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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$9.84
Median
$13.73
Max
$19.19
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield736$8.07$20.34$133.4616.5×
Medicaid436$7.12$7.12$42.96.0×
UnitedHealthcare735$3.79$8.63$94.2624.9×
Aetna725$8.07$19.31$584.2272.4×
institution [10406]423$7.12$68.9$13018.3×
Cigna715$5.57$17.18$78.914.2×
harvard pilgrim [10701]412$18.66$29.6$36.081.9×
correctional care [11003]38$8.07$13.52$17.182.1×
tufts [11201]46$17.67$22.51$78.94.5×
medcost16$12.06$18.3$28.852.4×
First Health55$83.25$97.5$98.251.2×
Multiplan45$40.5$97.5$98.252.4×
connecticare [11105]44$111$130$1311.2×
CHAMPVA44$8.75$9.72$9.721.1×
hne [11108]44$58.63$65.44$73.081.2×
senior whole health [10110]44$8.63$8.63$8.631.0×
mgb mcr [10124]44$8.07$8.47$8.471.0×
hsno/free care [10801]44$294.3$672.16$680.812.3×
wellpoint [11112]44$21.19$21.19$21.191.0×
Humana34$8.07$25.08$42.755.3×
fallon connectorcare [10503]44$61.62$62.74$63.861.0×
fallon mcaid carelon hlth [29]44$111$130$1311.2×
amerihealth24$7.41$19.9$25.133.4×
masshealth [20302]44$7.12$7.12$7.121.0×
grants [20507]44$111$130$1311.2×
tufts connectorcare [10507]44$13.73$13.73$13.731.0×
tufts us family [11203]44$8.07$8.07$8.071.0×
workers compensation [20501]44$11.28$11.28$11.281.0×
upmc health plan13$8.47$11.2$161.9×
commonwealth care mcr [10115]33$8.47$8.47$8.471.0×
evernorth behavioral health [27]33$88.8$104$1041.2×
fallon mcr [10105]33$8.47$8.47$8.471.0×
geisinger13$8.39$9.6$210.3825.1×
masshealth mcd mbhp [38]33$111$130$1301.2×
Medicare33$8.07$8.07$8.071.0×
pennsylvania health and wellness13$8.07$10$14.931.9×
tufts dual [10111]33$8.07$8.07$8.071.0×
wellpoint13$8.07$57$81.5110.1×
directnet12$26.6$26.6$26.61.0×
fidelis care12$7.75$7.91$8.071.0×
fallon carelon hlth [28]22$111$121$1311.2×
devon health12$629.16$629.16$629.161.0×
eternalhealth mcr replace [10116]22$8.47$8.47$8.471.0×
optum transplant [20601]22$130$130$1301.0×
tufts mcr [10112]22$8.47$8.47$8.471.0×
tufts mcr supp [20209]22$8.47$8.47$8.471.0×
oscar12$13.5$15.75$181.3×
keystone first12$8.23$103.4$198.5724.1×
automobile [10401]22$130$130$1301.0×
wellsense cc carelon hlth [20]22$130$130$1301.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HEALTHALLIANCE-CLINTONLEOMINSTERMA33$131$131$7.12$9.99$294.3
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$143$8.88$3.79$9.84$133.46
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA38$130$130$7.12$19.19$672.16
MARLBOROUGH HOSPITALMARLBOROUGHMA38$130$130$7.12$19.19$672.16
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$45$22.5$7.41$17.87$42.75
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA32$111$111$7.12$13.73$680.81
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$642$5.57$10$629.16
WHITTIER HOSPITAL-WESTBOROUGHWESTBOROUGHMA0$29$29
HEBREW REHABILITATION CENTERROSLINDALEMA0$24.3$24.3
NORTH SHORE MEDICAL CENTERSALEMMA0$350.98$350.98
WHITTIER HOSPITAL-BRADFORDBRADFORDMA0$29.05$29.05

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.