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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in MA

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Hospitals
12
Min
$17,678
Median
$20,055
Max
$38,616
Range multiplier
2.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$6,690.00$25,091$59,9929.0×
UnitedHealthcare825$16,836$21,905$56,1263.3×
Cigna613$2,759.00$19,864$51,68018.7×
Aetna511$3,709.00$20,628$67,32818.2×
institution [10406]47$758.07$19,317$25,87634.1×
tufts [11201]46$2,759.00$6,958.00$7,654.002.8×
correctional care [11003]36$18,814$23,110$29,4701.6×
hsno/free care [10801]44$19,317$22,748$25,8761.3×
fallon connectorcare [10503]44$10,820$28,170$45,5204.2×
tufts connectorcare [10507]44$19,317$25,876$27,3311.4×
amerihealth24$17,099$30,776$52,3103.1×
senior whole health [10110]44$20,131$21,151$21,3081.1×
mgb mcr [10124]44$19,620$20,332$20,9091.1×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
Humana33$16,836$19,673$21,6081.3×
commonwealth care mcr [10115]33$19,755$20,909$20,9091.1×
fallon mcr [10105]33$20,601$20,909$20,9091.0×
medical mutual13$16,836$35,201$43,2452.6×
Medicare33$19,317$25,876$25,8761.3×
tufts dual [10111]33$19,317$25,876$25,8761.3×
geisinger12$19,864$22,499$25,1341.3×
fallon mcr supp [20202]22$19,755$20,178$20,6011.0×
Molina12$17,678$27,237$36,7962.1×
buckeye health plan12$16,836$22,729$28,6221.7×
hne [11108]22$3,685.00$3,685.00$3,685.001.0×
harvard pilgrim mcr supp [20203]22$20,909$20,909$20,9091.0×
tufts mcr [10112]22$19,755$20,178$20,6011.0×
tufts mcr supp [20209]22$20,909$20,909$20,9091.0×
Medicaid22$5,632.48$5,632.48$5,632.481.0×
pennsylvania health and wellness12$20,055$20,829$21,6031.1×
WellCare22$20,020$31,510$43,0012.1×
wellpoint12$1,885.00$11,747$21,60811.5×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
eternalhealth mcr replace [10116]22$20,909$20,909$20,9091.0×
fallon carelon hlth [28]22$1,252.60$1,637.86$2,023.121.6×
CareSource12$16,836$21,428$26,0211.5×
optum11$16,836$16,836$16,8361.0×
partners11$19,822$19,822$19,8221.0×
perennial advantage11$17,678$17,678$17,6781.0×
point comfort11$19,100$19,100$19,1001.0×
sunrise11$21,010$21,010$21,0101.0×
the health plan11$16,836$16,836$16,8361.0×
trillium11$20,416$20,416$20,4161.0×
Ambetter11$17,792$17,792$17,7921.0×
wellpoint [11112]11$18,331$18,331$18,3311.0×
alliance11$20,218$20,218$20,2181.0×
upmc health plan11$20,055$20,055$20,0551.0×
valor health plan11$16,836$16,836$16,8361.0×
vaya11$20,020$20,020$20,0201.0×
Emblem Health11$40,869$40,869$40,8691.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$3,470.00$60.00$38,616$67,328
Marlborough HospitalMarlboroughMA19$101,109$101,109$758.07$20,909$45,520
Umass Memorial Medical CenterWorcesterMA19$101,109$101,109$758.07$20,909$45,520
Chestnut Hill Benevolent AssociationChestnut HillMA17$19,100$20,055$41,339
High Point HospitalMiddleboroughMA12$17,099$20,020$29,633
Harrington Memorial HospitalSouthbridgeMA19$58,456$58,456$1,252.60$19,621$27,331
Healthalliance-ClintonLeominsterMA21$71,567$71,567$758.07$19,317$26,306
Hospital For Behavioral MedicineWorcesterMA16$16,836$17,678$43,658
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.