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OR procedure for obesity w/o CC/MCC

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

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Hospitals
19
Min
$9,625.69
Median
$12,366
Max
$20,003
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17161$2,463.00$15,426$27,08511.0×
Blue Cross Blue Shield19141$1,215.00$15,857$37,30730.7×
UnitedHealthcare17130$1,147.00$13,239$27,08523.6×
Aetna1852$3,825.00$19,970$42,51511.1×
amerigroup mcaid replacement735$5,862.75$6,081.41$7,436.241.3×
smart health830$10,900$15,967$16,7211.5×
Humana1221$9,167.32$11,188$12,8001.4×
health 2 business721$20,346$21,558$23,3921.1×
Medicare815$9,167.32$10,352$13,6821.5×
Ambetter1114$2,835.00$13,730$21,1187.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Medicare Advantage89$9,167.32$10,555$12,8001.4×
wellpoint39$9,573.48$10,824$11,5851.2×
community plan88$7,274.29$7,274.29$7,274.291.0×
oscar77$17,408$17,408$17,4081.0×
healthspring mcr replacement77$9,167.32$10,555$11,4751.3×
nhc advantage77$9,167.32$10,555$11,4751.3×
celtic insurance company77$15,025$18,258$21,1181.4×
centurion of tn77$9,167.32$10,555$11,4751.3×
optum va77$9,167.32$10,555$11,4751.3×
point comfort underwriters77$8,250.59$9,499.76$10,3281.3×
amerigroup mcr replacement77$9,442.34$10,555$11,4751.2×
Self-Pay (Cash)77$9,167.32$10,555$11,4751.3×
river valley plan77$1,567.23$7,680.77$11,4487.3×
farm bureau36$9,642.95$10,210$10,3381.1×
ascension complete66$9,859.48$10,561$11,4751.2×
devoted health36$10,824$11,405$11,5851.1×
TRICARE55$8,800.63$10,850$11,0331.3×
VA Health44$9,693.58$11,149$11,7801.2×
triwest va pccc33$9,167.32$9,859.48$9,859.481.1×
amerigroup23$7,450.09$8,113.69$11,1151.5×
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$10,0424.0×
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$10,309$10,862$11,0331.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$10,824$11,405$11,5851.1×
health plans inc [100282]11$13,682$13,682$13,6821.0×
harmony health plan11$11,115$11,115$11,1151.0×
generic hospice vbid [10940000101]11$12,800$12,800$12,8001.0×
devoted health [450111]11$13,184$13,184$13,1841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas Midtown HospitalNashvilleTN23$7,274.29$9,625.69$36,239
Bolivar General HospitalBolivarTN6$7,680.77$20,003$25,718
Camden General HospitalCamdenTN6$7,680.77$18,706$25,718
West Tn Healthcare Volunteer HospitaMartinTN7$1,635.11$17,450$24,045
Jackson-Madison County General HospJacksonTN9$7,706.42$17,083$32,549
Dyersburg Regional Medical CenterDyersburgTN7$1,567.23$17,083$24,298
St Thomas Hickman HospitalCentervilleTN9$5,862.75$15,974$42,515
Methodist H/C Memphis Hospt.MemphisTN16$35,074$7,716.24$1,215.00$13,190$32,707
Milan General HospitalMilanTN8$7,680.77$12,930$25,718
Saint Thomas Rutherford HospitalMurfreesboroTN22$5,862.75$12,366$42,515
Saint Thomas West HospitalNashvilleTN22$5,862.75$12,366$42,515
Saint Thomas Stones River HospitalWoodburyTN21$3,936.04$11,915$42,515
St Thomas Dekalb HospitalSmithvilleTN21$3,936.04$11,915$42,515
Ascension St Thomas River ParkMcminnvilleTN21$3,936.04$11,915$42,515
Saint Thomas Highland HospitalSpartaTN21$3,936.04$11,915$42,515
Henry County Medical CenterParisTN14$1,147.00$11,448$22,136
Roane County Medical CenterHarrimanTN24$45.00$11,364$22,865
Fort Loudoun Medical CenterLenoir CityTN24$45.00$11,188$22,865
Morristown-Hamblen HospitalMorristownTN24$45.00$10,618$22,865

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.