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CPT 74170 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$218.42
Median
$678.67
Max
$1,736.25
Range multiplier
7.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare736$130.53$264.79$4,07931.2×
Blue Cross Blue Shield736$180.2$653.33$3,76120.9×
Aetna521$194.62$1,680.5$8,063.5141.4×
institution [10406]420$210.21$2,877.17$3,76117.9×
Cigna714$187.41$292.15$3,641.5219.4×
Medicaid49$210.21$1,241.13$2,452.8411.7×
correctional care [11003]38$210.21$211.51$2,740.713.0×
medcost16$1,106.57$1,678.44$2,646.692.4×
First Health55$1,905.6$2,820.75$3,537.751.9×
tufts [11201]35$475.41$576.73$634.451.3×
Multiplan45$2,132.25$2,820.75$3,716.11.7×
hsno/free care [10801]44$294.3$672.16$680.812.3×
connecticare [11105]44$2,843$3,761$4,7171.7×
hne [11108]44$1,586.11$1,696.21$3,069.821.9×
wellpoint [11112]44$685.17$685.17$685.171.0×
amerihealth24$537.04$567.88$1,340.272.5×
tufts us family [11203]44$210.21$211.51$212.811.0×
Humana34$185.61$2,019.85$3,922.5521.1×
senior whole health [10110]44$224.92$226.32$227.711.0×
CHAMPVA44$190.27$218.92$226.421.2×
workers compensation [20501]44$477.31$477.31$477.311.0×
fallon mcaid carelon hlth [29]44$2,843$3,761$4,7171.7×
grants [20507]44$2,843$3,761$4,7171.7×
mgb mcr [10124]44$212.81$220.72$223.451.0×
tufts connectorcare [10507]44$357.57$359.78$361.991.0×
upmc health plan13$189.21$247.06$352.941.9×
pennsylvania health and wellness13$189.21$220.59$333.371.8×
masshealth mcd mbhp [38]33$3,761$3,761$4,7171.3×
Medicare33$210.21$210.21$212.811.0×
commonwealth care mcr [10115]33$220.72$220.72$223.451.0×
tufts dual [10111]33$210.21$210.21$212.811.0×
evernorth behavioral health [27]33$3,008.8$3,008.8$3,773.61.3×
fallon mcr [10105]33$220.72$220.72$223.451.0×
wellpoint13$57$199.72$1,810.3231.8×
geisinger13$187.41$211.76$7,301.4639.0×
eternalhealth mcr replace [10116]22$220.72$220.72$220.721.0×
automobile [10401]22$3,761$3,761$3,7611.0×
devon health12$8,683.78$8,683.78$8,683.781.0×
directnet12$2,440.24$2,440.24$2,440.241.0×
fallon carelon hlth [28]22$2,843$3,780$4,7171.7×
fallon mcr supp [20202]22$223.45$223.45$223.451.0×
fidelis care12$199.72$512.1$824.484.1×
harvard pilgrim mcr supp [20203]22$220.72$220.72$220.721.0×
health partners plans12$189.21$204.9$220.591.2×
hp optum bh [32]22$2,843$3,780$4,7171.7×
keystone first12$183.8$1,462.26$2,740.7114.9×
optum transplant [20601]22$3,761$3,761$3,7611.0×
oscar12$1,238.7$1,445.15$1,651.61.3×
private healthcare systems12$3,385.78$3,385.78$3,385.781.0×
qualcare inc12$726$1,261.5$1,7972.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$4,717$4,717$211.41$685.17$4,717
MARLBOROUGH HOSPITALMARLBOROUGHMA34$3,761$3,761$210.21$678.67$3,761
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA34$3,761$3,761$210.21$678.67$3,761
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,176$661.56$57$398.44$2,964.16
HEALTHALLIANCE-CLINTONLEOMINSTERMA30$2,843$2,843$190.27$328.15$2,843
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$8,861$151.64$218.42$8,683.78
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$4,129$2,064.5$598.71$1,736.25$4,079
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$2,776.38$2,637.56
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$2,776.38$2,637.56
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$2,776.38$2,637.56
NORTH SHORE MEDICAL CENTERSALEMMA0$11,462$11,462

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.