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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in MA

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Hospitals
12
Min
$24,180
Median
$28,376
Max
$54,735
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$6,690.00$35,042$85,26212.7×
UnitedHealthcare825$23,028$30,167$79,5543.5×
Cigna815$2,759.00$37,860$73,25126.5×
Aetna511$3,709.00$28,573$95,43325.7×
correctional care [11003]38$26,027$39,529$42,7671.6×
institution [10406]47$758.07$26,726$35,71447.1×
tufts [11201]46$2,759.00$6,958.00$7,654.002.8×
mgb mcr [10124]44$27,131$28,062$28,7951.1×
mgb connectorcare [10506]24$34,397$48,397$62,3981.8×
mgb hlth partners [11110]24$39,555$55,655$71,7551.8×
amerihealth24$24,237$44,163$75,5013.1×
fallon connectorcare [10503]44$10,820$37,057$63,2935.8×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hsno/free care [10801]44$26,726$31,423$35,7141.3×
tufts connectorcare [10507]44$26,726$35,714$37,7941.4×
senior whole health [10110]44$27,849$29,187$29,3441.1×
fallon mcr [10105]33$28,488$28,795$28,7951.0×
Medicare33$26,726$35,714$35,7141.3×
medical mutual13$23,028$49,894$61,2962.7×
Humana33$23,028$27,251$30,6281.3×
tufts dual [10111]33$26,726$35,714$35,7141.3×
commonwealth care mcr [10115]33$27,329$28,795$28,7951.1×
tufts mcr supp [20209]22$28,795$28,795$28,7951.0×
buckeye health plan12$23,028$31,088$39,1481.7×
CareSource12$23,028$29,309$35,5901.5×
eternalhealth mcr replace [10116]22$28,795$28,795$28,7951.0×
fallon carelon hlth [28]22$1,252.60$1,637.86$2,023.121.6×
fallon mcr supp [20202]22$27,329$27,908$28,4881.0×
geisinger12$27,515$31,231$34,9481.3×
harvard pilgrim mcr supp [20203]22$28,795$28,795$28,7951.0×
hne [11108]22$3,685.00$3,685.00$3,685.001.0×
Medicaid22$8,535.52$8,535.52$8,535.521.0×
Molina12$24,180$37,254$50,3292.1×
pennsylvania health and wellness12$27,780$28,909$30,0371.1×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
tufts mcr [10112]22$27,329$27,908$28,4881.0×
WellCare22$28,376$44,663$60,9502.1×
wellpoint12$1,885.00$16,257$30,62816.2×
First Health11$60.00$60.00$60.001.0×
fidelis care11$30,628$30,628$30,6281.0×
medigold11$23,028$23,028$23,0281.0×
Emblem Health11$57,929$57,929$57,9291.0×
elder health11$31,748$31,748$31,7481.0×
devoted health11$23,028$23,028$23,0281.0×
valor health plan11$23,028$23,028$23,0281.0×
naphcare11$39,685$39,685$39,6851.0×
optum11$23,028$23,028$23,0281.0×
partners11$28,095$28,095$28,0951.0×
vaya11$28,376$28,376$28,3761.0×
perennial advantage11$24,180$24,180$24,1801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$3,470.00$60.00$54,735$95,433
Marlborough HospitalMarlboroughMA22$123,880$123,880$758.07$29,344$71,755
Umass Memorial Medical CenterWorcesterMA22$123,880$123,880$758.07$29,344$71,755
High Point HospitalMiddleboroughMA12$24,237$28,376$42,002
Chestnut Hill Benevolent AssociationChestnut HillMA17$26,457$27,780$58,594
Harrington Memorial HospitalSouthbridgeMA19$61,300$61,300$1,252.60$27,131$37,794
Healthalliance-ClintonLeominsterMA21$95,225$95,225$758.07$26,726$37,287
Hospital For Behavioral MedicineWorcesterMA16$23,028$24,180$61,882
North Adams Regional HospitalNorth AdamsMA0
Fairview HospitalGreat BarringtonMA0
Berkshire Medical CenterPittsfieldMA0
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.