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PCI single major coronary artery

CPT 92920 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$6,051.95
Median
$9,626.96
Max
$9,910.4
Range multiplier
1.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield530$85$7,047.5$49,114577.8×
UnitedHealthcare527$22.71$7,298.51$51,5112268.2×
Aetna520$24.88$10,200$39,2581577.9×
institution [10406]216$6,821.04$24,776$24,7763.6×
Cigna59$2,325.68$15,760$49,00521.1×
medcost16$5,282.55$8,012.52$12,6352.4×
Medicaid26$6,821.04$8,176.08$12,8841.9×
harvard pilgrim [10701]26$4,210.68$4,210.68$4,210.681.0×
correctional care [11003]26$6,821.04$6,821.04$12,9261.9×
tufts mcr supp [20209]24$3,581.05$5,371.57$7,162.092.0×
Multiplan34$17,740$18,161$18,5821.0×
tufts [11201]24$14,213$14,924$15,6351.1×
Humana34$6,022.71$12,364$18,7253.1×
amerihealth24$2,858.1$19,842$39,94514.0×
First Health33$60$18,582$18,582309.7×
geisinger13$2,050$6,081.18$7,918.573.9×
pennsylvania health and wellness13$2,000$6,139.65$10,8175.4×
upmc health plan13$2,819$2,819$6,139.652.2×
masshealth mcd mbhp [38]22$24,776$24,776$24,7761.0×
workers compensation [20501]22$9,910.4$9,910.4$9,910.41.0×
automobile [10401]22$24,776$24,776$24,7761.0×
CHAMPVA22$7,251.63$7,251.63$7,251.631.0×
commonwealth care mcr [10115]22$7,162.09$7,162.09$7,162.091.0×
connecticare [11105]22$24,776$24,776$24,7761.0×
devon health12$13,813$13,813$13,8131.0×
directnet12$11,649$11,649$11,6491.0×
eternalhealth mcr replace [10116]22$7,162.09$7,162.09$7,162.091.0×
evernorth behavioral health [27]22$19,821$19,821$19,8211.0×
fallon mcaid carelon hlth [29]22$24,776$24,776$24,7761.0×
fallon mcr [10105]22$7,162.09$7,162.09$7,162.091.0×
fidelis care12$25.96$3,211.31$6,396.65246.4×
grants [20507]22$24,776$24,776$24,7761.0×
harvard pilgrim mcr supp [20203]22$7,162.09$7,162.09$7,162.091.0×
health partners plans12$4,385.47$5,262.56$6,139.651.4×
hne [11108]22$11,174$11,174$11,1741.0×
hsno/free care [10801]22$672.16$672.16$672.161.0×
keystone first12$4,359.58$5,161.91$5,964.241.4×
Medicare22$6,821.04$6,821.04$6,821.041.0×
mgb mcr [10124]22$7,162.09$7,162.09$7,162.091.0×
optum transplant [20601]22$24,776$24,776$24,7761.0×
oscar12$5,913.3$6,898.85$7,884.41.3×
private healthcare systems12$16,163$16,163$16,1631.0×
qualcare inc12$76.8$79.35$81.91.1×
senior whole health [10110]22$7,298.51$7,298.51$7,298.511.0×
tufts connectorcare [10507]22$11,603$11,603$11,6031.0×
tufts dual [10111]22$6,821.04$6,821.04$6,821.041.0×
tufts us family [11203]22$6,821.04$6,821.04$6,821.041.0×
WellCare22$2,887.66$7,808.5$12,7294.4×
wellfleet [11106]22$22,298$22,298$22,2981.0×
wellpoint12$57$3,226.83$6,396.65112.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA36$24,776$24,776$672.16$9,910.4$24,776
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA36$24,776$24,776$672.16$9,910.4$24,776
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA14$18,550$20.83$9,626.96$51,511
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$19,711$9,855.5$2,858.1$8,150.5$18,725
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$14,095$787$6,051.95$18,631
NORTH SHORE MEDICAL CENTERSALEMMA0$51,859$51,859

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.