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Laparoscopic cholecystectomy w/o CDE w/o CC/MCC

MS-DRG 420 · negotiated-rate distribution across hospitals in MA

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Hospitals
12
Min
$14,468
Median
$33,567
Max
$65,688
Range multiplier
4.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield627$6,690$45,237$92,54513.8×
mgb hlth partners [11110]422$11,159$18,091$59,1965.3×
UnitedHealthcare621$26,775$36,323$95,4733.6×
Cigna49$26,775$50,407$87,9093.3×
mgb connectorcare [10506]28$13,044$19,831$51,4763.9×
Aetna38$26,775$49,126$114,5294.3×
tufts [11201]24$6,958$7,306$7,6541.1×
institution [10406]24$758.07$21,212$41,66755.0×
amerihealth24$29,087$51,849$87,7233.0×
correctional care [11003]24$31,968$41,049$50,1291.6×
Humana33$26,775$31,835$36,7571.4×
medical mutual13$26,775$59,873$73,5562.7×
wellpoint [11112]22$42,282$42,282$42,2821.0×
buckeye health plan12$26,775$36,146$45,5171.7×
CareSource12$26,775$34,078$41,3811.5×
commonwealth care mcr [10115]22$33,567$33,567$33,5671.0×
eternalhealth mcr replace [10116]22$33,567$33,567$33,5671.0×
fallon connectorcare [10503]22$74,047$74,047$74,0471.0×
fallon mcaid carelon hlth [29]22$2,064.74$2,064.74$2,064.741.0×
fallon mcr [10105]22$33,567$33,567$33,5671.0×
geisinger12$32,144$36,515$40,8851.3×
harvard pilgrim mcr supp [20203]22$33,567$33,567$33,5671.0×
hne [11108]22$77,402$77,402$77,4021.0×
hsno/free care [10801]22$41,667$41,667$41,6671.0×
Medicaid22$10,419$10,419$10,4191.0×
Medicare22$41,667$41,667$41,6671.0×
mgb mcr [10124]22$33,567$33,567$33,5671.0×
Molina12$28,114$43,315$58,5162.1×
pennsylvania health and wellness12$32,454$33,797$35,1411.1×
qualcare inc12$6,640$6,803$6,9661.0×
senior whole health [10110]22$34,206$34,206$34,2061.0×
tufts connectorcare [10507]22$41,667$41,667$41,6671.0×
tufts dual [10111]22$41,667$41,667$41,6671.0×
tufts mcr supp [20209]22$33,567$33,567$33,5671.0×
WellCare22$34,055$53,600$73,1462.1×
wellpoint12$1,885$19,321$36,75719.5×
medigold11$26,775$26,775$26,7751.0×
custom design benefits inc.11$62,918$62,918$62,9181.0×
clover health11$36,757$36,757$36,7571.0×
vibra11$31,526$31,526$31,5261.0×
alliance11$34,392$34,392$34,3921.0×
naphcare11$46,362$46,362$46,3621.0×
optum11$26,775$26,775$26,7751.0×
partners11$33,717$33,717$33,7171.0×
Ambetter11$30,265$30,265$30,2651.0×
perennial advantage11$28,114$28,114$28,1141.0×
point comfort11$30,908$30,908$30,9081.0×
upmc health plan11$32,454$32,454$32,4541.0×
fidelis care11$36,757$36,757$36,7571.0×
First Health11$60$60$601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,470$60$65,688$114,529
HIGH POINT HOSPITALMIDDLEBOROUGHMA12$29,087$34,055$50,407
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA23$106,046$106,046$758.07$33,567$77,402
MARLBOROUGH HOSPITALMARLBOROUGHMA23$106,046$106,046$758.07$33,567$77,402
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA17$30,908$32,454$70,319
HOSPITAL FOR BEHAVIORAL MEDICINEWORCESTERMA16$26,775$28,114$74,258
HEALTHALLIANCE-CLINTONLEOMINSTERMA1$37,246$37,246$11,159$17,974$50,642
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA1$23,415$23,415$11,159$14,468$23,541
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0
FAIRVIEW HOSPITALGREAT BARRINGTONMA0
NORTH SHORE MEDICAL CENTERSALEMMA0

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.