,799.25$7,052.84$8,624.091.3×
smart health830$10,900$16,940$19,1711.8×
Humana1221$9,725.84$11,794$13,4421.4×
health 2 business721$22,445$23,782$25,8051.1×
Medicare815$9,725.84$10,983$14,3781.5×
Ambetter1114$2,835.00$14,566$22,2457.8×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Medicare Advantage89$9,725.84$11,198$13,4421.4×
wellpoint39$10,929$11,825$12,6561.2×
community plan88$7,885.24$7,885.24$7,885.241.0×
oscar77$18,469$18,469$18,4691.0×
healthspring mcr replacement77$9,725.84$11,198$12,1741.3×
nhc advantage77$9,725.84$11,198$12,1741.3×
celtic insurance company77$15,940$19,371$22,2451.4×
centurion of tn77$9,725.84$11,198$12,1741.3×
optum va77$9,725.84$11,198$12,1741.3×
point comfort underwriters77$8,753.26$10,079$10,9571.3×
amerigroup mcr replacement77$10,018$11,198$12,1741.2×
Self-Pay (Cash)77$9,725.84$11,198$12,1741.3×
river valley plan77$1,662.71$8,148.73$12,0597.3×
farm bureau36$10,310$10,916$11,0531.1×
ascension complete66$10,460$11,205$12,1741.2×
devoted health36$11,825$12,460$12,6561.1×
TRICARE55$9,336.81$11,511$12,0531.3×
VA Health44$10,284$11,748$12,4971.2×
triwest va pccc33$9,725.84$10,460$10,4601.1×
amerigroup23$8,546.69$8,640.15$11,7081.4×
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$11,6424.7×
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$11,262$11,867$12,0531.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$11,825$12,460$12,6561.1×
health plans inc [100282]11$14,378$14,378$14,3781.0×
harmony health plan11$11,708$11,708$11,7081.0×
generic hospice vbid [10940000101]11$13,442$13,442$13,4421.0×
devoted health [450111]11$13,845$13,845$13,8451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bolivar General HospitalBolivarTN6$8,148.73$20,998$28,040
Camden General HospitalCamdenTN6$8,148.73$19,734$28,040
West Tn Healthcare Volunteer HospitaMartinTN7$1,734.73$18,440$28,108
Jackson-Madison County General HospJacksonTN9$8,175.93$18,123$38,049
Dyersburg Regional Medical CenterDyersburgTN7$1,662.71$18,123$28,404
St Thomas Hickman HospitalCentervilleTN9$6,799.25$15,974$42,515
Milan General HospitalMilanTN8$8,148.73$13,718$28,040
Methodist H/C Memphis Hospt.MemphisTN16$51,891$11,416$1,215.00$13,644$38,233
Saint Thomas Rutherford HospitalMurfreesboroTN22$6,799.25$13,421$43,611
Saint Thomas West HospitalNashvilleTN22$6,799.25$13,421$43,611
Roane County Medical CenterHarrimanTN24$45.00$12,415$24,607
Saint Thomas Highland HospitalSpartaTN21$4,601.14$12,266$42,515
Fort Loudoun Medical CenterLenoir CityTN24$45.00$12,223$24,607
Saint Thomas Stones River HospitalWoodburyTN21$4,601.14$12,174$42,515
Henry County Medical CenterParisTN14$1,147.00$12,059$23,484
Ascension St Thomas River ParkMcminnvilleTN21$4,601.14$11,915$42,515
St Thomas Dekalb HospitalSmithvilleTN21$4,601.14$11,915$42,515
Morristown-Hamblen HospitalMorristownTN24$45.00$11,600$24,607
Saint Thomas Midtown HospitalNashvilleTN23$7,885.24$10,212$42,362

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.