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Kidney/UTI w/o MCC

MS-DRG 690 · negotiated-rate distribution across hospitals in GA

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Hospitals
15
Min
$6,025.25
Median
$11,418
Max
$17,721
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$7,737.87$17,721$25,0583.2×
Blue Cross Blue Shield1142$21$11,640$24,2421154.4×
Aetna1131$90$13,054$19,732219.2×
UnitedHealthcare1027$5,127.7$11,702$31,8696.2×
Cigna1127$85$11,714$22,948270.0×
Humana1120$3,142.29$13,423$20,7986.6×
WellCare78$5,076.93$8,232.85$12,0662.4×
Oscar Health77$8,123.09$11,134$15,2131.9×
devoted health66$5,873.74$10,194$12,0532.1×
Ambetter55$8,376.93$20,278$22,9452.7×
Kaiser Permanente44$5,873.74$10,194$10,8231.8×
optum44$5,873.74$10,194$10,8231.8×
clover health44$6,167.43$10,704$11,3641.8×
sonder health plans44$6,167.43$10,704$11,3641.8×
va community care network44$5,873.74$10,194$10,8231.8×
First Health23$95$6,025.25$7,30076.8×
TRICARE23$4,263.81$4,263.81$5,681.431.3×
CareSource13$12,066$12,066$20,4791.7×
sonder health plan12$12,300$12,300$12,3001.0×
peach state12$7,730.64$9,898.24$12,0661.6×
riverwood behavioral health12$11,702$11,708$11,7141.0×
Health Net12$97$3,061.13$6,025.2562.1×
occunet11$11,423$11,423$11,4231.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$7,595.52$7,595.52$7,595.521.0×
provider select11$7,752.13$7,752.13$7,752.131.0×
rural arizona network11$6,025.25$6,025.25$6,025.251.0×
smarthealth11$7,107.7$7,107.7$7,107.71.0×
ubh optum11$11,714$11,714$11,7141.0×
united mine workers of america11$6,025.25$6,025.25$6,025.251.0×
three rivers11$7,595.52$7,595.52$7,595.521.0×
americas choice provider network11$7,595.52$7,595.52$7,595.521.0×
arizona medical network11$6,025.25$6,025.25$6,025.251.0×
banner health11$6,025.25$6,025.25$6,025.251.0×
blue mcr replacement11$5,076.93$5,076.93$5,076.931.0×
bridgeway health solutions11$6,025.25$6,025.25$6,025.251.0×
centurion11$17,554$17,554$17,5541.0×
clear spring health plan11$11,702$11,702$11,7021.0×
corvel11$7,438.91$7,438.91$7,438.911.0×
employer direct healthcare11$15,213$15,213$15,2131.0×
facility billing - op11$5,076.93$5,076.93$5,076.931.0×
georgia workers’ compensation11$7,830.43$7,830.43$7,830.431.0×
health choice pathway11$6,025.25$6,025.25$6,025.251.0×
health management network11$6,025.25$6,025.25$6,025.251.0×
healthspring mcr replacement11$5,178.47$5,178.47$5,178.471.0×
imperial insurance11$6,326.52$6,326.52$6,326.521.0×
Medicare11$11,702$11,702$11,7021.0×
Medicare Advantage11$5,076.93$5,076.93$5,076.931.0×
Multiplan11$7,595.52$7,595.52$7,595.521.0×
naphcare11$18,139$18,139$18,1391.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. JOSEPHS OF ATLANTAATLANTAGA14$5,873.74$9,705.61$17,039
ST. MARYS SACRED HEART HOSPITALLAVONIAGA17$4,263.81$8,376.93$19,155
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA17$21$6,025.25$31,869
NORTHEAST GEORGIA MEDICAL CENTERGAINESVILLEGA6$7,737.87$17,721$25,058
EMORY LONG TERM ACUTE CAREDECATURGA5$11,134$15,518$16,027
NGMC LUMPKIN LLCDAHLONEGAGA6$7,737.87$12,888$25,058
NGMC BARROWWINDERGA6$7,737.87$12,561$24,242
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$11,702$3,142.29$11,702$20,479
EMORY UNIVERSITY HOSPITALATLANTAGA14$8,277.54$11,418$22,945
EMORY UNIVERSITY HOSPITAL MIDTOWNATLANTAGA14$8,277.54$11,418$22,945
EMORY DECATURDECATURGA14$8,277.54$10,636$20,278
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.