▸ Compare · PriceTransparency
Major small/large bowel procedures w/o CC/MCC
MS-DRG 331 · negotiated-rate distribution across hospitals in MA
Hospitals
16
Min
$14,406
Median
$16,167
Max
$30,727
Range multiplier
2.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 8 | 29 | $6,690 | $20,227 | $48,343 | 7.2× |
| UnitedHealthcare | 8 | 25 | $13,720 | $17,538 | $44,660 | 3.3× |
| Cigna | 6 | 13 | $2,759 | $16,013 | $41,121 | 14.9× |
| Aetna | 5 | 11 | $3,709 | $16,632 | $53,573 | 14.4× |
| institution [10406] | 4 | 7 | $758.07 | $15,588 | $20,924 | 27.6× |
| tufts [11201] | 4 | 6 | $2,759 | $6,958 | $7,654 | 2.8× |
| correctional care [11003] | 3 | 6 | $15,184 | $18,533 | $23,449 | 1.5× |
| hsno/free care [10801] | 4 | 4 | $15,588 | $18,382 | $20,924 | 1.3× |
| fallon connectorcare [10503] | 4 | 4 | $10,820 | $23,697 | $36,574 | 3.4× |
| tufts connectorcare [10507] | 4 | 4 | $15,588 | $20,924 | $22,065 | 1.4× |
| amerihealth | 2 | 4 | $13,606 | $24,914 | $42,690 | 3.1× |
| senior whole health [10110] | 4 | 4 | $16,247 | $17,106 | $17,263 | 1.1× |
| mgb mcr [10124] | 4 | 4 | $15,840 | $16,442 | $16,940 | 1.1× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,252.97 | $1,939.47 | $2,064.74 | 1.6× |
| Humana | 3 | 3 | $13,720 | $15,859 | $17,194 | 1.3× |
| commonwealth care mcr [10115] | 3 | 3 | $15,943 | $16,940 | $16,940 | 1.1× |
| fallon mcr [10105] | 3 | 3 | $16,632 | $16,940 | $16,940 | 1.0× |
| medical mutual | 1 | 3 | $13,720 | $28,009 | $34,410 | 2.5× |
| Medicare | 3 | 3 | $15,588 | $20,924 | $20,924 | 1.3× |
| tufts dual [10111] | 3 | 3 | $15,588 | $20,924 | $20,924 | 1.3× |
| CareSource | 1 | 2 | $13,720 | $17,462 | $21,204 | 1.5× |
| geisinger | 1 | 2 | $16,013 | $18,104 | $20,195 | 1.3× |
| fallon mcr supp [20202] | 2 | 2 | $15,943 | $16,288 | $16,632 | 1.0× |
| Molina | 1 | 2 | $14,406 | $22,195 | $29,985 | 2.1× |
| buckeye health plan | 1 | 2 | $13,720 | $18,522 | $23,324 | 1.7× |
| hne [11108] | 2 | 2 | $3,685 | $3,685 | $3,685 | 1.0× |
| wellpoint [11112] | 2 | 2 | $14,729 | $14,729 | $14,729 | 1.0× |
| tufts mcr [10112] | 2 | 2 | $15,943 | $16,288 | $16,632 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $16,940 | $16,940 | $16,940 | 1.0× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $16,940 | $16,940 | $16,940 | 1.0× |
| Medicaid | 2 | 2 | $4,693.54 | $4,693.54 | $4,693.54 | 1.0× |
| pennsylvania health and wellness | 1 | 2 | $16,167 | $16,762 | $17,357 | 1.1× |
| WellCare | 2 | 2 | $15,930 | $25,073 | $34,216 | 2.1× |
| wellpoint | 1 | 2 | $1,885 | $9,539.4 | $17,194 | 9.1× |
| eternalhealth mcr replace [10116] | 2 | 2 | $16,940 | $16,940 | $16,940 | 1.0× |
| fallon carelon hlth [28] | 2 | 2 | $1,252.6 | $1,637.86 | $2,023.12 | 1.6× |
| qualcare inc | 1 | 2 | $6,640 | $6,803 | $6,966 | 1.0× |
| partners | 1 | 1 | $15,772 | $15,772 | $15,772 | 1.0× |
| perennial advantage | 1 | 1 | $14,406 | $14,406 | $14,406 | 1.0× |
| point comfort | 1 | 1 | $15,397 | $15,397 | $15,397 | 1.0× |
| sunrise | 1 | 1 | $16,937 | $16,937 | $16,937 | 1.0× |
| the health plan | 1 | 1 | $13,720 | $13,720 | $13,720 | 1.0× |
| trillium | 1 | 1 | $16,245 | $16,245 | $16,245 | 1.0× |
| Ambetter | 1 | 1 | $14,157 | $14,157 | $14,157 | 1.0× |
| alliance | 1 | 1 | $16,088 | $16,088 | $16,088 | 1.0× |
| upmc health plan | 1 | 1 | $16,167 | $16,167 | $16,167 | 1.0× |
| valor health plan | 1 | 1 | $13,720 | $13,720 | $13,720 | 1.0× |
| vaya | 1 | 1 | $15,930 | $15,930 | $15,930 | 1.0× |
| Emblem Health | 1 | 1 | $32,520 | $32,520 | $32,520 | 1.0× |
| devoted health | 1 | 1 | $13,720 | $13,720 | $13,720 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS - PLYMOUTH | PLYMOUTH | MA | 13 | — | $3,470 | $60 | $30,727 | $53,573 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 19 | $70,472 | $70,472 | $758.07 | $16,940 | $36,574 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 19 | $70,472 | $70,472 | $758.07 | $16,940 | $36,574 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 17 | — | — | $15,397 | $16,167 | $32,893 |
| HIGH POINT HOSPITAL | MIDDLEBOROUGH | MA | 12 | — | — | $13,606 | $15,930 | $23,579 |
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 19 | $46,438 | $46,438 | $1,252.6 | $15,840 | $22,065 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 22 | $36,488 | $36,488 | $758.07 | $15,588 | $20,932 |
| HOSPITAL FOR BEHAVIORAL MEDICINE | WORCESTER | MA | 16 | — | — | $13,720 | $14,406 | $34,739 |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | — | — | — | — | — |
| BAYSTATE NOBLE HOSPITAL | WESTFIELD | MA | 0 | — | — | — | — | — |
| BAYSTATE MEDICAL CENTER | SPRINGFIELD | MA | 0 | — | — | — | — | — |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | — | — | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | — | — | — | — | — |
| BAYSTATE WING HOSPITAL & MEDICAL CTR | PALMER | MA | 0 | — | — | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER | GREENFIELD | 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.