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Intracranial hemorrhage/CVA w MCC

MS-DRG 064 · negotiated-rate distribution across hospitals in MA

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Hospitals
10
Min
$17,014
Median
$19,193
Max
$20,104
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield721$16,204$24,105$39,6312.4×
UnitedHealthcare720$16,204$20,330$41,8532.6×
Cigna510$2,759$18,404$40,33514.6×
Aetna48$3,709$19,389$34,6599.3×
institution [10406]47$758.07$18,560$24,87132.8×
correctional care [11003]36$18,078$22,183$28,2521.6×
tufts [11201]46$2,759$6,958$7,6542.8×
fallon connectorcare [10503]44$4,921$24,313$43,7058.9×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
senior whole health [10110]44$19,343$20,330$20,4871.1×
tufts connectorcare [10507]44$18,560$24,871$26,2631.4×
hsno/free care [10801]44$18,560$21,862$24,8711.3×
wellpoint [11112]44$8,884$13,242$17,6002.0×
mgb mcr [10124]44$18,854$19,543$20,1041.1×
medical mutual13$16,204$33,745$41,4572.6×
Medicare33$18,560$24,871$24,8711.3×
fallon mcr [10105]33$19,796$20,104$20,1041.0×
tufts dual [10111]33$18,560$24,871$24,8711.3×
commonwealth care mcr [10115]33$18,981$20,104$20,1041.1×
tufts mcr supp [20209]22$20,104$20,104$20,1041.0×
fallon mcr supp [20202]22$18,981$19,389$19,7961.0×
geisinger12$19,083$21,607$24,1321.3×
pennsylvania health and wellness12$19,266$20,004$20,7411.1×
harvard pilgrim mcr supp [20203]22$20,104$20,104$20,1041.0×
Medicaid22$4,931.19$4,931.19$4,931.191.0×
fallon carelon hlth [28]22$1,252.6$1,637.86$2,023.121.6×
eternalhealth mcr replace [10116]22$20,104$20,104$20,1041.0×
hne [11108]22$3,685$3,685$3,6851.0×
amerihealth12$16,393$17,698$19,0031.2×
Humana22$16,204$17,552$18,8991.2×
Molina12$17,014$26,214$35,4142.1×
CareSource12$16,204$20,624$25,0431.5×
buckeye health plan12$16,204$21,876$27,5471.7×
tufts mcr [10112]22$18,981$19,389$19,7961.0×
innovage11$18,716$18,716$18,7161.0×
alliance11$19,383$19,383$19,3831.0×
Ambetter11$17,057$17,057$17,0571.0×
carolina complete11$19,003$19,003$19,0031.0×
commonwealth care alliance [10103]11$19,796$19,796$19,7961.0×
custom design benefits inc.11$38,078$38,078$38,0781.0×
devoted health11$16,204$16,204$16,2041.0×
elder health11$22,018$22,018$22,0181.0×
gateway health plan11$19,266$19,266$19,2661.0×
harvard pilgrim mcr [10106]11$18,981$18,981$18,9811.0×
health partners plans11$19,266$19,266$19,2661.0×
healthy blue11$19,003$19,003$19,0031.0×
keystone first11$18,716$18,716$18,7161.0×
medigold11$16,204$16,204$16,2041.0×
naphcare11$27,523$27,523$27,5231.0×
optum11$16,204$16,204$16,2041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA20$65,510$65,510$758.07$20,104$43,705
MARLBOROUGH HOSPITALMARLBOROUGHMA20$65,510$65,510$758.07$20,104$43,705
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA17$18,349$19,266$39,631
HIGH POINT HOSPITALMIDDLEBOROUGHMA12$16,393$19,193$28,409
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA19$30,806$30,806$1,252.6$18,854$26,263
HEALTHALLIANCE-CLINTONLEOMINSTERMA22$39,879$39,879$758.07$18,560$25,220
HOSPITAL FOR BEHAVIORAL MEDICINEWORCESTERMA16$16,204$17,014$41,853
FAIRVIEW HOSPITALGREAT BARRINGTONMA0
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0

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.