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Kidney/UTI w MCC

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

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Hospitals
38
Min
$50.67
Median
$10,258
Max
$16,513
Range multiplier
325.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna3481$50.67$13,375$27,392540.6×
UnitedHealthcare3379$50.67$10,220$25,779508.8×
medical mutual of ohio2457$50.67$15,080$24,620485.9×
Blue Cross Blue Shield1950$98.00$12,684$23,153236.3×
Cigna2444$50.67$9,324.23$24,170477.0×
Anthem BCBS1743$50.67$13,042$19,821391.2×
Molina2934$50.67$9,820.32$20,343401.5×
Humana3132$50.00$9,244.83$14,070281.4×
CareSource2831$91.21$10,649$25,327277.7×
the health plan2130$50.67$12,650$19,889392.5×
summacare1725$50.67$13,375$20,670407.9×
devoted health2222$50.67$9,393.70$14,070277.7×
Medicare220$3,223.00$3,223.00$13,6904.2×
aultcare1418$39.00$14,101$18,823482.6×
WellCare1515$50.67$9,150.08$14,070277.7×
paramount1313$52.19$8,826.38$14,492277.7×
primetime health plan1313$50.67$8,569.30$14,070277.7×
perennial advantage of ohio1313$53.20$8,997.77$14,774277.7×
transplants-case rates [5750]113$60.00$3,223.00$83,1731386.2×
valor health plans1313$53.20$8,997.77$14,774277.7×
medigold1313$8,650.93$9,735.47$13,4421.6×
Ambetter1313$91.21$15,425$25,327277.7×
medical mutual611$65.00$9,170.07$24,393375.3×
jp farley1010$10,978$13,412$16,5131.5×
university health employee plan (contigo)1010$11,094$11,094$13,7531.2×
allwell99$8,650.93$9,735.47$13,4421.6×
buckeye47$2,669.00$11,027$15,5235.8×
custom design benefits36$22,634$24,177$27,7281.2×
First Health26$78.00$82.40$82.401.1×
medben35$25,210$27,271$30,8321.2×
healthsmart14$55.00$85.00$85.001.5×
Medicaid14$8,015.04$8,335.64$8,816.541.1×
buckeye health plan23$9,498.37$10,441$16,1471.7×
oscar33$10,820$11,543$13,3791.2×
buckeye community health plan23$9,905.16$20,440$20,4402.1×
imagine health33$22,066$22,710$25,6751.2×
essence healthcare33$9,200.63$9,469.17$10,7061.2×
optum33$9,200.63$9,469.17$10,7061.2×
commercial-contracted [8000]12$75.00$1,119.00$2,163.0028.8×
amish church fund12$50.00$52.50$55.001.1×
care source11$10,103$10,103$10,1031.0×
TRICARE11$9,981.18$9,981.18$9,981.181.0×
valor health11$10,220$10,220$10,2201.0×
valor health plan11$9,498.37$9,498.37$9,498.371.0×
gateway health11$10,103$10,103$10,1031.0×
medishare11$85.00$85.00$85.001.0×
mi amish medical board11$9,839.56$9,839.56$9,839.561.0×
custom design benefits inc.11$22,320$22,320$22,3201.0×
mount carmel health plan11$10,441$10,441$10,4411.0×
ohio health choice11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Dublin Methodist HospitalDublinOH12$9,735.47$9,735.47$25,902
Berger HospitalCirclevilleOH10$9,289.03$9,289.03$24,566
Marion General HospitalMarionOH10$9,170.07$9,170.07$9,536.87
Uh Samaritan Medical CenterAshlandOH17$9,150.08$9,150.08$16,470
Adams County Regional Medical CenterSeamanOH10$18,587$11,152$53.10$90.76$83,173
Medcentral Health SystemMansfieldOH8$8,842.32$8,842.32$9,196.01
Uh Parma Medical CenterParmaOH19$8,364.01$8,782.21$17,659
St. Lukes HospitalMaumeeOH6$32,357$16,178$7,895.19$8,693.72$13,690
Obleness Memorial HospitalAthensOH12$8,650.93$8,650.93$8,737.44
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Uh Portage Medical CenterRavennaOH19$8,079.87$8,483.86$19,477
Lake Hospital SystemConcordOH19$8,079.87$8,483.86$15,214
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$19,497
Fulton County Health CenterWauseonOH1$5,221.35$5,221.35$5,221.35
Uh Geauga Medical CenterChardonOH17$50.67$50.67$91.21
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$91.21
University Hospitals Avon Rehab HospAvonOH20$13,375$16,513$25,779
Uh Cleveland Medical CenterClevelandOH20$13,375$16,513$25,779
University Hospitals Rehab HospitalBeachwoodOH20$13,375$16,513$25,779
Fort Hamilton HospitalHamiltonOH14$9,498.37$14,680$24,626
Good Samaritan HospitalCincinnatiOH17$10,706$14,408$30,832
Uh St. John Medical CenterWestlakeOH20$7,314.38$14,070$25,327
Bethesda HospitalCincinnatiOH17$9,469.17$13,702$27,271
Doctors HospitalColumbusOH11$13,442$13,442$27,392
Rainbow Babies & Childrens HospitalClevelandOH15$13,375$13,375$14,044
Uh Ahuja Medical CenterBeachwoodOH20$8,569.30$13,187$18,576
Uh Geneva Medical CenterGenevaOH7$10,139$12,684$15,647
Adena Regional Medical CenterChillicotheOH12$9,905.16$12,535$27,239
Uh Conneaut Medical CenterConneautOH7$10,684$12,436$15,647
Grant Medical CenterColumbusOH12$11,925$11,925$25,902
Uh Elyria Medical CenterElyriaOH20$8,431.70$11,094$16,589
Mccullough-Hyde Memorial HospitalOxfordOH15$9,200.63$10,820$25,210
Madison HealthLondonOH10$10,441$10,649$16,705
Grady Memorial HospitalDelawareOH10$10,258$10,258$10,669
Riverside Methodist HospitalColumbusOH12$10,221$10,221$25,902
Alliance Community HospitalAllianceOH11$69.00$10,220$20,440
Wayne Hospital CompanyGreenvilleOH0$32,117$24,088
Wilson Memorial HospitalSidneyOH0$22,002$11,001

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.