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CPT 81003 · negotiated-rate distribution across hospitals in MA

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Hospitals
14
Min
$2.46
Median
$12.83
Max
$37.43
Range multiplier
15.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare746$1.06$16.11$48.7646.0×
Blue Cross Blue Shield738$2.25$7.38$87.0038.7×
Medicaid438$1.98$1.98$28.7114.5×
institution [10406]436$1.98$83.00$87.0043.9×
Aetna735$2.25$32.00$338.52150.5×
Cigna716$1.54$5.10$40.0826.0×
harvard pilgrim [10701]412$5.76$8.75$10.041.7×
First Health59$18.00$46.20$65.253.6×
grants [20507]48$24.00$66.00$87.003.6×
fallon mcaid carelon hlth [29]48$24.00$66.00$87.003.6×
connecticare [11105]48$24.00$66.00$87.003.6×
hne [11108]48$15.62$32.39$39.242.5×
Multiplan48$22.50$63.75$65.702.9×
correctional care [11003]38$2.25$3.77$4.782.1×
tufts [11201]47$4.92$6.56$22.754.6×
devon health16$39.20$199.92$364.569.3×
fallon connectorcare [10503]46$17.44$39.34$41.242.4×
medcost16$19.56$29.68$46.792.4×
masshealth mcd mbhp [38]36$24.00$83.00$87.003.6×
evernorth behavioral health [27]36$19.20$66.40$69.603.6×
geisinger15$2.34$13.11$121.9052.1×
Humana34$2.25$35.11$69.3530.8×
keystone first14$2.29$37.74$115.0650.2×
amerihealth24$4.09$6.57$12.022.9×
automobile [10401]24$83.00$85.00$87.001.0×
wellpoint [11112]44$5.93$5.93$5.931.0×
CHAMPVA44$2.44$2.71$2.711.1×
wellfleet [11106]24$74.70$76.50$78.301.0×
workers compensation [20501]44$3.14$3.14$3.141.0×
tufts us family [11203]44$2.25$2.25$2.251.0×
tufts connectorcare [10507]44$3.83$3.83$3.831.0×
fallon carelon hlth [28]24$24.00$31.00$49.002.0×
wellsense cc carelon hlth [20]24$83.00$85.00$87.001.0×
senior whole health [10110]44$2.41$2.41$2.411.0×
optum transplant [20601]24$83.00$85.00$87.001.0×
mgb mcr [10124]44$2.25$2.36$2.361.0×
hp optum bh [32]24$24.00$31.00$49.002.0×
hsno/free care [10801]44$294.30$672.16$680.812.3×
masshealth [20302]44$1.98$1.98$1.981.0×
upmc health plan13$2.36$4.34$6.202.6×
commonwealth care mcr [10115]33$2.36$2.36$2.361.0×
fallon mcr [10105]33$2.36$2.36$2.361.0×
Medicare33$2.25$2.25$2.251.0×
pennsylvania health and wellness13$2.25$3.88$4.161.8×
tufts dual [10111]33$2.25$2.25$2.251.0×
wellpoint13$2.25$43.89$57.0025.3×
tufts mcr supp [20209]22$2.36$2.36$2.361.0×
qualcare inc12$59.13$61.10$63.061.1×
directnet12$43.14$43.14$43.141.0×
fallon mcr supp [20202]22$2.36$2.36$2.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Healthalliance-ClintonLeominsterMA33$49.00$49.00$1.98$5.76$294.30
Chestnut Hill Benevolent AssociationChestnut HillMA19$372.00$1.54$4.87$364.56
Umass Memorial Medical CenterWorcesterMA38$87.00$87.00$1.98$37.43$672.16
Marlborough HospitalMarlboroughMA38$87.00$87.00$1.98$37.43$672.16
High Point HospitalMiddleboroughMA19$73.00$36.50$4.09$28.98$69.35
Beth Israel Deaconess - PlymouthPlymouthMA13$77.00$2.48$1.06$2.46$71.86
Harrington Memorial HospitalSouthbridgeMA32$32.00$32.00$1.98$12.83$680.81
North Shore Medical CenterSalemMA0$910.15$910.15
Fairview HospitalGreat BarringtonMA0$46.21$43.90
North Adams Regional HospitalNorth AdamsMA0$46.21$43.90
Hebrew Rehabilitation CenterRoslindaleMA0$6.80$6.80
Whittier Hospital-BradfordBradfordMA0$8.10$8.10
Whittier Hospital-WestboroughWestboroughMA0$8.00$8.00
Berkshire Medical CenterPittsfieldMA0$46.21$43.90

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.