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Kidney/UTI w MCC

MS-DRG 689 · negotiated-rate distribution across hospitals in MA

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Hospitals
16
Min
$10,251
Median
$11,292
Max
$21,780
Range multiplier
2.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$5,570.00$14,051$29,8815.4×
UnitedHealthcare825$9,762.97$12,370$31,6573.2×
Cigna613$2,759.00$11,123$29,14910.6×
Aetna511$3,709.00$11,593$37,97510.2×
institution [10406]47$758.07$10,853$14,63719.3×
tufts [11201]46$2,759.00$6,958.00$7,654.002.8×
correctional care [11003]36$10,574$13,086$16,6221.6×
senior whole health [10110]44$11,314$11,970$12,1271.1×
amerihealth24$9,644.44$16,655$27,7422.9×
fallon connectorcare [10503]44$4,921.00$15,069$25,2175.1×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hsno/free care [10801]44$10,853$12,839$14,6371.3×
mgb mcr [10124]44$11,041$11,502$11,9011.1×
tufts connectorcare [10507]44$10,853$14,637$15,3791.4×
wellpoint [11112]44$10,155$12,277$14,3991.4×
tufts dual [10111]33$10,853$14,637$14,6371.3×
Humana33$9,762.97$11,017$12,1881.2×
commonwealth care mcr [10115]33$11,103$11,901$11,9011.1×
fallon mcr [10105]33$11,593$11,901$11,9011.0×
medical mutual13$9,762.97$19,856$24,3932.5×
Medicare33$10,853$14,637$14,6371.3×
fallon mcr supp [20202]22$11,103$11,348$11,5931.0×
Medicaid22$3,079.79$3,079.79$3,079.791.0×
wellpoint12$1,885.00$7,036.35$12,1886.5×
tufts mcr [10112]22$11,103$11,348$11,5931.0×
tufts mcr supp [20209]22$11,901$11,901$11,9011.0×
harvard pilgrim mcr supp [20203]22$11,901$11,901$11,9011.0×
WellCare22$11,292$17,773$24,2542.1×
Molina12$10,251$15,794$21,3372.1×
eternalhealth mcr replace [10116]22$11,901$11,901$11,9011.0×
hne [11108]22$3,685.00$3,685.00$3,685.001.0×
fallon carelon hlth [28]22$1,252.60$1,637.86$2,023.121.6×
pennsylvania health and wellness12$11,230$11,599$11,9671.1×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
buckeye health plan12$9,762.97$13,180$16,5971.7×
geisinger12$11,123$12,524$13,9241.3×
CareSource12$9,762.97$12,426$15,0891.5×
Ambetter11$10,035$10,035$10,0351.0×
alliance11$11,404$11,404$11,4041.0×
upmc health plan11$11,230$11,230$11,2301.0×
clover health11$12,188$12,188$12,1881.0×
commonwealth care alliance [10103]11$11,593$11,593$11,5931.0×
carolina complete11$11,180$11,180$11,1801.0×
custom design benefits inc.11$22,942$22,942$22,9421.0×
elder health11$12,835$12,835$12,8351.0×
devoted health11$9,762.97$9,762.97$9,762.971.0×
Emblem Health11$23,051$23,051$23,0511.0×
valor health plan11$9,762.97$9,762.97$9,762.971.0×
vaya11$11,292$11,292$11,2921.0×
fidelis care11$12,188$12,188$12,1881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$3,470.00$60.00$21,780$37,975
Marlborough HospitalMarlboroughMA20$37,540$37,540$758.07$11,901$25,217
Umass Memorial Medical CenterWorcesterMA20$37,540$37,540$758.07$11,901$25,217
High Point HospitalMiddleboroughMA12$9,644.44$11,292$16,714
Chestnut Hill Benevolent AssociationChestnut HillMA17$10,620$11,230$23,316
Harrington Memorial HospitalSouthbridgeMA19$21,190$21,190$1,252.60$11,041$15,379
Healthalliance-ClintonLeominsterMA22$28,543$28,543$758.07$10,853$14,837
Hospital For Behavioral MedicineWorcesterMA16$9,762.97$10,251$24,626
Berkshire Medical CenterPittsfieldMA0
Baystate Noble HospitalWestfieldMA0
Baystate Medical CenterSpringfieldMA0
North Adams Regional HospitalNorth AdamsMA0
Fairview HospitalGreat BarringtonMA0
Baystate Wing Hospital & Medical CtrPalmerMA0
Baystate Franklin Medical CenterGreenfieldMA0
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.