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Laparoscopic appendectomy

CPT 44970 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$3,765
Median
$6,521.39
Max
$7,334.93
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield627$52.12$5,255.62$19,789379.7×
Medicaid326$7.46$9.33$7,334.93983.2×
UnitedHealthcare622$22.71$7,607.51$9,523419.3×
Cigna614$2,963$6,459.37$7,653.562.6×
harvard pilgrim [10701]412$4,001.15$4,136.27$4,136.271.0×
correctional care [11003]310$6,310$7,245.25$7,334.931.2×
institution [10406]49$7.59$7,245.25$7,334.93966.4×
Aetna48$24.88$6,155.85$7,701.68309.6×
tufts [11201]35$5,630.03$8,051.88$8,857.161.6×
mgb mcr [10124]44$7,334.93$7,607.51$7,701.681.1×
CHAMPVA44$6,235.79$7,174.62$7,420.591.2×
fallon connectorcare [10503]44$506$506$5061.0×
grants [20507]24$6.52$7.63$8.731.3×
hsno/free care [10801]44$294.3$672.16$680.812.3×
senior whole health [10110]44$7,752.41$7,800.39$7,848.371.0×
tufts connectorcare [10507]44$12,324$12,400$12,4771.0×
tufts mcr supp [20209]24$3,803.75$5,705.63$7,607.512.0×
tufts us family [11203]44$7,245.25$7,290.09$7,334.931.0×
wellpoint [11112]44$4,794.24$4,794.24$4,794.241.0×
fallon mcr [10105]33$7,607.51$7,607.51$7,701.681.0×
pennsylvania health and wellness13$1,000$6,521.48$11,49011.5×
Medicare33$7,245.25$7,245.25$7,334.931.0×
workers compensation [20501]33$543.97$543.97$543.971.0×
tufts dual [10111]33$7,245.25$7,245.25$7,334.931.0×
commonwealth care mcr [10115]33$7,607.51$7,607.51$7,701.681.0×
amerihealth12$37.03$41.97$46.911.3×
harvard pilgrim mcr supp [20203]22$7,607.51$7,607.51$7,607.511.0×
health partners plans12$1,214$3,867.74$6,521.485.4×
Humana22$6,397.26$6,471.48$6,545.691.0×
keystone first12$1,342$3,838.58$6,335.154.7×
masshealth [20302]22$7.59$7.59$7.591.0×
qualcare inc12$87$4,084$8,08192.9×
tufts mcr [10112]22$7,701.68$7,701.68$7,701.681.0×
wellpoint12$3,266$4,905.85$6,545.692.0×
eternalhealth mcr replace [10116]22$7,607.51$7,607.51$7,607.511.0×
fallon mcr supp [20202]22$7,701.68$7,701.68$7,701.681.0×
fidelis care12$25.96$3,285.83$6,545.69252.1×
geisinger12$2,050$4,254.69$6,459.373.2×
vibra11$6,335.15$6,335.15$6,335.151.0×
sunrise11$6,832.02$6,832.02$6,832.021.0×
clover health11$6,545.69$6,545.69$6,545.691.0×
WellCare11$13,026$13,026$13,0261.0×
upmc health plan11$6,521.48$6,521.48$6,521.481.0×
Emblem Health11$13,091$13,091$13,0911.0×
First Health11$60$60$601.0×
gateway health plan11$6,521.48$6,521.48$6,521.481.0×
elder health11$7,453.12$7,453.12$7,453.121.0×
commonwealth care alliance [10103]11$7,701.68$7,701.68$7,701.681.0×
naphcare11$9,316.4$9,316.4$9,316.41.0×
occunet11$10,248$10,248$10,2481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HEALTHALLIANCE-CLINTONLEOMINSTERMA24$24,817$24,817$25.11$7,334.93$12,477
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA18$27,796$27,796$506$7,334.93$12,477
MARLBOROUGH HOSPITALMARLBOROUGHMA26$44,879$44,879$6.52$6,521.39$12,324
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA26$44,879$44,879$6.52$6,521.39$12,324
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA18$1,000$6,335.15$19,789
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,881$22.71$3,765$13,091

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.