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PCI w drug-eluting stent w MCC
MS-DRG 246 · negotiated-rate distribution across hospitals in MA
Hospitals
7
Min
$15,653
Median
$29,670
Max
$55,484
Range multiplier
3.5×
By payer (9 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| mgb hlth partners [11110] | 4 | 8 | $14,561 | $23,587 | $37,101 | 2.5× |
| mgb connectorcare [10506] | 2 | 4 | $17,021 | $24,642 | $32,263 | 1.9× |
| qualcare inc | 1 | 4 | $6,640.00 | $28,374 | $49,781 | 7.5× |
| UnitedHealthcare | 2 | 3 | $40,820 | $63,026 | $63,026 | 1.5× |
| Blue Cross Blue Shield | 2 | 3 | $34,532 | $38,395 | $55,484 | 1.6× |
| medical mutual | 1 | 2 | $50,817 | $56,624 | $62,430 | 1.2× |
| amerihealth | 1 | 2 | $62,246 | $70,137 | $78,027 | 1.3× |
| Aetna | 1 | 2 | $52,194 | $52,194 | $52,194 | 1.0× |
| Cigna | 1 | 1 | $60,741 | $60,741 | $60,741 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Hospital For Behavioral Medicine | Worcester | MA | 5 | — | — | $38,395 | $55,484 | $63,026 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 3 | — | — | $6,640.00 | $49,781 | $78,027 |
| High Point Hospital | Middleborough | MA | 1 | — | — | $40,820 | $40,820 | $40,820 |
| Harrington Memorial Hospital | Southbridge | MA | 1 | $22,440 | $22,440 | $27,600 | $29,670 | $31,740 |
| Marlborough Hospital | Marlborough | MA | 2 | $57,647 | $57,647 | $17,021 | $25,919 | $37,101 |
| Umass Memorial Medical Center | Worcester | MA | 2 | $57,647 | $57,647 | $17,021 | $25,919 | $37,101 |
| Healthalliance-Clinton | Leominster | MA | 1 | $16,531 | $16,531 | $14,561 | $15,653 | $16,746 |
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.