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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$5,766.00
Median
$8,696.19
Max
$9,244.03
Range multiplier
1.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield628$52.12$6,517.81$23,752455.7×
UnitedHealthcare624$22.71$8,832.60$16,667733.9×
Medicaid416$7.59$51.31$8,803.831159.9×
Cigna613$2,466.00$7,752.94$24,0269.7×
harvard pilgrim [10701]412$5,129.63$5,129.63$7,064.071.4×
institution [10406]49$51.31$8,696.19$15,577303.6×
Aetna49$24.88$8,014.69$16,356657.4×
correctional care [11003]38$5,472.06$8,696.19$8,803.831.6×
senior whole health [10110]45$9,304.92$9,420.10$16,6671.8×
tufts [11201]35$5,630.03$8,051.88$8,857.161.6×
tufts us family [11203]45$8,696.19$8,803.83$15,5771.8×
CHAMPVA45$7,635.25$9,085.94$15,2802.0×
tufts connectorcare [10507]45$14,792$14,975$26,4961.8×
mgb mcr [10124]45$8,803.83$9,131.00$15,5771.8×
fallon connectorcare [10503]44$578.00$578.00$578.001.0×
fallon mcr [10105]34$9,131.00$9,187.52$16,3561.8×
hsno/free care [10801]44$294.30$672.16$680.812.3×
wellpoint [11112]44$10,163$10,163$10,1631.0×
fallon mcr supp [20202]23$9,244.03$9,244.03$16,3561.8×
commonwealth care mcr [10115]33$9,131.00$9,131.00$9,244.031.0×
tufts dual [10111]33$8,696.19$8,696.19$8,803.831.0×
tufts mcr [10112]23$9,244.03$9,244.03$16,3561.8×
Medicare33$8,696.19$8,696.19$8,803.831.0×
workers compensation [20501]33$2,042.57$2,042.57$2,042.571.0×
pennsylvania health and wellness13$2,000.00$7,827.49$13,7916.9×
amerihealth12$37.03$41.97$46.911.3×
masshealth [20302]22$7.59$29.45$51.316.8×
eternalhealth mcr replace [10116]22$9,131.00$9,131.00$9,131.001.0×
Humana22$7,678.39$7,846.54$8,014.691.0×
wellpoint12$3,266.00$5,640.35$8,014.692.5×
harvard pilgrim mcr supp [20203]22$9,131.00$9,131.00$9,131.001.0×
geisinger12$2,050.00$4,901.47$7,752.943.8×
health partners plans12$2,208.00$5,017.75$7,827.493.5×
commonwealth care alliance [10103]12$9,244.03$12,800$16,3561.8×
qualcare inc12$87.00$2,117.50$4,148.0047.7×
fidelis care12$25.96$4,020.33$8,014.69308.7×
tufts mcr supp [20209]22$9,131.00$9,131.00$9,131.001.0×
keystone first12$1,342.00$4,472.93$7,603.855.7×
gateway health plan11$7,827.49$7,827.49$7,827.491.0×
harvard pilgrim mcr [10106]11$9,244.03$9,244.03$9,244.031.0×
innovage11$7,603.85$7,603.85$7,603.851.0×
Emblem Health11$16,029$16,029$16,0291.0×
naphcare11$11,182$11,182$11,1821.0×
occunet11$12,300$12,300$12,3001.0×
point comfort11$7,454.75$7,454.75$7,454.751.0×
elder health11$8,945.70$8,945.70$8,945.701.0×
sunrise11$8,200.23$8,200.23$8,200.231.0×
clover health11$8,014.69$8,014.69$8,014.691.0×
upmc health plan11$7,827.49$7,827.49$7,827.491.0×
vibra11$7,603.85$7,603.85$7,603.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Harrington Memorial HospitalSouthbridgeMA20$152,188$152,188$7.59$9,244.03$26,496
Marlborough HospitalMarlboroughMA24$53,919$53,919$578.00$8,696.19$14,792
Umass Memorial Medical CenterWorcesterMA24$53,919$53,919$578.00$8,696.19$14,792
Healthalliance-ClintonLeominsterMA25$56,974$56,974$51.31$8,219.54$14,975
Chestnut Hill Benevolent AssociationChestnut HillMA18$1,342.00$7,603.85$23,752
Beth Israel Deaconess - PlymouthPlymouthMA13$4,881.00$22.71$5,766.00$24,026

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.