▸ Compare · PriceTransparency
Major joint replacement w/o MCC
MS-DRG 470 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$16,362
Median
$18,491
Max
$29,790
Range multiplier
1.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 28 | $6,690 | $23,651 | $39,103 | 5.8× |
| UnitedHealthcare | 7 | 23 | $15,583 | $20,232 | $39,673 | 2.5× |
| Cigna | 7 | 13 | $4,268 | $26,928 | $44,691 | 10.5× |
| Aetna | 4 | 10 | $15,583 | $20,122 | $39,258 | 2.5× |
| correctional care [11003] | 3 | 8 | $17,353 | $25,342 | $44,691 | 2.6× |
| mgb hlth partners [11110] | 3 | 6 | $21,433 | $24,876 | $31,107 | 1.5× |
| institution [10406] | 3 | 6 | $758.07 | $9,287.21 | $23,883 | 31.5× |
| tufts [11201] | 3 | 5 | $3,880 | $6,958 | $7,654 | 2.0× |
| amerihealth | 2 | 4 | $15,538 | $23,901 | $31,561 | 2.0× |
| mgb connectorcare [10506] | 2 | 4 | $18,638 | $22,844 | $27,050 | 1.5× |
| fallon connectorcare [10503] | 3 | 3 | $22,803 | $41,921 | $41,921 | 1.8× |
| fallon mcaid carelon hlth [29] | 3 | 3 | $1,814.19 | $2,064.74 | $2,064.74 | 1.1× |
| Medicare | 3 | 3 | $17,816 | $23,883 | $23,883 | 1.3× |
| medical mutual | 1 | 3 | $15,583 | $31,988 | $39,298 | 2.5× |
| Humana | 3 | 3 | $15,583 | $18,138 | $19,636 | 1.3× |
| hsno/free care [10801] | 3 | 3 | $17,816 | $23,883 | $23,883 | 1.3× |
| tufts dual [10111] | 3 | 3 | $17,816 | $23,883 | $23,883 | 1.3× |
| tufts connectorcare [10507] | 3 | 3 | $17,816 | $23,883 | $23,883 | 1.3× |
| commonwealth care mcr [10115] | 3 | 3 | $18,221 | $19,312 | $19,312 | 1.1× |
| senior whole health [10110] | 3 | 3 | $18,568 | $19,680 | $19,680 | 1.1× |
| mgb mcr [10124] | 3 | 3 | $18,221 | $19,312 | $19,312 | 1.1× |
| wellpoint | 1 | 2 | $1,885 | $10,760 | $19,636 | 10.4× |
| buckeye health plan | 1 | 2 | $15,583 | $21,036 | $26,490 | 1.7× |
| CareSource | 1 | 2 | $15,583 | $19,833 | $24,083 | 1.5× |
| CHAMPVA | 2 | 2 | $19,833 | $19,833 | $19,833 | 1.0× |
| eternalhealth mcr replace [10116] | 2 | 2 | $19,312 | $19,312 | $19,312 | 1.0× |
| fallon mcr [10105] | 2 | 2 | $19,312 | $19,312 | $19,312 | 1.0× |
| geisinger | 1 | 2 | $18,314 | $20,731 | $23,147 | 1.3× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $19,312 | $19,312 | $19,312 | 1.0× |
| Medicaid | 2 | 2 | $5,924.49 | $5,924.49 | $5,924.49 | 1.0× |
| Molina | 1 | 2 | $16,362 | $25,209 | $34,056 | 2.1× |
| pennsylvania health and wellness | 1 | 2 | $18,491 | $19,193 | $19,895 | 1.1× |
| qualcare inc | 1 | 2 | $6,640 | $6,803 | $6,966 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $19,312 | $19,312 | $19,312 | 1.0× |
| tufts us family [11203] | 2 | 2 | $19,833 | $19,833 | $19,833 | 1.0× |
| WellCare | 2 | 2 | $18,192 | $28,634 | $39,075 | 2.1× |
| keystone first | 1 | 1 | $17,962 | $17,962 | $17,962 | 1.0× |
| Ambetter | 1 | 1 | $16,168 | $16,168 | $16,168 | 1.0× |
| fidelis care | 1 | 1 | $19,636 | $19,636 | $19,636 | 1.0× |
| fallon mcr supp [20202] | 1 | 1 | $18,221 | $18,221 | $18,221 | 1.0× |
| medigold | 1 | 1 | $15,583 | $15,583 | $15,583 | 1.0× |
| fallon carelon hlth [28] | 1 | 1 | $2,023.12 | $2,023.12 | $2,023.12 | 1.0× |
| Emblem Health | 1 | 1 | $37,139 | $37,139 | $37,139 | 1.0× |
| elder health | 1 | 1 | $21,132 | $21,132 | $21,132 | 1.0× |
| upmc health plan | 1 | 1 | $18,491 | $18,491 | $18,491 | 1.0× |
| naphcare | 1 | 1 | $26,415 | $26,415 | $26,415 | 1.0× |
| optum | 1 | 1 | $15,583 | $15,583 | $15,583 | 1.0× |
| partners | 1 | 1 | $18,012 | $18,012 | $18,012 | 1.0× |
| valor health plan | 1 | 1 | $15,583 | $15,583 | $15,583 | 1.0× |
| perennial advantage | 1 | 1 | $16,362 | $16,362 | $16,362 | 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 | $29,790 | $39,258 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 24 | $80,189 | $80,189 | $758.07 | $19,680 | $44,691 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 24 | $80,189 | $80,189 | $758.07 | $19,680 | $44,691 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 17 | — | — | $17,610 | $18,491 | $37,565 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 22 | $75,761 | $75,761 | $758.07 | $18,221 | $30,765 |
| HIGH POINT HOSPITAL | MIDDLEBOROUGH | MA | 12 | — | — | $15,538 | $18,192 | $26,928 |
| HOSPITAL FOR BEHAVIORAL MEDICINE | WORCESTER | MA | 16 | — | — | $15,583 | $16,362 | $39,673 |
| 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.