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Urinalysis non-automated

CPT 81002 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$3.55
Median
$4.87
Max
$14.69
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare744$1.64$3.72$60.837.1×
Blue Cross Blue Shield738$1.64$8.37$12676.8×
Medicaid438$2.44$3.07$41.5817.0×
institution [10406]436$3.07$7.49$12641.0×
Aetna728$3.48$9.26$82.1523.6×
Cigna715$2.4$5.45$20.318.5×
harvard pilgrim [10701]412$7.24$10.46$12.011.7×
grants [20507]410$2.64$7.49$12647.7×
First Health58$5.62$12.94$94.516.8×
Multiplan48$5.62$26.78$94.516.8×
correctional care [11003]38$3.48$5.45$6.161.8×
hne [11108]47$3.38$4.87$56.8316.8×
fallon mcaid carelon hlth [29]47$7.49$7.49$12616.8×
connecticare [11105]47$7.49$7.49$12616.8×
fallon connectorcare [10503]46$3.55$17.6$59.7216.8×
medcost16$9.92$15.04$23.722.4×
tufts [11201]46$5.32$9.23$10.151.9×
masshealth mcd mbhp [38]35$7.49$7.49$12616.8×
evernorth behavioral health [27]35$5.99$5.99$100.816.8×
masshealth [20302]44$3.07$3.07$3.071.0×
wellsense cc carelon hlth [20]24$7.49$66.75$12616.8×
tufts connectorcare [10507]44$5.92$5.92$5.921.0×
tufts us family [11203]44$3.48$3.48$3.481.0×
amerihealth24$4.66$7.88$9.672.1×
optum transplant [20601]24$7.49$66.75$12616.8×
workers compensation [20501]44$3.57$3.57$3.571.0×
wellfleet [11106]24$6.74$60.07$113.416.8×
mgb mcr [10124]44$3.48$3.65$3.651.0×
automobile [10401]24$7.49$66.75$12616.8×
CHAMPVA44$3.77$4.19$4.191.1×
wellpoint [11112]44$6.72$6.72$6.721.0×
Humana34$3.48$19$35.1510.1×
hsno/free care [10801]44$294.3$672.16$680.812.3×
senior whole health [10110]44$3.72$3.72$3.721.0×
upmc health plan13$3.65$5$7.142.0×
commonwealth care mcr [10115]33$3.65$3.65$3.651.0×
fallon carelon hlth [28]23$7.49$7.49$273.6×
fallon mcr [10105]33$3.65$3.65$3.651.0×
geisinger13$2.62$3.62$4.281.6×
hp optum bh [32]23$7.49$7.49$273.6×
Medicare33$3.48$3.48$3.481.0×
pennsylvania health and wellness13$3.48$4.46$6.441.9×
tufts dual [10111]33$3.48$3.48$3.481.0×
wellpoint13$3.48$24.51$5716.4×
harvard pilgrim mcr supp [20203]22$3.65$3.65$3.651.0×
fidelis care12$3.34$3.41$3.481.0×
fallon mcr supp [20202]22$3.65$3.65$3.651.0×
oscar12$11.1$12.95$14.81.3×
private healthcare systems12$30.34$30.34$30.341.0×
qualcare inc12$33.02$34.12$35.211.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA38$126$126$2.44$6.73$672.16
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA38$126$126$2.44$6.73$672.16
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA32$7.49$7.49$2.62$4.87$680.81
HEALTHALLIANCE-CLINTONLEOMINSTERMA33$27$27$2.44$4.1$294.3
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$8$2.4$3.71$40
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$43$3.83$1.64$3.55$57
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$37$18.5$4.66$14.69$35.15
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$24.76$23.52
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$24.76$23.52
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$24.76$23.52
NORTH SHORE MEDICAL CENTERSALEMMA0$305.2$305.2

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.