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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$11,675
Median
$13,045
Max
$14,790
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield530$85$12,105$49,114577.8×
UnitedHealthcare527$22.71$14,527$51,5112268.2×
Aetna520$24.88$14,611$39,2581577.9×
institution [10406]216$13,835$32,762$32,7622.4×
Cigna59$3,531.66$15,760$49,00513.9×
correctional care [11003]26$12,926$13,835$13,8351.1×
Medicaid26$10,811$13,835$17,0361.6×
harvard pilgrim [10701]26$8,702.14$8,702.14$8,702.141.0×
medcost16$7,566.71$11,477$18,0982.4×
amerihealth24$4,093.93$21,225$39,9459.8×
Multiplan34$24,572$24,991$25,4111.0×
tufts [11201]24$25,426$26,697$27,9681.1×
Humana34$12,216$19,490$26,8222.2×
upmc health plan13$4,280.8$4,280.8$12,4532.9×
First Health33$60$24,572$24,572409.5×
pennsylvania health and wellness13$2,000$12,453$21,94111.0×
geisinger13$2,050$12,025$12,3346.0×
workers compensation [20501]22$13,105$13,105$13,1051.0×
automobile [10401]22$32,762$32,762$32,7621.0×
CHAMPVA22$14,424$14,424$14,4241.0×
commonwealth care mcr [10115]22$14,527$14,527$14,5271.0×
connecticare [11105]22$32,762$32,762$32,7621.0×
devon health12$20,976$20,976$20,9761.0×
directnet12$16,686$16,686$16,6861.0×
eternalhealth mcr replace [10116]22$14,527$14,527$14,5271.0×
evernorth behavioral health [27]22$26,210$26,210$26,2101.0×
fallon mcaid carelon hlth [29]22$32,762$32,762$32,7621.0×
fallon mcr [10105]22$14,527$14,527$14,5271.0×
fidelis care12$25.96$6,374.59$12,723490.1×
grants [20507]22$32,762$32,762$32,7621.0×
harvard pilgrim mcr supp [20203]22$14,527$14,527$14,5271.0×
health partners plans12$8,895.03$10,674$12,4531.4×
hne [11108]22$14,776$14,776$14,7761.0×
hsno/free care [10801]22$672.16$672.16$672.161.0×
keystone first12$6,620.26$9,358.75$12,0971.8×
masshealth mcd mbhp [38]22$32,762$32,762$32,7621.0×
Medicare22$13,835$13,835$13,8351.0×
mgb mcr [10124]22$14,527$14,527$14,5271.0×
optum transplant [20601]22$32,762$32,762$32,7621.0×
oscar12$8,470.2$9,881.9$11,2941.3×
private healthcare systems12$23,152$23,152$23,1521.0×
qualcare inc12$76.8$79.35$81.91.1×
senior whole health [10110]22$14,804$14,804$14,8041.0×
tufts connectorcare [10507]22$23,534$23,534$23,5341.0×
tufts dual [10111]22$13,835$13,835$13,8351.0×
tufts mcr supp [20209]22$14,527$14,527$14,5271.0×
tufts us family [11203]22$13,835$13,835$13,8351.0×
WellCare22$4,136.28$14,728$25,3196.1×
wellfleet [11106]22$29,486$29,486$29,4861.0×
wellpoint12$57$6,390.11$12,723223.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA36$32,762$32,762$672.16$14,790$32,762
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA36$32,762$32,762$672.16$14,790$32,762
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA14$29,649$20.83$13,045$51,511
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$21,404$787$12,097$37,788
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$28,234$14,117$4,093.93$11,675$26,822
NORTH SHORE MEDICAL CENTERSALEMMA0$46,010$46,010

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.