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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$33.9$160.3239.3×
Blue Cross Blue Shield738$8.07$22.04$195.9924.3×
institution [10406]433$8.68$100$10912.6×
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$22.3$33.84$38.81.7×
correctional care [11003]38$8.68$14.54$18.462.1×
First Health58$75$84.38$1261.7×
Multiplan48$75$84.38$2162.9×
hne [11108]47$45.1$49.16$108.032.4×
fallon mcaid carelon hlth [29]47$100$109$1661.7×
grants [20507]47$100$109$1661.7×
connecticare [11105]47$100$109$1661.7×
fallon connectorcare [10503]46$47.4$51.67$85.81.8×
medcost16$64.32$97.56$153.842.4×
tufts [11201]46$19$24.21$117.996.2×
masshealth mcd mbhp [38]35$100$109$1661.7×
evernorth behavioral health [27]35$80$87.2$132.81.7×
hsno/free care [10801]44$294.3$672.16$680.812.3×
wellsense cc carelon hlth [20]24$100$104.5$1091.1×
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$23.2$39.52.7×
optum transplant [20601]24$100$104.5$1091.1×
workers compensation [20501]44$12.13$12.13$12.131.0×
wellfleet [11106]24$90$94.05$98.11.1×
mgb mcr [10124]44$8.68$9.11$9.111.0×
automobile [10401]24$100$104.5$1091.1×
CHAMPVA44$9.41$10.46$10.461.1×
wellpoint [11112]44$22.78$22.78$22.781.0×
Humana34$8.68$116.07$22826.3×
senior whole health [10110]44$9.29$9.29$9.291.0×
upmc health plan13$9.11$13.44$19.22.1×
commonwealth care mcr [10115]33$9.11$9.11$9.111.0×
fallon carelon hlth [28]23$116$125$1661.4×
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$125$1661.4×
Medicare33$8.68$8.68$8.681.0×
pennsylvania health and wellness13$8.68$12$16.061.9×
tufts dual [10111]33$8.68$8.68$8.681.0×
wellpoint13$8.68$57$119.713.8×
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$84$961.3×
private healthcare systems12$196.8$196.8$196.81.0×
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$120$14.59$95.28$228
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$210$9.55$4.08$8.85$195.99
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA37$109$109$7.65$49.16$672.16
MARLBOROUGH HOSPITALMARLBOROUGHMA37$109$109$7.65$49.16$672.16
HEALTHALLIANCE-CLINTONLEOMINSTERMA32$125$125$7.65$25.62$294.3
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA31$166$166$7.65$22.04$680.81
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$1,197$5.98$12$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$31
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.