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PCI w drug-eluting stent w/o MCC

MS-DRG 247 · negotiated-rate distribution across hospitals in MA

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Hospitals
7
Min
$14,393
Median
$25,043
Max
$38,815
Range multiplier
2.7×

By payer (9 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
mgb hlth partners [11110]418$11,565$17,809$64,8075.6×
mgb connectorcare [10506]28$13,519$23,686$56,3564.2×
Blue Cross Blue Shield23$22,146$24,476$35,3701.6×
UnitedHealthcare23$38,815$40,178$40,1781.0×
medical mutual12$32,395$36,096$39,7981.2×
amerihealth12$39,593$44,613$49,6321.3×
Aetna12$33,272$33,272$33,2721.0×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
Cigna11$38,721$38,721$38,7211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
High Point HospitalMiddleboroughMA1$38,815$38,815$38,815
Hospital For Behavioral MedicineWorcesterMA5$24,476$35,370$40,178
Umass Memorial Medical CenterWorcesterMA2$61,275$61,275$13,519$25,043$64,807
Marlborough HospitalMarlboroughMA2$61,275$61,275$13,519$25,043$64,807
Beth Israel Deaconess - PlymouthPlymouthMA3$6,640.00$22,146$49,632
Healthalliance-ClintonLeominsterMA1$31,381$31,381$11,565$16,647$55,442
Harrington Memorial HospitalSouthbridgeMA1$18,766$18,766$11,565$14,393$17,809

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.