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Fractures of femur w/o MCC

MS-DRG 533 · negotiated-rate distribution across hospitals in MA

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Hospitals
10
Min
$13,490
Median
$15,829
Max
$28,131
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield627$5,570.00$19,545$41,5097.5×
UnitedHealthcare621$12,848$16,583$41,2493.2×
Cigna49$12,848$21,778$37,9813.0×
Aetna38$12,848$21,225$49,4813.9×
amerihealth24$12,567$21,349$35,2632.8×
correctional care [11003]24$15,076$18,367$21,6581.4×
institution [10406]24$758.07$10,148$19,53825.8×
tufts [11201]24$6,958.00$7,306.00$7,654.001.1×
Humana33$12,848$14,791$15,8811.2×
medical mutual13$12,848$25,868$31,7802.5×
wellpoint [11112]22$19,455$19,455$19,4551.0×
buckeye health plan12$12,848$17,344$21,8411.7×
CareSource12$12,848$16,352$19,8561.5×
commonwealth care mcr [10115]22$15,829$15,829$15,8291.0×
eternalhealth mcr replace [10116]22$15,829$15,829$15,8291.0×
fallon connectorcare [10503]22$34,071$34,071$34,0711.0×
fallon mcaid carelon hlth [29]22$2,064.74$2,064.74$2,064.741.0×
fallon mcr [10105]22$15,829$15,829$15,8291.0×
geisinger12$14,935$16,874$18,8121.3×
harvard pilgrim mcr supp [20203]22$15,829$15,829$15,8291.0×
hsno/free care [10801]22$19,538$19,538$19,5381.0×
Medicaid22$4,106.96$4,106.96$4,106.961.0×
Medicare22$19,538$19,538$19,5381.0×
mgb mcr [10124]22$15,829$15,829$15,8291.0×
Molina12$13,490$20,784$28,0792.1×
pennsylvania health and wellness12$15,079$15,624$16,1691.1×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
senior whole health [10110]22$16,131$16,131$16,1311.0×
tufts connectorcare [10507]22$19,538$19,538$19,5381.0×
tufts dual [10111]22$19,538$19,538$19,5381.0×
tufts mcr supp [20209]22$15,829$15,829$15,8291.0×
WellCare22$14,713$23,158$31,6022.1×
wellpoint12$1,885.00$8,882.79$15,8818.4×
clover health11$15,881$15,881$15,8811.0×
vaya11$14,713$14,713$14,7131.0×
medigold11$12,848$12,848$12,8481.0×
vibra11$14,648$14,648$14,6481.0×
alliance11$14,859$14,859$14,8591.0×
naphcare11$21,541$21,541$21,5411.0×
optum11$12,848$12,848$12,8481.0×
partners11$14,567$14,567$14,5671.0×
Ambetter11$13,076$13,076$13,0761.0×
elder health11$17,233$17,233$17,2331.0×
Emblem Health11$30,036$30,036$30,0361.0×
perennial advantage11$13,490$13,490$13,4901.0×
point comfort11$14,361$14,361$14,3611.0×
upmc health plan11$15,079$15,079$15,0791.0×
valor health plan11$12,848$12,848$12,8481.0×
fidelis care11$15,881$15,881$15,8811.0×
First Health11$60.00$60.00$60.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$3,470.00$60.00$28,131$49,481
Umass Memorial Medical CenterWorcesterMA20$55,263$55,263$758.07$15,829$34,071
Marlborough HospitalMarlboroughMA20$55,263$55,263$758.07$15,829$34,071
Chestnut Hill Benevolent AssociationChestnut HillMA17$14,349$15,079$30,381
High Point HospitalMiddleboroughMA12$12,567$14,713$21,778
Hospital For Behavioral MedicineWorcesterMA16$12,848$13,490$32,083
Fairview HospitalGreat BarringtonMA0
North Adams Regional HospitalNorth AdamsMA0
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.