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Renal function panel

CPT 80069 · negotiated-rate distribution across hospitals in MA

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Hospitals
13
Min
$8.85
Median
$25.62
Max
$95.28
Range multiplier
10.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare744$4.08$33.90$160.3239.3×
Blue Cross Blue Shield738$8.07$22.04$195.9924.3×
institution [10406]433$8.68$100.00$109.0012.6×
Aetna728$8.68$73.69$1,089.27125.5×
Cigna715$5.98$18.46$131.7622.0×
Medicaid415$7.65$8.68$35.974.7×
harvard pilgrim [10701]412$22.30$33.84$38.801.7×
correctional care [11003]38$8.68$14.54$18.462.1×
First Health58$75.00$84.38$126.001.7×
Multiplan48$75.00$84.38$216.002.9×
hne [11108]47$45.10$49.16$108.032.4×
fallon mcaid carelon hlth [29]47$100.00$109.00$166.001.7×
grants [20507]47$100.00$109.00$166.001.7×
connecticare [11105]47$100.00$109.00$166.001.7×
fallon connectorcare [10503]46$47.40$51.67$85.801.8×
medcost16$64.32$97.56$153.842.4×
tufts [11201]46$19.00$24.21$117.996.2×
masshealth mcd mbhp [38]35$100.00$109.00$166.001.7×
evernorth behavioral health [27]35$80.00$87.20$132.801.7×
hsno/free care [10801]44$294.30$672.16$680.812.3×
wellsense cc carelon hlth [20]24$100.00$104.50$109.001.1×
tufts connectorcare [10507]44$14.76$14.76$14.761.0×
tufts us family [11203]44$8.68$8.68$8.681.0×
amerihealth24$14.59$23.20$39.502.7×
optum transplant [20601]24$100.00$104.50$109.001.1×
workers compensation [20501]44$12.13$12.13$12.131.0×
wellfleet [11106]24$90.00$94.05$98.101.1×
mgb mcr [10124]44$8.68$9.11$9.111.0×
automobile [10401]24$100.00$104.50$109.001.1×
CHAMPVA44$9.41$10.46$10.461.1×
wellpoint [11112]44$22.78$22.78$22.781.0×
Humana34$8.68$116.07$228.0026.3×
senior whole health [10110]44$9.29$9.29$9.291.0×
upmc health plan13$9.11$13.44$19.202.1×
commonwealth care mcr [10115]33$9.11$9.11$9.111.0×
fallon carelon hlth [28]23$116.00$125.00$166.001.4×
fallon mcr [10105]33$9.11$9.11$9.111.0×
geisinger13$9.03$11.52$392.2643.4×
hp optum bh [32]23$116.00$125.00$166.001.4×
Medicare33$8.68$8.68$8.681.0×
pennsylvania health and wellness13$8.68$12.00$16.061.9×
tufts dual [10111]33$8.68$8.68$8.681.0×
wellpoint13$8.68$57.00$119.7013.8×
harvard pilgrim mcr supp [20203]22$9.11$9.11$9.111.0×
fidelis care12$8.33$8.51$8.681.0×
fallon mcr supp [20202]22$9.11$9.11$9.111.0×
oscar12$72.00$84.00$96.001.3×
private healthcare systems12$196.80$196.80$196.801.0×
qualcare inc12$161.28$166.64$171.991.1×
eternalhealth mcr replace [10116]22$9.11$9.11$9.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
High Point HospitalMiddleboroughMA19$240.00$120.00$14.59$95.28$228.00
Beth Israel Deaconess - PlymouthPlymouthMA13$210.00$9.55$4.08$8.85$195.99
Umass Memorial Medical CenterWorcesterMA37$109.00$109.00$7.65$49.16$672.16
Marlborough HospitalMarlboroughMA37$109.00$109.00$7.65$49.16$672.16
Healthalliance-ClintonLeominsterMA32$125.00$125.00$7.65$25.62$294.30
Harrington Memorial HospitalSouthbridgeMA31$166.00$166.00$7.65$22.04$680.81
Chestnut Hill Benevolent AssociationChestnut HillMA19$1,197.00$5.98$12.00$1,173.06
Berkshire Medical CenterPittsfieldMA0$81.67$77.59
Fairview HospitalGreat BarringtonMA0$81.67$77.59
North Adams Regional HospitalNorth AdamsMA0$81.67$77.59
Whittier Hospital-BradfordBradfordMA0$31.25$31.25
Whittier Hospital-WestboroughWestboroughMA0$31.00$31.00
North Shore Medical CenterSalemMA0$635.47$635.47

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.