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Kidney/UTI w MCC

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

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Hospitals
20
Min
$7,777.16
Median
$11,426
Max
$13,140
Range multiplier
1.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17146$2,294.00$12,729$20,8359.1×
Blue Cross Blue Shield19141$1,642.59$9,130.75$18,83211.5×
UnitedHealthcare17130$1,147.00$11,915$20,83518.2×
Aetna1845$3,426.00$13,140$20,3005.9×
amerigroup mcaid replacement735$3,998.27$4,147.40$5,071.361.3×
smart health830$9,872.42$11,776$12,3581.3×
health 2 business721$14,164$15,007$16,2841.1×
Humana1221$7,051.73$8,956.83$11,7941.7×
Medicare815$7,051.73$7,963.37$11,0461.6×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Ambetter1111$2,628.00$9,859.41$16,8496.4×
wellpoint39$6,812.27$8,665.62$9,274.441.4×
Medicare Advantage89$7,051.73$8,119.40$10,3671.5×
community plan88$5,366.13$5,366.13$5,366.131.0×
point comfort underwriters77$6,346.56$7,307.46$7,944.201.3×
nhc advantage77$7,051.73$8,119.40$8,826.891.3×
healthspring mcr replacement77$7,051.73$8,119.40$8,826.891.3×
centurion of tn77$7,051.73$8,119.40$8,826.891.3×
optum va77$7,051.73$8,119.40$8,826.891.3×
oscar77$13,391$13,391$13,3911.0×
amerigroup mcr replacement77$7,263.28$8,119.40$8,826.891.2×
Self-Pay (Cash)77$7,051.73$8,119.40$8,826.891.3×
river valley plan77$1,205.55$5,908.25$9,133.847.6×
celtic insurance company77$11,558$14,045$16,8491.5×
farm bureau36$7,463.71$7,902.36$8,001.821.1×
devoted health36$8,665.62$9,130.75$9,274.441.1×
ascension complete66$7,584.16$8,124.07$8,826.891.2×
TRICARE55$6,769.66$8,346.18$8,832.801.3×
VA Health44$7,456.55$8,882.56$9,061.201.2×
triwest va pccc33$7,051.73$7,584.16$7,584.161.1×
amerigroup23$5,080.80$6,473.50$8,867.811.7×
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$6,848.612.7×
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$8,252.97$8,695.95$8,832.801.1×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$8,665.62$9,130.75$9,274.441.1×
harmony health plan11$8,867.81$8,867.81$8,867.811.0×
generic hospice vbid [10940000101]11$10,367$10,367$10,3671.0×
devoted health [450111]11$10,678$10,678$10,6781.0×
tennessee rural health improvement association11$9,133.84$9,133.84$9,133.841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Camden General HospitalCamdenTN6$5,908.25$9,994.38$19,783
Milan General HospitalMilanTN8$5,908.25$9,592.46$19,783
Henry County Medical CenterParisTN14$1,147.00$9,133.84$17,027
Roane County Medical CenterHarrimanTN24$45.00$8,417.31$18,032
Fort Loudoun Medical CenterLenoir CityTN24$45.00$8,299.16$18,032
Morristown-Hamblen HospitalMorristownTN24$45.00$7,858.34$18,032
Saint Thomas Midtown HospitalNashvilleTN23$4,855.27$7,777.16$19,970
Dyersburg Regional Medical CenterDyersburgTN7$1,205.55$13,140$17,027
Jackson-Madison County General HospJacksonTN9$5,927.97$12,738$19,783
St Thomas Hickman HospitalCentervilleTN9$3,998.27$12,239$20,300
Saint Thomas West HospitalNashvilleTN22$3,998.27$11,776$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$3,998.27$11,776$20,300
Saint Thomas Highland HospitalSpartaTN21$1,647.90$11,666$20,300
West Tn Healthcare Volunteer HospitaMartinTN7$1,257.77$11,604$17,027
Saint Thomas Stones River HospitalWoodburyTN21$1,647.90$11,520$20,300
Ascension St Thomas River ParkMcminnvilleTN21$1,647.90$11,485$20,300
St Thomas Dekalb HospitalSmithvilleTN21$1,647.90$11,426$20,300
Methodist H/C Memphis Hospt.MemphisTN15$30,457$6,700.57$1,397.00$10,367$20,835
Bolivar General HospitalBolivarTN6$5,908.25$10,043$19,783
St Thomas AscensionNashvilleTN0$38,915$9,611.99

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.