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OR procedure for obesity w/o CC/MCC

MS-DRG 621 · negotiated-rate distribution across hospitals in GA

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Hospitals
13
Min
$10,974
Median
$18,825
Max
$32,274
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$14,092$32,274$45,6363.2×
Blue Cross Blue Shield1142$55$18,268$44,150802.7×
Aetna1131$90$23,775$35,936399.3×
UnitedHealthcare1027$9,554.82$16,713$63,3526.6×
Cigna1127$85$16,881$41,793491.7×
Humana1120$9,744.03$24,446$37,8773.9×
WellCare78$9,460.22$13,638$17,3731.8×
Oscar Health77$15,136$20,277$21,7271.4×
devoted health66$10,945$15,588$17,2151.6×
Ambetter55$15,609$31,350$34,7452.2×
Kaiser Permanente44$10,945$15,588$16,3891.5×
optum44$10,945$15,588$16,3891.5×
clover health44$11,492$16,368$17,2091.5×
sonder health plans44$11,492$16,368$17,2091.5×
va community care network44$10,945$15,588$16,3891.5×
First Health23$95$7,300$10,974115.5×
TRICARE23$11,133$11,133$15,7651.4×
CareSource13$17,238$17,238$29,2481.7×
sonder health plan12$17,572$17,572$17,5721.0×
peach state12$14,080$15,659$17,2381.2×
riverwood behavioral health12$16,713$16,724$16,7361.0×
Health Net12$97$5,535.48$10,974113.1×
occunet11$21,285$21,285$21,2851.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$14,283$14,283$14,2831.0×
provider select11$14,577$14,577$14,5771.0×
rural arizona network11$10,974$10,974$10,9741.0×
smarthealth11$13,244$13,244$13,2441.0×
ubh optum11$16,736$16,736$16,7361.0×
united mine workers of america11$10,974$10,974$10,9741.0×
three rivers11$14,283$14,283$14,2831.0×
americas choice provider network11$14,283$14,283$14,2831.0×
arizona medical network11$10,974$10,974$10,9741.0×
banner health11$10,974$10,974$10,9741.0×
blue mcr replacement11$9,460.22$9,460.22$9,460.221.0×
bridgeway health solutions11$10,974$10,974$10,9741.0×
centurion11$25,070$25,070$25,0701.0×
clear spring health plan11$16,713$16,713$16,7131.0×
corvel11$13,988$13,988$13,9881.0×
employer direct healthcare11$21,727$21,727$21,7271.0×
facility billing - op11$9,460.22$9,460.22$9,460.221.0×
georgia workers’ compensation11$14,724$14,724$14,7241.0×
health choice pathway11$10,974$10,974$10,9741.0×
health management network11$10,974$10,974$10,9741.0×
healthspring mcr replacement11$9,649.42$9,649.42$9,649.421.0×
imperial insurance11$11,523$11,523$11,5231.0×
Medicare11$16,713$16,713$16,7131.0×
Medicare Advantage11$9,460.22$9,460.22$9,460.221.0×
Multiplan11$14,283$14,283$14,2831.0×
naphcare11$25,906$25,906$25,9061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$14,092$32,274$45,636
EMORY LONG TERM ACUTE CAREDECATURGA5$20,277$28,261$29,189
NGMC BARROWWINDERGA6$14,092$25,808$44,150
NGMC LUMPKIN LLCDAHLONEGAGA6$14,092$25,808$45,636
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$15,075$18,825$34,745
EMORY UNIVERSITY HOSPITALATLANTAGA14$15,075$18,825$34,745
EMORY DECATURDECATURGA14$14,788$17,976$31,350
ST. JOSEPHS OF ATLANTAATLANTAGA14$10,945$17,676$31,032
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$16,713$13,988$16,736$29,248
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$7,300$11,133$30,965
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$55$10,974$63,352
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.