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MS-DRG 619 · negotiated-rate distribution across hospitals in MA

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Hospitals
10
Min
$23,982
Median
$28,555
Max
$32,300
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield627$19,153$34,947$75,2463.9×
UnitedHealthcare621$22,840$29,915$57,3662.5×
Cigna611$19,364$25,915$55,2862.9×
Aetna510$16,397$28,363$47,5062.9×
correctional care [11003]26$19,422$27,195$38,7242.0×
amerihealth24$22,469$33,877$43,0381.9×
institution [10406]24$758.07$18,086$35,41546.7×
tufts [11201]24$6,958$7,306$7,6541.1×
Humana33$22,840$27,020$28,3941.2×
medical mutual13$22,840$46,253$56,8242.5×
wellpoint [11112]22$35,833$35,833$35,8331.0×
buckeye health plan12$22,840$30,834$38,8281.7×
CareSource12$22,840$29,069$35,2991.5×
commonwealth care mcr [10115]22$28,555$28,555$28,5551.0×
eternalhealth mcr replace [10116]22$28,555$28,555$28,5551.0×
fallon connectorcare [10503]22$62,752$62,752$62,7521.0×
fallon mcaid carelon hlth [29]22$2,064.74$2,064.74$2,064.741.0×
fallon mcr [10105]22$28,555$28,555$28,5551.0×
geisinger12$27,282$30,965$34,6491.3×
harvard pilgrim mcr supp [20203]22$28,555$28,555$28,5551.0×
hsno/free care [10801]22$35,415$35,415$35,4151.0×
Medicaid22$8,372.72$8,372.72$8,372.721.0×
Medicare22$35,415$35,415$35,4151.0×
mgb mcr [10124]22$28,555$28,555$28,5551.0×
Molina12$23,982$36,949$49,9172.1×
pennsylvania health and wellness12$27,544$28,663$29,7811.1×
qualcare inc12$37,871$37,871$37,8711.0×
senior whole health [10110]22$29,099$29,099$29,0991.0×
tufts connectorcare [10507]22$35,415$35,415$35,4151.0×
tufts dual [10111]22$35,415$35,415$35,4151.0×
tufts mcr supp [20209]22$28,555$28,555$28,5551.0×
WellCare22$26,307$41,406$56,5052.1×
wellpoint12$18,400$23,397$28,3941.5×
clover health11$28,394$28,394$28,3941.0×
vaya11$26,307$26,307$26,3071.0×
medigold11$22,840$22,840$22,8401.0×
vibra11$26,758$26,758$26,7581.0×
alliance11$26,567$26,567$26,5671.0×
naphcare11$39,349$39,349$39,3491.0×
optum11$22,840$22,840$22,8401.0×
partners11$26,046$26,046$26,0461.0×
Ambetter11$23,380$23,380$23,3801.0×
elder health11$31,479$31,479$31,4791.0×
Emblem Health11$53,704$53,704$53,7041.0×
perennial advantage11$23,982$23,982$23,9821.0×
point comfort11$26,233$26,233$26,2331.0×
upmc health plan11$27,544$27,544$27,5441.0×
valor health plan11$22,840$22,840$22,8401.0×
fidelis care11$28,394$28,394$28,3941.0×
First Health11$60$60$601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,470$60$32,300$75,246
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA22$77,123$77,123$758.07$28,555$62,752
MARLBOROUGH HOSPITALMARLBOROUGHMA22$77,123$77,123$758.07$28,555$62,752
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA17$26,233$27,544$54,321
HIGH POINT HOSPITALMIDDLEBOROUGHMA12$22,469$26,307$38,939
HOSPITAL FOR BEHAVIORAL MEDICINEWORCESTERMA16$22,840$23,982$57,366
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.