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Kidney/UTI w/o MCC

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

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Hospitals
20
Min
$1,129.00
Median
$7,644.73
Max
$11,792
Range multiplier
10.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna17141$1,425.86$10,527$16,55911.6×
Blue Cross Blue Shield19140$985.83$6,027.29$18,83219.1×
UnitedHealthcare17120$1,147.00$11,915$15,97413.9×
Aetna1845$3,426.00$9,167.59$20,3005.9×
amerigroup mcaid replacement735$2,943.23$3,053.00$3,733.161.3×
smart health830$6,887.64$8,412.70$10,9001.6×
health 2 business721$10,097$10,698$11,6081.1×
Humana1120$4,919.74$6,142.65$11,7942.4×
Oscar Health814$8,150.00$8,394.50$9,991.001.2×
Medicare712$4,919.74$5,423.48$6,158.211.3×
Ambetter1111$2,628.00$6,878.56$12,5474.8×
wellpoint39$4,815.97$5,942.94$6,360.481.3×
community plan88$3,721.82$3,721.82$3,721.821.0×
Medicare Advantage78$4,919.74$5,477.91$6,158.211.3×
Self-Pay (Cash)77$4,919.74$5,664.61$6,158.211.3×
oscar77$9,342.44$9,342.44$9,342.441.0×
optum va77$4,919.74$5,664.61$6,158.211.3×
nhc advantage77$4,919.74$5,664.61$6,158.211.3×
amerigroup mcr replacement77$5,067.33$5,664.61$6,158.211.2×
river valley plan77$841.07$4,121.97$6,801.688.1×
healthspring mcr replacement77$4,919.74$5,664.61$6,158.211.3×
celtic insurance company77$8,063.36$10,510$12,5471.6×
centurion of tn77$4,919.74$5,664.61$6,158.211.3×
point comfort underwriters77$4,427.77$5,098.15$5,542.391.3×
farm bureau36$5,128.13$5,429.51$5,497.851.1×
ascension complete66$5,291.20$5,667.87$6,158.211.2×
devoted health36$5,942.94$6,261.93$6,360.481.1×
TRICARE44$4,722.95$5,811.84$6,057.601.3×
VA Health44$5,202.17$6,415.30$6,780.761.3×
ehn33$45.00$45.00$45.001.0×
usa managed care organization33$70.00$70.00$70.001.0×
WellCare33$5,942.94$6,261.93$6,360.481.1×
novanet33$75.00$75.00$75.001.0×
initial group33$88.00$88.00$88.001.0×
optum33$5,659.94$5,963.74$6,057.601.1×
direct care america33$80.00$80.00$80.001.0×
correctional medical services33$60.00$60.00$60.001.0×
community services network33$65.00$65.00$65.001.0×
galaxy health network33$90.00$90.00$90.001.0×
ccn managed care33$85.00$85.00$85.001.0×
beech street33$85.00$85.00$85.001.0×
amerigroup23$3,740.11$4,820.61$6,603.571.8×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
triwest va pccc33$4,919.74$5,291.20$5,291.201.1×
Medicaid12$51.00$475.50$900.0017.6×
windsor health plan11$6,801.68$6,801.68$6,801.681.0×
harmony health plan11$6,603.57$6,603.57$6,603.571.0×
phcs11$13,288$13,288$13,2881.0×
choicecare11$6,415.25$6,415.25$6,415.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Thomas Stones River HospitalWoodburyTN21$989.02$9,823.50$20,300
St Thomas Dekalb HospitalSmithvilleTN21$989.02$9,384.35$20,300
Saint Thomas West HospitalNashvilleTN22$2,919.13$9,374.30$20,300
Saint Thomas Rutherford HospitalMurfreesboroTN22$2,919.13$9,374.30$20,300
Ascension St Thomas River ParkMcminnvilleTN21$989.02$9,204.69$20,300
Dyersburg Regional Medical CenterDyersburgTN7$841.07$9,167.59$11,879
Saint Thomas Highland HospitalSpartaTN21$989.02$9,014.08$20,300
West Tn Healthcare Volunteer HospitaMartinTN7$877.50$8,075.89$11,879
Jackson-Madison County General HospJacksonTN9$4,135.74$7,644.73$13,802
Camden General HospitalCamdenTN6$4,121.97$6,939.03$13,802
Bolivar General HospitalBolivarTN6$4,121.97$6,939.03$13,802
Henry County Medical CenterParisTN14$985.83$6,801.68$12,547
Milan General HospitalMilanTN8$4,121.97$5,786.07$13,802
Roane County Medical CenterHarrimanTN24$45.00$5,777.73$12,366
Fort Loudoun Medical CenterLenoir CityTN24$45.00$5,696.63$12,366
Morristown-Hamblen HospitalMorristownTN24$45.00$5,394.04$12,366
Saint Thomas Midtown HospitalNashvilleTN23$2,913.98$5,218.93$19,970
St Thomas Hickman HospitalCentervilleTN9$2,943.23$11,792$20,300
Methodist H/C Memphis Hospt.MemphisTN5$26,351$5,797.11$51.00$1,129.00$12,480
St Thomas AscensionNashvilleTN0$32,115$7,932.52

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.