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OR procedure for obesity w/o CC/MCC

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

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Hospitals
54
Min
$10,642
Median
$13,406
Max
$26,093
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36192$2,061.96$17,597$82,94940.2×
upmc health plan3370$10,819$14,648$22,7602.1×
Aetna3360$2,600.00$13,778$42,54716.4×
UnitedHealthcare3050$10,411$13,896$73,3397.0×
Cigna2337$10,850$14,672$43,3764.0×
pa health & wellness2323$2,315.52$12,570$15,6646.8×
geisinger1618$10,642$19,561$59,2485.6×
amerihealth caritas1818$2,208.32$12,431$15,6647.1×
keystone health plan612$10,334$20,877$33,8943.3×
Humana1111$10,334$12,288$17,1091.7×
ibc29$18,374$33,991$50,1682.7×
health plan of upper ohio valley37$7,529.42$11,984$16,3152.2×
Medicare26$10,855$11,822$16,1041.5×
naphcare45$19,275$25,261$25,6641.3×
Medicare Advantage25$13,251$15,991$18,1561.4×
innovage44$12,288$16,778$17,4521.4×
keystone autism services44$16,534$17,495$22,3011.3×
gateway health plan33$10,966$18,478$18,4781.7×
Oscar Health33$26,819$26,819$26,8191.0×
ibc main line health22$15,058$17,397$19,7351.3×
allwell pa health_wellness ma22$13,251$15,309$17,3671.3×
Ambetter22$15,787$16,176$16,5661.0×
city of washington22$18,799$18,799$18,7991.0×
clover health22$18,136$18,136$18,1361.0×
elder health22$20,531$20,531$20,5311.0×
geisinger health plan22$49,439$49,439$49,4391.0×
health partners plans22$19,257$19,257$19,2571.0×
inspira life22$12,047$13,917$15,7881.3×
jefferson health plan aca qhp exchange22$11,811$13,479$15,1471.3×
keystone first22$17,965$17,965$17,9651.0×
pennsylvania health and wellness22$18,820$18,820$18,8201.0×
perennial22$13,974$16,144$18,3141.3×
point of comfort refugee resettlement22$12,047$13,917$15,7881.3×
prime health services22$23,604$23,604$23,6041.0×
provider partners health plan22$12,047$14,470$16,8931.4×
qualcare jcc12$29,506$42,244$54,9821.9×
senior life22$11,749$11,749$11,7491.0×
st agnes22$12,047$13,917$15,7881.3×
va_champus_tricare22$12,047$13,917$15,7881.3×
bravo11$14,375$14,375$14,3751.0×
univera11$14,961$14,961$14,9611.0×
upmc11$9,294.75$9,294.75$9,294.751.0×
upmc commercial11$43,376$43,376$43,3761.0×
Anthem BCBS11$6,985.40$6,985.40$6,985.401.0×
wtc health program11$22,812$22,812$22,8121.0×
WellCare11$14,008$14,008$14,0081.0×
wellspan population health11$16,905$16,905$16,9051.0×
keystone first vip choice11$16,420$16,420$16,4201.0×
intergroup service corp11$21,578$21,578$21,5781.0×
intergroup11$3,704.00$3,704.00$3,704.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA5——$13,002$26,093$36,557
WellsboroWellsboroPA3——$19,582$22,899$25,742
Muncy Valley HospitalMuncyPA5——$2,208.32$22,319$25,742
Upmc LititzLititzPA8——$13,798$21,881$35,447
Temple University HospitalPhiladelphiaPA18——$17,109$20,531$82,949
Jeanes HospitalPhiladelphiaPA17——$17,109$20,153$59,248
Thomas Jefferson Univ. HospitalPhiladelphiaPA27—$18,226$11,597$18,235$54,982
Memorial HospitalYorkPA9——$10,811$17,731$35,447
Upmc ShadysidePittsburghPA6——$14,504$17,054$55,938
Upmc HanoverHanoverPA10——$10,230$16,534$35,447
Upmc Mercy HospitalPittsburghPA6——$14,375$15,669$28,947
Upmc St MargaretPittsburghPA4——$12,440$15,537$47,532
Upmc MckeesportMckeesportPA5——$13,806$15,433$25,472
Titusville Area HospitalTitusvillePA5——$9,294.75$15,058$20,792
Upmc HamotEriePA11——$13,600$14,687$32,588
Aria HealthPhiladelphiaPA20—$13,805$10,855$13,914$49,439
Upmc Pinnacle HospitalsHarrisburgPA8——$12,957$13,743$35,968
Community General Osteopathic Hosp.HarrisburgPA8——$12,957$13,743$35,968
The Childrens Home Of PittsburghPittsburghPA8——$12,413$13,406$22,623
Upmc Childrens Hospital Of PghPittsburghPA8——$12,413$13,406$22,623
Upmc Magee-Womens HospitalPittsburghPA8——$12,413$13,406$22,623
Altoona Regional Health SystemAltoonaPA8——$12,413$13,406$22,623
Curahealth Heritage ValleyBeaverPA7$28,771$10,966$2,600.00$13,016$21,578
Whs - GreeneWaynesburgPA9——$10,296$12,688$18,799
The Washington HospitalWashingtonPA9——$10,296$12,688$18,799
Upmc East HospitalMonroevillePA7——$11,505$12,656$48,133
Divine Providence HospitalWilliamsportPA7——$11,753$12,570$27,781
Lock Haven HospitalLock HavenPA7——$11,753$12,570$27,781
Williamsport Hospital & Medical CtrWilliamsportPA7——$11,753$12,570$27,781
Upmc Horizon HospitalGreenvillePA8——$6,985.40$12,435$17,828
Upmc Northwest HospitalSenecaPA7——$3,704.00$12,126$17,894
Upmc JamesonNew CastlePA9——$11,221$12,119$15,709
Upmc Bedford Memorial HospitalEverettPA7——$11,173$12,067$18,514
Charles Cole Memorial HospitalCoudersportPA3——$9,220.20$12,061$14,687
Upmc CarlisleCarlislePA10——$2,061.96$11,825$37,586
Upmc PassavantPittsburghPA7——$7,529.42$11,745$48,566
Meadville Medical CenterMeadvillePA1——$10,642$10,642$10,642
Uniontown HospitalUniontownPA0—————
Pottstown Memorial Medical CenterPottstownPA0—————
Hospital Of The Univ Of PennaPhiladelphiaPA0—————
Hampden Medical CenterEnolaPA0—————
Chestnut Hill HospitalPhiladelphiaPA0—————
Holy Spirit HospitalCamp HillPA0—————
Penn State Hershey Rehabilitation LlHummelstownPA0—————
St. Joseph Medical CenterReadingPA0—————
St Christophers Hospital For ChildrPhiladelphiaPA0—————
Milton S. Hershey Medical CenterHersheyPA0—————
Phoenixville HospitalPhoenixvillePA0—————
Bryn Mawr HospitalBryn MawrPA0—————
Armstrong County MemorialKittanningPA0—————
Reading Hospital And Medical CenterReadingPA0—————
Windber Hospital Inc.WindberPA0—————
Presbyterian Medical CenterPhiladelphiaPA0—————
Pennsylvania Hospital Of UphsPhiladelphiaPA0—————

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.