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Laparoscopic cholecystectomy w/o CDE w CC

MS-DRG 419 · negotiated-rate distribution across hospitals in MA

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Hospitals
16
Min
$11,885
Median
$13,172
Max
$24,522
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$11,319$17,734$37,9693.4×
UnitedHealthcare825$11,319$14,147$35,6413.1×
Cigna613$2,759.00$13,046$32,81711.9×
Aetna511$3,709.00$13,574$42,75511.5×
institution [10406]47$758.07$12,715$17,10922.6×
tufts [11201]46$2,759.00$6,958.00$7,654.002.8×
correctional care [11003]36$12,387$14,963$18,7141.5×
senior whole health [10110]44$13,254$13,990$14,1471.1×
amerihealth24$10,858$19,389$32,8323.0×
fallon connectorcare [10503]44$10,820$20,251$29,6832.7×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hne [11108]44$3,685.00$19,053$34,4209.3×
hsno/free care [10801]44$12,715$15,019$17,1091.3×
mgb mcr [10124]44$12,928$13,444$13,8821.1×
tufts connectorcare [10507]44$12,715$17,109$18,0091.4×
wellpoint [11112]44$6,011.00$14,452$16,9502.8×
commonwealth care mcr [10115]33$13,006$13,882$13,8821.1×
Medicare33$12,715$17,109$17,1091.3×
medical mutual13$11,319$22,353$27,4612.4×
Humana33$11,319$12,921$13,7221.2×
tufts dual [10111]33$12,715$17,109$17,1091.3×
fallon mcr [10105]33$13,574$13,882$13,8821.0×
harvard pilgrim mcr supp [20203]22$13,882$13,882$13,8821.0×
eternalhealth mcr replace [10116]22$13,882$13,882$13,8821.0×
fallon carelon hlth [28]22$1,252.60$1,637.86$2,023.121.6×
fallon mcr supp [20202]22$13,006$13,290$13,5741.0×
geisinger12$13,046$14,718$16,3901.3×
CareSource12$11,319$14,406$17,4931.5×
Medicaid22$3,569.04$3,569.04$3,569.041.0×
WellCare22$12,713$20,010$27,3062.1×
Molina12$11,885$18,311$24,7382.1×
pennsylvania health and wellness12$13,172$13,629$14,0871.1×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
buckeye health plan12$11,319$15,281$19,2421.7×
wellpoint12$1,885.00$7,803.36$13,7227.3×
tufts mcr [10112]22$13,006$13,290$13,5741.0×
tufts mcr supp [20209]22$13,882$13,882$13,8821.0×
elder health11$15,053$15,053$15,0531.0×
First Health11$60.00$60.00$60.001.0×
fidelis care11$13,722$13,722$13,7221.0×
medigold11$11,319$11,319$11,3191.0×
alliance11$12,839$12,839$12,8391.0×
clover health11$13,722$13,722$13,7221.0×
naphcare11$18,817$18,817$18,8171.0×
optum11$11,319$11,319$11,3191.0×
partners11$12,587$12,587$12,5871.0×
commonwealth care alliance [10103]11$13,574$13,574$13,5741.0×
perennial advantage11$11,885$11,885$11,8851.0×
point comfort11$12,544$12,544$12,5441.0×
upmc health plan11$13,172$13,172$13,1721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$3,470.00$60.00$24,522$42,755
Marlborough HospitalMarlboroughMA21$57,297$57,297$758.07$13,882$34,420
Umass Memorial Medical CenterWorcesterMA21$57,297$57,297$758.07$13,882$34,420
Chestnut Hill Benevolent AssociationChestnut HillMA17$12,501$13,172$26,251
Harrington Memorial HospitalSouthbridgeMA19$33,032$33,032$1,252.60$12,928$18,009
Healthalliance-ClintonLeominsterMA22$44,219$44,219$758.07$12,715$16,705
High Point HospitalMiddleboroughMA12$10,858$12,713$18,817
Hospital For Behavioral MedicineWorcesterMA16$11,319$11,885$27,724
North Shore Medical CenterSalemMA0
Baystate Noble HospitalWestfieldMA0
Baystate Medical CenterSpringfieldMA0
Berkshire Medical CenterPittsfieldMA0
Fairview HospitalGreat BarringtonMA0
Baystate Franklin Medical CenterGreenfieldMA0
Baystate Wing Hospital & Medical CtrPalmerMA0
North Adams Regional HospitalNorth AdamsMA0

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.