▸ Compare · PriceTransparency
Heart failure & shock w/o CC/MCC
MS-DRG 293 · negotiated-rate distribution across hospitals in MA
Hospitals
10
Min
$5,294.17
Median
$6,287.39
Max
$10,802
Range multiplier
2.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 27 | $4,864.23 | $7,773.43 | $19,261 | 4.0× |
| UnitedHealthcare | 6 | 21 | $5,263.17 | $6,287.39 | $14,842 | 2.8× |
| Cigna | 4 | 9 | $5,263.17 | $7,836.26 | $13,666 | 2.6× |
| Aetna | 3 | 8 | $5,180.60 | $7,671.66 | $17,805 | 3.4× |
| amerihealth | 2 | 4 | $4,521.84 | $9,118.86 | $16,291 | 3.6× |
| correctional care [11003] | 2 | 4 | $5,876.07 | $6,834.60 | $7,793.13 | 1.3× |
| institution [10406] | 2 | 4 | $758.07 | $4,122.65 | $7,487.22 | 9.9× |
| tufts [11201] | 2 | 4 | $6,958.00 | $7,306.00 | $7,654.00 | 1.1× |
| Humana | 3 | 3 | $5,263.17 | $5,509.77 | $5,714.26 | 1.1× |
| medical mutual | 1 | 3 | $5,263.17 | $9,313.79 | $11,442 | 2.2× |
| wellpoint [11112] | 2 | 2 | $8,884.00 | $8,884.00 | $8,884.00 | 1.0× |
| buckeye health plan | 1 | 2 | $5,263.17 | $7,105.28 | $8,947.39 | 1.7× |
| CareSource | 1 | 2 | $5,263.17 | $6,698.70 | $8,134.23 | 1.5× |
| commonwealth care mcr [10115] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| eternalhealth mcr replace [10116] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| fallon connectorcare [10503] | 2 | 2 | $12,301 | $12,301 | $12,301 | 1.0× |
| fallon mcaid carelon hlth [29] | 2 | 2 | $2,064.74 | $2,064.74 | $2,064.74 | 1.0× |
| fallon mcr [10105] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| geisinger | 1 | 2 | $5,563.26 | $6,177.63 | $6,792.00 | 1.2× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| hsno/free care [10801] | 2 | 2 | $7,487.22 | $7,487.22 | $7,487.22 | 1.0× |
| Medicaid | 2 | 2 | $1,917.43 | $1,917.43 | $1,917.43 | 1.0× |
| Medicare | 2 | 2 | $7,487.22 | $7,487.22 | $7,487.22 | 1.0× |
| mgb mcr [10124] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| Molina | 1 | 2 | $5,526.33 | $8,514.50 | $11,503 | 2.1× |
| pennsylvania health and wellness | 1 | 2 | $5,616.75 | $5,727.24 | $5,837.72 | 1.0× |
| qualcare inc | 1 | 2 | $6,640.00 | $6,803.00 | $6,966.00 | 1.0× |
| senior whole health [10110] | 2 | 2 | $6,287.39 | $6,287.39 | $6,287.39 | 1.0× |
| tufts connectorcare [10507] | 2 | 2 | $7,487.22 | $7,487.22 | $7,487.22 | 1.0× |
| tufts dual [10111] | 2 | 2 | $7,487.22 | $7,487.22 | $7,487.22 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $6,169.87 | $6,169.87 | $6,169.87 | 1.0× |
| WellCare | 2 | 2 | $5,294.17 | $8,332.78 | $11,371 | 2.1× |
| wellpoint | 1 | 2 | $1,885.00 | $3,799.63 | $5,714.26 | 3.0× |
| clover health | 1 | 1 | $5,714.26 | $5,714.26 | $5,714.26 | 1.0× |
| vaya | 1 | 1 | $5,294.17 | $5,294.17 | $5,294.17 | 1.0× |
| medigold | 1 | 1 | $5,263.17 | $5,263.17 | $5,263.17 | 1.0× |
| vibra | 1 | 1 | $5,456.28 | $5,456.28 | $5,456.28 | 1.0× |
| alliance | 1 | 1 | $5,346.59 | $5,346.59 | $5,346.59 | 1.0× |
| naphcare | 1 | 1 | $8,023.94 | $8,023.94 | $8,023.94 | 1.0× |
| optum | 1 | 1 | $5,263.17 | $5,263.17 | $5,263.17 | 1.0× |
| partners | 1 | 1 | $5,241.75 | $5,241.75 | $5,241.75 | 1.0× |
| Ambetter | 1 | 1 | $4,705.10 | $4,705.10 | $4,705.10 | 1.0× |
| elder health | 1 | 1 | $6,419.15 | $6,419.15 | $6,419.15 | 1.0× |
| Emblem Health | 1 | 1 | $10,808 | $10,808 | $10,808 | 1.0× |
| perennial advantage | 1 | 1 | $5,526.33 | $5,526.33 | $5,526.33 | 1.0× |
| point comfort | 1 | 1 | $5,349.29 | $5,349.29 | $5,349.29 | 1.0× |
| upmc health plan | 1 | 1 | $5,616.75 | $5,616.75 | $5,616.75 | 1.0× |
| valor health plan | 1 | 1 | $5,263.17 | $5,263.17 | $5,263.17 | 1.0× |
| fidelis care | 1 | 1 | $5,714.26 | $5,714.26 | $5,714.26 | 1.0× |
| First Health | 1 | 1 | $60.00 | $60.00 | $60.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Umass Memorial Medical Center | Worcester | MA | 20 | $14,426 | $14,426 | $758.07 | $6,287.39 | $12,301 |
| Marlborough Hospital | Marlborough | MA | 20 | $14,426 | $14,426 | $758.07 | $6,287.39 | $12,301 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 17 | — | — | $5,180.60 | $5,616.75 | $10,932 |
| Hospital For Behavioral Medicine | Worcester | MA | 16 | — | — | $5,263.17 | $5,526.33 | $12,368 |
| High Point Hospital | Middleborough | MA | 12 | — | — | $4,521.84 | $5,294.17 | $7,836.26 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | — | $3,470.00 | $60.00 | $10,802 | $19,261 |
| North Adams Regional Hospital | North Adams | MA | 0 | — | — | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | — | — | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | — | — | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | — | — | — | — | — |
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.