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Kidney/UTI w/o MCC

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

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Hospitals
11
Min
$7,982.41
Median
$10,543
Max
$25,442
Range multiplier
3.2×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1025$2,892$17,594$27,5399.5×
Empire BCBS525$5,542$18,655$315,81657.0×
UnitedHealthcare923$2,276$10,697$315,816138.8×
Emblem Health619$8,385.41$16,878$315,81637.7×
Cigna717$8,385.41$20,106$315,81637.7×
Humana88$7,982.41$8,830.68$315,81639.6×
oxford47$2,276$23,743$315,816138.8×
Healthfirst46$8,731.24$11,331$315,81636.2×
Blue Cross Blue Shield46$7,982.41$8,473.54$13,6991.7×
Medicare16$6,465.75$7,982.41$7,982.411.2×
WellCare66$8,511.19$10,009$315,81637.1×
fidelis55$8,553.12$10,954$315,81636.9×
mvp45$2,855$8,561.66$10,9543.8×
magnacare44$3,506$19,943$31,3208.9×
geisinger health plan24$8,385.41$13,899$20,0932.4×
oscar34$17,373$17,373$19,9801.2×
cdphp24$8,385.41$18,384$29,8833.6×
vns33$10,954$11,707$315,81628.8×
local 119933$17,654$21,260$24,2851.4×
1199 seiu22$8,343.52$8,371.26$8,3991.0×
health first22$8,385.41$8,657.77$8,930.121.1×
horizon12$19,469$21,187$22,9051.2×
metroplus22$11,707$163,762$315,81627.0×
upmc22$8,385.41$8,657.77$8,930.121.1×
emblemhealth11$9,375.17$9,375.17$9,375.171.0×
1199seiu national benefit funds11$12,202$12,202$12,2021.0×
elderplan 131611$7,982.41$7,982.41$7,982.411.0×
northwell direct11$17,809$17,809$17,8091.0×
elderplan11$315,816$315,816$315,8161.0×
centers plan for healthy living11$10,954$10,954$10,9541.0×
partners health plan11$10,954$10,954$10,9541.0×
prime health services11$8,930.12$8,930.12$8,930.121.0×
st. regis11$8,561.66$8,561.66$8,561.661.0×
capital district physicians' health plan11$8,561.66$8,561.66$8,561.661.0×
wellpath11$12,842$12,842$12,8421.0×
VA Health11$8,561.66$8,561.66$8,561.661.0×
brighton11$23,573$23,573$23,5731.0×
longevity11$8,731.24$8,731.24$8,731.241.0×
fidelis care11$8,561.66$8,561.66$8,561.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY6$7,331.75$9,737.97$12,997
GARNET HEALTH MEDICAL CENTERMIDDLETOWNNY17$8,930.12$8,930.12$31,320
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY10$8,094.19$8,561.66$19,237
GARNET HEALTH MEDICAL CENTER - CATSKHARRISNY15$8,385.41$8,385.41$29,562
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY6$7,982.41$6,244.48$7,982.41$10,697
NEW YORK EYE AND EAR INFIRMARYNEW YORKNY15$8,343.52$25,442$315,816
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY3$17,496$21,568$34,621
NEW YORK PRESBYTERIAN HOSPITALNEW YORKNY15$11,707$19,980$31,893
SOUTH NASSAU COMMUNITIES HOSPITALOCEANSIDENY12$6,164.02$17,373$31,268
ST. JOSEPHS MEDICAL CENTERYONKERSNY14$48,678$2,276$10,954$30,910
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY1$10,543$10,543$10,543

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.