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OR procedure for obesity w/o CC/MCC
MS-DRG 621 · negotiated-rate distribution across hospitals in ME
Hospitals
3
Min
$12,520
Median
$17,783
Max
$17,783
Range multiplier
1.4×
By payer (13 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| workers compensation | 3 | 3 | $16,776 | $17,783 | $17,783 | 1.1× |
| UnitedHealthcare | 1 | 2 | $12,056 | $12,288 | $12,520 | 1.0× |
| Anthem BCBS | 1 | 2 | $12,056 | $19,656 | $27,257 | 2.3× |
| Humana | 1 | 1 | $12,056 | $12,056 | $12,056 | 1.0× |
| martins point | 1 | 1 | $36,549 | $36,549 | $36,549 | 1.0× |
| Aetna | 1 | 1 | $12,056 | $12,056 | $12,056 | 1.0× |
| Medicare | 1 | 1 | $12,520 | $12,520 | $12,520 | 1.0× |
| Self-Pay (Cash) | 1 | 1 | $12,520 | $12,520 | $12,520 | 1.0× |
| TRICARE | 1 | 1 | $36,549 | $36,549 | $36,549 | 1.0× |
| WellCare | 1 | 1 | $12,056 | $12,056 | $12,056 | 1.0× |
| Medicaid | 1 | 1 | $10,118 | $10,118 | $10,118 | 1.0× |
| community health options | 1 | 1 | $27,762 | $27,762 | $27,762 | 1.0× |
| harvard pilgrim | 1 | 1 | $27,850 | $27,850 | $27,850 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| RUMFORD HOSPITAL | RUMFORD | ME | 1 | — | $2,690 | $17,783 | $17,783 | $17,783 |
| BRIDGTON HOSPITAL | BRIDGTON | ME | 1 | — | $2,575 | $17,783 | $17,783 | $17,783 |
| CENTRAL MAINE MEDICAL CENTER | LEWISTON | ME | 13 | — | $12,520 | $10,118 | $12,520 | $36,549 |
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.