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Kidney/UTI w/o MCC

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

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Hospitals
16
Min
$1,754.5
Median
$6,991.44
Max
$11,073
Range multiplier
6.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1445$1,700$10,158$11,3576.7×
Aetna1020$1,809$6,584.43$8,4524.7×
UnitedHealthcare1120$4,598.1$6,991.44$11,0162.4×
WellCare1020$1,500$6,577.33$9,898.686.6×
Humana816$5,371.9$6,885.08$7,181.261.3×
Molina88$1,809$5,479.33$7,131.273.9×
optum ccn region 177$6,991.44$6,991.44$7,181.261.0×
optum ccn region 277$6,991.44$6,991.44$7,181.261.0×
caresoure kentucky55$11,746$11,746$12,0651.0×
Blue Cross Blue Shield14$5,878.24$8,454.59$9,440.981.6×
amerihealth12$5,049.16$6,630.12$8,211.071.6×
the health plan12$5,640.49$6,315.97$6,991.441.2×
Cigna22$1,500$3,749.6$5,999.24.0×
umr22$11,016$11,016$11,0161.0×
united - center care12$1,500$1,654.5$1,8091.2×
partners11$8,211.07$8,211.07$8,211.071.0×
trillium11$8,457.41$8,457.41$8,457.411.0×
vaya11$8,293.19$8,293.19$8,293.191.0×
va community care network11$5,999.2$5,999.2$5,999.21.0×
alliance coal11$8,998.8$8,998.8$8,998.81.0×
Ambetter11$5,781.13$5,781.13$5,781.131.0×
alliance coal direct opt-in11$2,171$2,171$2,1711.0×
amerigroup11$5,999.2$5,999.2$5,999.21.0×
alliance11$8,375.29$8,375.29$8,375.291.0×
baptist health community health11$1,500$1,500$1,5001.0×
beacon health11$5,338.62$5,338.62$5,338.621.0×
CareSource11$8,098.92$8,098.92$8,098.921.0×
carolina complete11$8,211.07$8,211.07$8,211.071.0×
center care11$1,500$1,500$1,5001.0×
christian county health dept-cchd11$5,338.62$5,338.62$5,338.621.0×
healthy blue11$8,211.07$8,211.07$8,211.071.0×
muiltiplan11$7,318$7,318$7,3181.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BAPTIST HEALTH LEXINGTONLEXINGTONKY12$4,598.1$8,211.07$9,440.98
HAZARD ARHHAZARDKY9$6,439.79$7,181.26$12,065
MIDDLESBORO ARHMIDDLESBOROKY9$5,103.3$6,991.44$11,746
HARLAN ARHHARLANKY9$5,103.3$6,991.44$11,746
WHITESBURG ARHWHITESBURGKY9$4,619.83$6,991.44$11,746
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY8$5,103.3$6,991.44$10,158
TUG VALLEY ARHSOUTH WILLIAMSONKY10$5,103.3$6,991.44$11,746
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY8$6,292.3$6,991.44$11,357
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY12$5,071.69$5,999.2$9,898.68
CONTINUECARE HOSPITAL MADISONVILLEMADISONVILLEKY10$10,454$10,454$1,500$1,754.5$7,841
MARY BRECKINRIDGE HOSPITALHYDENKY1$10,789$11,073$11,357
OUR LADY OF THE WAYMARTINKY1$10,789$11,073$11,357
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY1$10,789$11,073$11,357
MCDOWELL ARHMCDOWELLKY3$10,789$11,016$11,357
MORGAN CO. ARHWEST LIBERTYKY3$10,789$11,016$11,357
SPRING VIEW HOSPITALLEBANONKY0$27,367$10,947

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.