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CPT 72192 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$131.95
Median
$494.05
Max
$621.08
Range multiplier
4.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare736$72.69$160.16$4,07956.1×
Blue Cross Blue Shield736$107.41$338.27$2,68525.0×
Aetna521$116$601.14$5,577.3948.1×
institution [10406]420$125.29$2,054.03$2,68521.4×
Cigna714$111.71$288.5$1,903.7517.0×
Medicaid49$125.29$886.05$1,396.211.1×
correctional care [11003]38$125.29$126.07$1,444.511.5×
medcost16$395.84$600.4$946.762.4×
First Health55$1,212$1,849.5$2,013.751.7×
tufts [11201]35$282.3$342.47$376.741.3×
Multiplan45$1,329.3$1,778.25$2,013.751.5×
hsno/free care [10801]44$294.3$672.16$680.812.3×
connecticare [11105]44$2,371$2,575.5$2,6851.1×
hne [11108]44$1,210.94$1,266.86$1,604.871.3×
wellpoint [11112]44$413.25$413.25$413.251.0×
amerihealth24$214.17$380.4$479.432.2×
tufts us family [11203]44$125.29$126.07$126.841.0×
Humana34$110.63$746.46$1,403.1512.7×
senior whole health [10110]44$134.06$134.89$135.721.0×
CHAMPVA44$113.66$130.77$135.251.2×
workers compensation [20501]44$275.33$275.33$275.331.0×
fallon mcaid carelon hlth [29]44$2,371$2,575.5$2,6851.1×
grants [20507]44$2,371$2,575.5$2,6851.1×
mgb mcr [10124]44$126.84$131.56$133.191.1×
tufts connectorcare [10507]44$213.12$214.44$215.761.0×
upmc health plan13$112.78$157.5$2252.0×
pennsylvania health and wellness13$112.78$140.62$198.711.8×
masshealth mcd mbhp [38]33$2,466$2,685$2,6851.1×
Medicare33$125.29$125.29$126.841.0×
commonwealth care mcr [10115]33$131.56$131.56$133.191.0×
tufts dual [10111]33$125.29$125.29$126.841.0×
evernorth behavioral health [27]33$1,972.8$2,148$2,1481.1×
fallon mcr [10105]33$131.56$131.56$133.191.0×
wellpoint13$57$119.31$1,151.420.2×
geisinger13$111.71$135$5,050.345.2×
eternalhealth mcr replace [10116]22$131.56$131.56$131.561.0×
automobile [10401]22$2,685$2,685$2,6851.0×
devon health12$6,006.42$6,006.42$6,006.421.0×
directnet12$872.91$872.91$872.911.0×
fallon carelon hlth [28]22$2,371$2,418.5$2,4661.0×
fallon mcr supp [20202]22$133.19$133.19$133.191.0×
fidelis care12$119.31$321.85$524.394.4×
harvard pilgrim mcr supp [20203]22$131.56$131.56$131.561.0×
health partners plans12$112.78$126.7$140.621.2×
hp optum bh [32]22$2,371$2,418.5$2,4661.0×
keystone first12$109.56$1,002.63$1,895.717.3×
optum transplant [20601]22$2,685$2,685$2,6851.0×
oscar12$443.1$516.95$590.81.3×
private healthcare systems12$1,211.14$1,211.14$1,211.141.0×
qualcare inc12$726$1,261.5$1,7972.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$1,477$738.5$214.17$621.08$4,079
MARLBOROUGH HOSPITALMARLBOROUGHMA34$2,685$2,685$125.29$542.71$2,685
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA34$2,685$2,685$125.29$542.71$2,685
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$2,466$2,466$126.29$494.05$2,466
HEALTHALLIANCE-CLINTONLEOMINSTERMA30$2,371$2,371$113.66$245.55$2,371
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$2,020$420.76$57$238.03$1,885.26
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$6,129$91.8$131.95$6,006.42
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$1,612.29$1,531.68
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$1,612.29$1,531.68
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$1,612.29$1,531.68
NORTH SHORE MEDICAL CENTERSALEMMA0$7,633.43$7,633.43

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.