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Kidney/UTI w MCC

MS-DRG 689 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$8,785.63
Median
$15,335
Max
$25,842
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$11,284$25,842$36,5413.2×
Blue Cross Blue Shield1142$29$13,753$35,3511219.0×
Aetna1131$90$19,037$28,774319.7×
UnitedHealthcare1027$7,349.81$14,217$45,0806.1×
Cigna1127$85$14,235$33,464393.7×
Humana1120$3,207.32$19,574$30,3299.5×
WellCare78$7,277.04$11,071$14,6622.0×
Oscar Health77$11,643$16,236$18,4831.6×
devoted health66$8,419.15$12,902$14,6441.7×
Ambetter55$12,007$25,835$28,8682.4×
Kaiser Permanente44$8,419.15$12,902$13,6171.6×
optum44$8,419.15$12,902$13,6171.6×
clover health44$8,840.11$13,547$14,2981.6×
sonder health plans44$8,840.11$13,547$14,2981.6×
va community care network44$8,419.15$12,902$13,6171.6×
First Health23$95$7,300$8,785.6392.5×
TRICARE23$6,164.72$6,164.72$10,0741.6×
CareSource13$14,662$14,662$24,8811.7×
sonder health plan12$14,946$14,946$14,9461.0×
peach state12$11,272$12,967$14,6621.3×
riverwood behavioral health12$14,217$14,226$14,2351.0×
Health Net12$97$4,441.32$8,785.6390.6×
occunet11$16,373$16,373$16,3731.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$11,055$11,055$11,0551.0×
provider select11$11,283$11,283$11,2831.0×
rural arizona network11$8,785.63$8,785.63$8,785.631.0×
smarthealth11$10,188$10,188$10,1881.0×
ubh optum11$14,235$14,235$14,2351.0×
united mine workers of america11$8,785.63$8,785.63$8,785.631.0×
three rivers11$11,055$11,055$11,0551.0×
americas choice provider network11$11,055$11,055$11,0551.0×
arizona medical network11$8,785.63$8,785.63$8,785.631.0×
banner health11$8,785.63$8,785.63$8,785.631.0×
blue mcr replacement11$7,277.04$7,277.04$7,277.041.0×
bridgeway health solutions11$8,785.63$8,785.63$8,785.631.0×
centurion11$21,326$21,326$21,3261.0×
clear spring health plan11$14,217$14,217$14,2171.0×
corvel11$10,827$10,827$10,8271.0×
employer direct healthcare11$18,483$18,483$18,4831.0×
facility billing - op11$7,277.04$7,277.04$7,277.041.0×
georgia workers’ compensation11$11,397$11,397$11,3971.0×
health choice pathway11$8,785.63$8,785.63$8,785.631.0×
health management network11$8,785.63$8,785.63$8,785.631.0×
healthspring mcr replacement11$7,422.58$7,422.58$7,422.581.0×
imperial insurance11$9,224.92$9,224.92$9,224.921.0×
Medicare11$14,217$14,217$14,2171.0×
Medicare Advantage11$7,277.04$7,277.04$7,277.041.0×
Multiplan11$11,055$11,055$11,0551.0×
naphcare11$22,037$22,037$22,0371.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$29$8,785.63$45,080
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$11,284$25,842$36,541
EMORY LONG TERM ACUTE CAREDECATURGA5$16,236$22,629$23,372
NGMC LUMPKIN LLCDAHLONEGAGA6$11,284$18,794$36,541
NGMC BARROWWINDERGA6$11,284$17,192$35,351
EMORY UNIVERSITY HOSPITALATLANTAGA14$12,071$15,335$28,868
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$12,071$15,335$28,868
EMORY DECATURDECATURGA14$12,071$14,577$25,835
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$14,217$3,207.32$14,217$24,881
ST. JOSEPHS OF ATLANTAATLANTAGA14$8,419.15$14,153$24,848
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$6,164.72$10,188$19,155
MEMORIAL HOSPITALBAINBRIDGEGA0
SOUTHWELL MEDICALADELGA0
CHATUGE REGIONAL HOSPITALHIWASSEEGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0

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.