▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in MA
Hospitals
12
Min
$25,141
Median
$29,961
Max
$60,834
Range multiplier
2.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 28 | $6,690.00 | $39,779 | $96,275 | 14.4× |
| UnitedHealthcare | 7 | 23 | $23,944 | $31,538 | $88,418 | 3.7× |
| mgb hlth partners [11110] | 4 | 20 | $15,292 | $26,335 | $64,584 | 4.2× |
| Cigna | 7 | 13 | $4,268.00 | $44,691 | $81,414 | 19.1× |
| Aetna | 4 | 10 | $20,609 | $31,894 | $106,066 | 5.1× |
| correctional care [11003] | 3 | 8 | $27,094 | $43,066 | $46,425 | 1.7× |
| mgb connectorcare [10506] | 2 | 8 | $13,334 | $23,256 | $56,162 | 4.2× |
| institution [10406] | 3 | 6 | $758.07 | $14,290 | $37,169 | 49.0× |
| tufts [11201] | 3 | 5 | $3,880.00 | $6,958.00 | $7,654.00 | 2.0× |
| amerihealth | 2 | 4 | $26,937 | $46,325 | $76,996 | 2.9× |
| fallon mcaid carelon hlth [29] | 3 | 3 | $1,814.19 | $2,064.74 | $2,064.74 | 1.1× |
| commonwealth care mcr [10115] | 3 | 3 | $28,448 | $29,961 | $29,961 | 1.1× |
| medical mutual | 1 | 3 | $23,944 | $55,450 | $68,122 | 2.8× |
| Humana | 3 | 3 | $23,944 | $28,371 | $34,041 | 1.4× |
| hsno/free care [10801] | 3 | 3 | $27,821 | $37,169 | $37,169 | 1.3× |
| tufts dual [10111] | 3 | 3 | $27,821 | $37,169 | $37,169 | 1.3× |
| tufts connectorcare [10507] | 3 | 3 | $27,821 | $37,169 | $37,169 | 1.3× |
| Medicare | 3 | 3 | $27,821 | $37,169 | $37,169 | 1.3× |
| senior whole health [10110] | 3 | 3 | $28,990 | $30,532 | $30,532 | 1.1× |
| mgb mcr [10124] | 3 | 3 | $28,448 | $29,961 | $29,961 | 1.1× |
| fallon connectorcare [10503] | 3 | 3 | $22,803 | $65,921 | $65,921 | 2.9× |
| qualcare inc | 1 | 2 | $6,640.00 | $6,803.00 | $6,966.00 | 1.0× |
| buckeye health plan | 1 | 2 | $23,944 | $32,324 | $40,704 | 1.7× |
| CareSource | 1 | 2 | $23,944 | $30,474 | $37,005 | 1.5× |
| eternalhealth mcr replace [10116] | 2 | 2 | $29,961 | $29,961 | $29,961 | 1.0× |
| fallon mcr [10105] | 2 | 2 | $29,961 | $29,961 | $29,961 | 1.0× |
| geisinger | 1 | 2 | $28,646 | $32,522 | $36,398 | 1.3× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $29,961 | $29,961 | $29,961 | 1.0× |
| Medicaid | 2 | 2 | $9,381.39 | $9,381.39 | $9,381.39 | 1.0× |
| Molina | 1 | 2 | $25,141 | $38,735 | $52,329 | 2.1× |
| pennsylvania health and wellness | 1 | 2 | $28,922 | $30,103 | $31,284 | 1.1× |
| tufts mcr supp [20209] | 2 | 2 | $29,961 | $29,961 | $29,961 | 1.0× |
| WellCare | 2 | 2 | $31,538 | $49,640 | $67,741 | 2.1× |
| wellpoint | 1 | 2 | $1,885.00 | $17,963 | $34,041 | 18.1× |
| First Health | 1 | 1 | $60.00 | $60.00 | $60.00 | 1.0× |
| keystone first | 1 | 1 | $28,095 | $28,095 | $28,095 | 1.0× |
| upmc health plan | 1 | 1 | $28,922 | $28,922 | $28,922 | 1.0× |
| fidelis care | 1 | 1 | $34,041 | $34,041 | $34,041 | 1.0× |
| fallon mcr supp [20202] | 1 | 1 | $28,448 | $28,448 | $28,448 | 1.0× |
| medigold | 1 | 1 | $23,944 | $23,944 | $23,944 | 1.0× |
| fallon carelon hlth [28] | 1 | 1 | $2,023.12 | $2,023.12 | $2,023.12 | 1.0× |
| Emblem Health | 1 | 1 | $64,384 | $64,384 | $64,384 | 1.0× |
| elder health | 1 | 1 | $33,053 | $33,053 | $33,053 | 1.0× |
| valor health plan | 1 | 1 | $23,944 | $23,944 | $23,944 | 1.0× |
| naphcare | 1 | 1 | $41,317 | $41,317 | $41,317 | 1.0× |
| optum | 1 | 1 | $23,944 | $23,944 | $23,944 | 1.0× |
| partners | 1 | 1 | $31,226 | $31,226 | $31,226 | 1.0× |
| vaya | 1 | 1 | $31,538 | $31,538 | $31,538 | 1.0× |
| perennial advantage | 1 | 1 | $25,141 | $25,141 | $25,141 | 1.0× |
| point comfort | 1 | 1 | $27,544 | $27,544 | $27,544 | 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 | — | $3,470.00 | $60.00 | $60,834 | $106,066 |
| High Point Hospital | Middleborough | MA | 12 | — | — | $26,937 | $31,538 | $46,682 |
| Umass Memorial Medical Center | Worcester | MA | 22 | $106,958 | $106,958 | $758.07 | $29,961 | $65,921 |
| Marlborough Hospital | Marlborough | MA | 22 | $106,958 | $106,958 | $758.07 | $29,961 | $65,921 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 17 | — | — | $27,544 | $28,922 | $65,123 |
| Healthalliance-Clinton | Leominster | MA | 22 | $102,173 | $102,173 | $758.07 | $27,821 | $55,252 |
| Harrington Memorial Hospital | Southbridge | MA | 1 | $43,828 | $43,828 | $15,292 | $26,335 | $55,252 |
| Hospital For Behavioral Medicine | Worcester | MA | 16 | — | — | $23,944 | $25,141 | $68,773 |
| North Adams Regional Hospital | North Adams | MA | 0 | — | — | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | — | — | — | — | — |
| Fairview Hospital | Great Barrington | 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.