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Hip & femur procedures except major joint w/o CC/MCC

MS-DRG 482 · negotiated-rate distribution across hospitals in MA

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Hospitals
12
Min
$13,993
Median
$15,677
Max
$29,524
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$6,690$19,614$45,9256.9×
UnitedHealthcare825$13,327$16,851$42,9123.2×
Cigna613$2,759$15,527$39,51214.3×
Aetna511$3,709$16,132$51,47713.9×
institution [10406]47$758.07$15,117$20,30026.8×
tufts [11201]46$2,759$6,958$7,6542.8×
correctional care [11003]36$14,726$17,885$22,5311.5×
senior whole health [10110]44$15,757$16,596$16,7531.1×
amerihealth24$13,074$23,975$41,1093.1×
fallon connectorcare [10503]44$4,921$23,133$35,4477.2×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hsno/free care [10801]44$15,117$17,832$20,3001.3×
mgb mcr [10124]44$15,364$15,951$16,4401.1×
tufts connectorcare [10507]44$15,117$20,300$21,4011.4×
wellpoint [11112]44$6,011$17,258$20,2413.4×
tufts dual [10111]33$15,117$20,300$20,3001.3×
Humana33$13,327$15,378$16,5211.2×
commonwealth care mcr [10115]33$15,462$16,440$16,4401.1×
fallon mcr [10105]33$16,132$16,440$16,4401.0×
medical mutual13$13,327$26,913$33,0642.5×
Medicare33$15,117$20,300$20,3001.3×
geisinger12$15,527$17,550$19,5721.3×
CareSource12$13,327$16,962$20,5971.5×
fallon mcr supp [20202]22$15,462$15,797$16,1321.0×
Medicaid22$4,618.69$4,618.69$4,618.691.0×
wellpoint12$1,885$9,203.02$16,5218.8×
tufts mcr [10112]22$15,462$15,797$16,1321.0×
tufts mcr supp [20209]22$16,440$16,440$16,4401.0×
harvard pilgrim mcr supp [20203]22$16,440$16,440$16,4401.0×
mgb connectorcare [10506]22$26,082$26,082$26,0821.0×
mgb hlth partners [11110]22$29,993$29,993$29,9931.0×
WellCare22$15,306$24,092$32,8772.1×
eternalhealth mcr replace [10116]22$16,440$16,440$16,4401.0×
Molina12$13,993$21,560$29,1262.1×
fallon carelon hlth [28]22$1,252.6$1,637.86$2,023.121.6×
hne [11108]22$3,685$3,685$3,6851.0×
pennsylvania health and wellness12$15,677$16,249$16,8221.1×
qualcare inc12$6,640$6,803$6,9661.0×
buckeye health plan12$13,327$17,991$22,6561.7×
upmc health plan11$15,677$15,677$15,6771.0×
clover health11$16,521$16,521$16,5211.0×
commonwealth care alliance [10103]11$16,132$16,132$16,1321.0×
carolina complete11$15,155$15,155$15,1551.0×
custom design benefits inc.11$31,317$31,317$31,3171.0×
elder health11$17,916$17,916$17,9161.0×
devoted health11$13,327$13,327$13,3271.0×
Emblem Health11$31,247$31,247$31,2471.0×
valor health plan11$13,327$13,327$13,3271.0×
vaya11$15,306$15,306$15,3061.0×
fidelis care11$16,521$16,521$16,5211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,470$60$29,524$51,477
MARLBOROUGH HOSPITALMARLBOROUGHMA22$60,206$60,206$758.07$16,440$35,447
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA22$60,206$60,206$758.07$16,440$35,447
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA17$14,929$15,677$31,606
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA19$36,433$36,433$1,252.6$15,364$21,401
HIGH POINT HOSPITALMIDDLEBOROUGHMA12$13,074$15,306$22,656
HEALTHALLIANCE-CLINTONLEOMINSTERMA22$57,486$57,486$758.07$15,117$20,113
HOSPITAL FOR BEHAVIORAL MEDICINEWORCESTERMA16$13,327$13,993$33,379
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.