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MS-DRG 885 · negotiated-rate distribution across hospitals in MA

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Hospitals
16
Min
$1,356.44
Median
$12,131
Max
$13,601
Range multiplier
10.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield829$767.98$13,080$28,08436.6×
UnitedHealthcare720$743.30$14,294$29,65739.9×
Cigna613$1,255.00$13,336$35,10928.0×
Aetna511$936.11$12,785$24,56026.2×
institution [10406]47$743.30$758.07$13,21317.8×
correctional care [11003]36$743.30$1,150.08$20,02026.9×
tufts [11201]46$1,255.00$1,934.00$2,127.001.7×
fallon mcaid carelon hlth [29]44$1,252.97$1,939.47$2,064.741.6×
hne [11108]44$1,850.00$1,991.00$2,132.001.2×
fallon connectorcare [10503]44$4,921.00$17,639$30,3576.2×
amerihealth24$11,617$19,051$30,8822.7×
tufts connectorcare [10507]44$12,995$17,482$18,4051.4×
senior whole health [10110]44$13,546$14,294$14,4511.1×
mgb mcr [10124]44$780.47$858.29$13,21316.9×
hsno/free care [10801]44$891.53$942.87$13,21314.8×
wellpoint [11112]33$12,225$17,334$17,3341.4×
commonwealth care mcr [10115]33$1,530.00$1,770.00$1,770.001.2×
fallon mcr [10105]33$743.30$743.30$13,87318.7×
Humana33$11,554$13,208$14,6801.3×
medical mutual13$11,554$23,912$29,3772.5×
Medicare33$743.30$743.30$891.531.2×
tufts dual [10111]33$824.50$824.50$891.531.1×
Molina12$12,131$18,691$25,2512.1×
Medicaid22$3,009.77$3,009.77$3,009.771.0×
optum22$11,554$12,188$12,8231.1×
CareSource12$11,554$14,705$17,8561.5×
buckeye health plan12$11,554$15,597$19,6411.7×
WellCare22$13,601$21,407$29,2132.1×
tufts mcr [10112]22$936.11$7,404.68$13,87314.8×
tufts mcr supp [20209]22$780.47$780.47$780.471.0×
pennsylvania health and wellness12$13,464$16,031$18,5971.4×
wellpoint12$924.00$7,801.91$14,68015.9×
geisinger12$13,336$15,049$16,7621.3×
eternalhealth mcr replace [10116]22$780.47$780.47$780.471.0×
fallon carelon hlth [28]22$1,252.60$1,637.86$2,023.121.6×
qualcare inc12$6,640.00$6,803.00$6,966.001.0×
harvard pilgrim mcr supp [20203]22$780.47$780.47$780.471.0×
fallon mcr supp [20202]22$1,087.67$8,603.54$16,11914.8×
partners11$13,466$13,466$13,4661.0×
perennial advantage11$12,131$12,131$12,1311.0×
point comfort11$12,823$12,823$12,8231.0×
carolina complete11$13,466$13,466$13,4661.0×
sunrise11$14,106$14,106$14,1061.0×
the health plan11$11,554$11,554$11,5541.0×
trillium11$13,870$13,870$13,8701.0×
alliance11$13,735$13,735$13,7351.0×
Ambetter11$12,087$12,087$12,0871.0×
upmc health plan11$13,464$13,464$13,4641.0×
valor health plan11$11,554$11,554$11,5541.0×
Emblem Health11$2,334.00$2,334.00$2,334.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA12$3,470.00$60.00$7,498.97$35,109
Healthalliance-ClintonLeominsterMA21$49,678$49,678$758.07$1,594.00$13,546
High Point HospitalMiddleboroughMA12$11,617$13,601$20,131
Umass Memorial Medical CenterWorcesterMA21$59,237$59,237$743.30$1,356.44$30,357
Marlborough HospitalMarlboroughMA21$59,237$59,237$743.30$1,356.44$30,357
Chestnut Hill Benevolent AssociationChestnut HillMA18$12,785$13,464$28,084
Harrington Memorial HospitalSouthbridgeMA19$20,161$20,161$1,252.60$13,213$18,405
Hospital For Behavioral MedicineWorcesterMA16$11,554$12,131$29,657
Baystate Franklin Medical CenterGreenfieldMA0
Baystate Noble HospitalWestfieldMA0
Baystate Medical CenterSpringfieldMA0
North Adams Regional HospitalNorth AdamsMA0
Fairview HospitalGreat BarringtonMA0
Berkshire Medical CenterPittsfieldMA0
North Shore Medical CenterSalemMA0
Baystate Wing Hospital & Medical CtrPalmerMA0

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.