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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in MA

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Hospitals
18
Min
$1,422.66
Median
$12,589
Max
$39,740
Range multiplier
27.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield930$1,650$16,136$32,66819.8×
UnitedHealthcare825$10,698$13,687$35,2953.3×
Cigna613$2,759$12,279$32,49911.8×
Aetna612$3,709$13,186$42,33911.4×
institution [10406]47$758.07$11,972$16,12321.3×
tufts [11201]46$2,759$6,958$7,6542.8×
correctional care [11003]36$11,664$14,505$18,5321.6×
Medicare55$11,972$16,123$39,7403.3×
senior whole health [10110]44$12,480$13,184$13,3411.1×
amerihealth24$10,753$19,584$33,4733.1×
fallon connectorcare [10503]44$4,921$16,411$27,9015.7×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hsno/free care [10801]44$11,972$14,149$16,1231.3×
mgb mcr [10124]44$12,175$12,669$13,0921.1×
tufts connectorcare [10507]44$11,972$16,123$16,9601.4×
wellpoint [11112]44$8,500$9,867.91$11,2361.3×
fallon mcr [10105]33$12,784$13,092$13,0921.0×
Humana33$10,698$12,161$13,5881.3×
tufts dual [10111]33$11,972$16,123$16,1231.3×
medical mutual13$10,698$22,138$27,1972.5×
commonwealth care mcr [10115]33$12,247$13,092$13,0921.1×
buckeye health plan12$10,698$14,442$18,1871.7×
fallon mcr supp [20202]22$12,247$12,515$12,7841.0×
harvard pilgrim mcr supp [20203]22$13,092$13,092$13,0921.0×
masshealth12$1,108.03$1,265.35$1,422.661.3×
Medicaid22$4,214.82$4,214.82$4,214.821.0×
wellpoint12$1,885$7,736.71$13,5887.2×
Molina12$11,233$17,307$23,3812.1×
tufts mcr [10112]22$12,247$12,515$12,7841.0×
tufts mcr supp [20209]22$13,092$13,092$13,0921.0×
fallon carelon hlth [28]22$1,252.6$1,637.86$2,023.121.6×
CareSource12$10,698$13,616$16,5341.5×
eternalhealth mcr replace [10116]22$13,092$13,092$13,0921.0×
hne [11108]22$3,685$3,685$3,6851.0×
pennsylvania health and wellness12$12,397$12,819$13,2411.1×
WellCare22$12,589$19,815$27,0412.1×
geisinger12$12,279$13,842$15,4061.3×
qualcare inc12$6,640$6,803$6,9661.0×
Ambetter11$11,189$11,189$11,1891.0×
alliance11$12,714$12,714$12,7141.0×
upmc health plan11$12,397$12,397$12,3971.0×
commonwealth care alliance [10103]11$12,784$12,784$12,7841.0×
clover health11$13,588$13,588$13,5881.0×
custom design benefits inc.11$25,139$25,139$25,1391.0×
devoted health11$10,698$10,698$10,6981.0×
Emblem Health11$25,701$25,701$25,7011.0×
elder health11$14,168$14,168$14,1681.0×
valor health plan11$10,698$10,698$10,6981.0×
vaya11$12,589$12,589$12,5891.0×
fidelis care11$13,588$13,588$13,5881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WHITTIER HOSPITAL-WESTBOROUGHWESTBOROUGHMA3$1,650$39,740$39,740
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,470$60$24,284$42,339
WHITTIER HOSPITAL-BRADFORDBRADFORDMA2$1,108.03$1,422.66$39,740
MARLBOROUGH HOSPITALMARLBOROUGHMA20$45,280$45,280$758.07$13,092$27,901
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA20$45,280$45,280$758.07$13,092$27,901
HIGH POINT HOSPITALMIDDLEBOROUGHMA12$10,753$12,589$18,635
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA17$11,751$12,397$25,996
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA19$21,613$21,613$1,252.6$12,175$16,960
HEALTHALLIANCE-CLINTONLEOMINSTERMA22$27,547$27,547$758.07$11,972$16,543
HOSPITAL FOR BEHAVIORAL MEDICINEWORCESTERMA16$10,698$11,233$27,456
BAYSTATE MEDICAL CENTERSPRINGFIELDMA0
BAYSTATE NOBLE HOSPITALWESTFIELDMA0
FAIRVIEW HOSPITALGREAT BARRINGTONMA0
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0
NORTH SHORE MEDICAL CENTERSALEMMA0
BAYSTATE WING HOSPITAL & MEDICAL CTRPALMERMA0
BAYSTATE FRANKLIN MEDICAL CENTERGREENFIELDMA0

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.