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CPT 70491 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$190.86
Median
$303.77
Max
$1,268.65
Range multiplier
6.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare742$100.92$227.71$4,079.0040.4×
Blue Cross Blue Shield738$180.20$579.75$3,197.0017.7×
institution [10406]424$210.21$1,588.94$3,197.0015.2×
Aetna521$194.62$1,227.92$6,192.5531.8×
Cigna714$176.04$288.50$2,472.8214.0×
correctional care [11003]312$210.21$212.81$2,472.8211.8×
Medicaid49$210.21$1,055.01$1,662.447.9×
mgb mcr [10124]46$212.81$222.09$223.451.0×
medcost16$808.56$1,226.41$1,933.902.4×
tufts connectorcare [10507]46$357.57$361.99$361.991.0×
tufts [11201]35$475.41$576.73$634.451.3×
commonwealth care mcr [10115]35$220.72$223.45$223.451.0×
tufts dual [10111]35$210.21$212.81$212.811.0×
Multiplan45$2,099.25$2,397.75$2,715.301.3×
fallon mcr [10105]35$220.72$223.45$223.451.0×
Medicare35$210.21$212.81$212.811.0×
First Health55$1,584.75$2,099.25$2,397.751.5×
senior whole health [10110]44$224.92$226.32$227.711.0×
eternalhealth mcr replace [10116]24$220.72$222.09$223.451.0×
workers compensation [20501]44$313.24$313.24$313.241.0×
grants [20507]44$2,113.00$2,998.00$3,197.001.5×
fallon mcaid carelon hlth [29]44$2,113.00$2,998.00$3,197.001.5×
hsno/free care [10801]44$294.30$672.16$680.812.3×
CHAMPVA44$190.27$218.92$226.421.2×
harvard pilgrim mcr supp [20203]24$220.72$222.09$223.451.0×
hne [11108]44$1,375.14$1,441.85$1,561.561.1×
amerihealth24$391.59$414.53$979.322.5×
connecticare [11105]44$2,113.00$2,998.00$3,197.001.5×
tufts mcr supp [20209]24$220.72$222.09$223.451.0×
wellpoint [11112]44$578.64$578.64$578.641.0×
tufts us family [11203]44$210.21$211.51$212.811.0×
Humana34$185.61$1,502.77$2,866.1515.4×
upmc health plan13$189.21$192.50$275.001.5×
evernorth behavioral health [27]33$1,690.40$2,557.60$2,557.601.5×
geisinger13$165.00$187.41$5,607.3234.0×
masshealth mcd mbhp [38]33$2,113.00$3,197.00$3,197.001.5×
pennsylvania health and wellness13$171.88$189.21$333.371.9×
wellpoint13$57.00$199.72$1,753.8930.8×
oscar12$905.10$1,055.95$1,206.801.3×
directnet12$1,783.05$1,783.05$1,783.051.0×
devon health12$6,668.90$6,668.90$6,668.901.0×
tufts mcr [10112]22$223.45$223.45$223.451.0×
fidelis care12$199.72$499.25$798.784.0×
fallon mcr supp [20202]22$223.45$223.45$223.451.0×
fallon carelon hlth [28]22$2,113.00$2,456.00$2,799.001.3×
automobile [10401]22$3,197.00$3,197.00$3,197.001.0×
private healthcare systems12$2,473.94$2,473.94$2,473.941.0×
qualcare inc12$726.00$1,261.50$1,797.002.5×
WellCare22$397.44$419.72$441.991.1×
wellfleet [11106]22$2,877.30$2,877.30$2,877.301.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Harrington Memorial HospitalSouthbridgeMA28$2,113.00$2,113.00$211.41$680.81$2,113.00
Beth Israel Deaconess - PlymouthPlymouthMA13$3,077.00$640.93$57.00$341.10$2,871.76
Healthalliance-ClintonLeominsterMA30$2,799.00$2,799.00$190.27$303.77$2,799.00
Marlborough HospitalMarlboroughMA34$3,197.00$3,197.00$210.21$227.71$3,197.00
Umass Memorial Medical CenterWorcesterMA34$3,197.00$3,197.00$210.21$227.71$3,197.00
Chestnut Hill Benevolent AssociationChestnut HillMA19$6,805.00$112.20$190.86$6,668.90
High Point HospitalMiddleboroughMA19$3,017.00$1,508.50$437.47$1,268.65$4,079.00
North Adams Regional HospitalNorth AdamsMA0$2,748.39$2,610.97
Fairview HospitalGreat BarringtonMA0$2,748.39$2,610.97
Berkshire Medical CenterPittsfieldMA0$2,748.39$2,610.97
North Shore Medical CenterSalemMA0$9,277.18$9,277.18

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.