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PCI bypass graft

CPT 92937 · negotiated-rate distribution across hospitals in MA

Hospitals

Min

$11,855

Median

$13,045

Max

$14,928

Range multiplier

1.3×

By payer (50 payers with published rates)

Payer	Hosp.	Rates	Min	Median	Max	Range×
Blue Cross Blue Shield	5	30	$85	$12,105	$49,114	577.8×
UnitedHealthcare	5	27	$22.71	$14,527	$51,511	2268.2×
Aetna	5	20	$24.88	$14,837	$39,258	1577.9×
institution [10406]	2	16	$13,835	$37,631	$37,631	2.7×
Cigna	5	9	$3,531.66	$15,760	$49,005	13.9×
correctional care [11003]	2	6	$12,926	$13,835	$13,835	1.1×
Medicaid	2	6	$12,418	$13,835	$19,568	1.6×
harvard pilgrim [10701]	2	6	$8,702.14	$8,702.14	$8,702.14	1.0×
medcost	1	6	$7,683.56	$11,654	$18,377	2.4×
amerihealth	2	4	$4,157.15	$21,296	$39,945	9.6×
Multiplan	3	4	$25,803	$27,013	$28,223	1.1×
tufts [11201]	2	4	$25,426	$26,697	$27,968	1.1×
Humana	3	4	$12,216	$19,693	$27,237	2.2×
upmc health plan	1	3	$4,280.8	$4,280.8	$12,453	2.9×
First Health	3	3	$60	$28,223	$28,223	470.4×
pennsylvania health and wellness	1	3	$2,000	$12,453	$21,941	11.0×
geisinger	1	3	$2,050	$12,025	$12,334	6.0×
workers compensation [20501]	2	2	$15,052	$15,052	$15,052	1.0×
automobile [10401]	2	2	$37,631	$37,631	$37,631	1.0×
CHAMPVA	2	2	$14,424	$14,424	$14,424	1.0×
commonwealth care mcr [10115]	2	2	$14,527	$14,527	$14,527	1.0×
connecticare [11105]	2	2	$37,631	$37,631	$37,631	1.0×
devon health	1	2	$20,976	$20,976	$20,976	1.0×
directnet	1	2	$16,944	$16,944	$16,944	1.0×
eternalhealth mcr replace [10116]	2	2	$14,527	$14,527	$14,527	1.0×
evernorth behavioral health [27]	2	2	$30,105	$30,105	$30,105	1.0×
fallon mcaid carelon hlth [29]	2	2	$37,631	$37,631	$37,631	1.0×
fallon mcr [10105]	2	2	$14,527	$14,527	$14,527	1.0×
fidelis care	1	2	$25.96	$6,374.59	$12,723	490.1×
grants [20507]	2	2	$37,631	$37,631	$37,631	1.0×
harvard pilgrim mcr supp [20203]	2	2	$14,527	$14,527	$14,527	1.0×
health partners plans	1	2	$8,895.03	$10,674	$12,453	1.4×
hne [11108]	2	2	$16,972	$16,972	$16,972	1.0×
hsno/free care [10801]	2	2	$672.16	$672.16	$672.16	1.0×
keystone first	1	2	$6,620.26	$9,358.75	$12,097	1.8×
masshealth mcd mbhp [38]	2	2	$37,631	$37,631	$37,631	1.0×
Medicare	2	2	$13,835	$13,835	$13,835	1.0×
mgb mcr [10124]	2	2	$14,527	$14,527	$14,527	1.0×
optum transplant [20601]	2	2	$37,631	$37,631	$37,631	1.0×
oscar	1	2	$8,601	$10,035	$11,468	1.3×
private healthcare systems	1	2	$23,509	$23,509	$23,509	1.0×
qualcare inc	1	2	$76.8	$79.35	$81.9	1.1×
senior whole health [10110]	2	2	$14,804	$14,804	$14,804	1.0×
tufts connectorcare [10507]	2	2	$23,534	$23,534	$23,534	1.0×
tufts dual [10111]	2	2	$13,835	$13,835	$13,835	1.0×
tufts mcr supp [20209]	2	2	$14,527	$14,527	$14,527	1.0×
tufts us family [11203]	2	2	$13,835	$13,835	$13,835	1.0×
WellCare	2	2	$4,200.16	$14,760	$25,319	6.0×
wellfleet [11106]	2	2	$33,868	$33,868	$33,868	1.0×
wellpoint	1	2	$57	$6,390.11	$12,723	223.2×

By hospital (top 200 by negotiated median, descending)

Hospital	City	ST	Payers	Gross	Cash	Neg min	Neg median	Neg max
MARLBOROUGH HOSPITAL	MARLBOROUGH	MA	36	$37,631	$37,631	$672.16	$14,928	$37,631
UMASS MEMORIAL MEDICAL CENTER	WORCESTER	MA	36	$37,631	$37,631	$672.16	$14,928	$37,631
BETH ISRAEL DEACONESS - PLYMOUTH	PLYMOUTH	MA	14	$20,317	—	$20.83	$13,045	$51,511
CHESTNUT HILL BENEVOLENT ASSOCIATION	CHESTNUT HILL	MA	19	$21,404	—	$787	$12,097	$37,788
HIGH POINT HOSPITAL	MIDDLEBOROUGH	MA	19	$28,670	$14,335	$4,157.15	$11,855	$27,237
NORTH SHORE MEDICAL CENTER	SALEM	MA	0	$58,786	$58,786	—	—	—

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.