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CPT 74160 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$196.42
Median
$327.68
Max
$1,573.93
Range multiplier
8.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare742$122.40$227.71$4,079.0033.3×
Blue Cross Blue Shield738$180.20$579.75$3,625.0020.1×
institution [10406]424$210.21$1,703.95$3,625.0017.2×
Aetna521$194.62$1,523.40$6,192.5531.8×
Cigna714$187.41$288.50$2,572.3013.7×
correctional care [11003]312$210.21$212.81$2,472.8211.8×
Medicaid49$210.21$1,196.25$1,885.009.0×
mgb mcr [10124]46$212.81$222.09$223.451.0×
medcost16$1,003.12$1,521.53$2,399.262.4×
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$2,103.75$2,718.75$3,368.701.6×
fallon mcr [10105]35$220.72$223.45$223.451.0×
Medicare35$210.21$212.81$212.811.0×
First Health55$1,707.00$2,499.00$2,718.751.6×
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$361.06$361.06$361.061.0×
grants [20507]44$2,805.00$3,478.50$3,625.001.3×
fallon mcaid carelon hlth [29]44$2,805.00$3,478.50$3,625.001.3×
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$1,564.91$1,634.88$2,168.471.4×
amerihealth24$443.34$493.04$1,214.982.7×
connecticare [11105]44$2,805.00$3,478.50$3,625.001.3×
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$1,840.36$3,555.8519.2×
upmc health plan13$189.21$208.67$298.101.6×
evernorth behavioral health [27]33$2,665.60$2,900.00$2,900.001.1×
geisinger13$178.86$187.41$5,607.3231.4×
masshealth mcd mbhp [38]33$3,332.00$3,625.00$3,625.001.1×
pennsylvania health and wellness13$186.31$189.21$333.371.8×
wellpoint13$57.00$199.72$1,621.6528.5×
oscar12$1,122.90$1,310.05$1,497.201.3×
directnet12$2,212.11$2,212.11$2,212.111.0×
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$469.14$738.563.7×
fallon mcr supp [20202]22$223.45$223.45$223.451.0×
fallon carelon hlth [28]22$2,805.00$3,068.50$3,332.001.2×
automobile [10401]22$3,625.00$3,625.00$3,625.001.0×
private healthcare systems12$3,069.26$3,069.26$3,069.261.0×
qualcare inc12$726.00$1,261.50$1,797.002.5×
WellCare22$397.44$472.90$548.351.4×
wellfleet [11106]22$3,262.50$3,262.50$3,262.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Harrington Memorial HospitalSouthbridgeMA28$3,332.00$3,332.00$211.41$680.81$3,332.00
Beth Israel Deaconess - PlymouthPlymouthMA13$2,845.00$592.61$57.00$398.44$2,655.23
Healthalliance-ClintonLeominsterMA30$2,805.00$2,805.00$190.27$327.68$2,805.00
Marlborough HospitalMarlboroughMA34$3,625.00$3,625.00$210.21$227.71$3,625.00
Umass Memorial Medical CenterWorcesterMA34$3,625.00$3,625.00$210.21$227.71$3,625.00
Chestnut Hill Benevolent AssociationChestnut HillMA19$6,805.00$122.40$196.42$6,668.90
High Point HospitalMiddleboroughMA19$3,743.00$1,871.50$542.74$1,573.93$4,079.00
North Adams Regional HospitalNorth AdamsMA0$2,378.68$2,259.75
Fairview HospitalGreat BarringtonMA0$2,378.68$2,259.75
Berkshire Medical CenterPittsfieldMA0$2,378.68$2,259.75
North Shore Medical CenterSalemMA0$8,534.33$8,534.33

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.