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CPT 93005 · negotiated-rate distribution across hospitals in MA

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Hospitals
14
Min
$66.67
Median
$150.54
Max
$204.63
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield745$38.22$118.70$335.058.8×
UnitedHealthcare736$3.43$79.05$436.00127.1×
Aetna734$33.85$163.07$1,176.6334.8×
institution [10406]420$70.70$238.68$312.004.4×
Cigna718$45.05$138.51$277.046.1×
harvard pilgrim [10701]412$116.27$168.04$192.861.7×
Medicaid49$70.70$98.80$162.242.3×
devon health18$267.54$401.80$1,267.144.7×
correctional care [11003]38$70.70$71.14$154.182.2×
tufts [11201]46$127.60$204.18$224.611.8×
medcost16$110.15$167.07$263.452.4×
geisinger16$12.55$234.43$1,065.4384.9×
Multiplan45$132.00$234.00$369.902.8×
keystone first15$61.82$91.55$399.926.5×
First Health55$132.00$215.40$234.001.8×
hne [11108]44$98.19$132.18$140.711.4×
senior whole health [10110]44$75.65$76.12$76.581.0×
mgb mcr [10124]44$71.57$74.23$75.151.1×
wellpoint [11112]44$61.35$61.35$61.351.0×
hsno/free care [10801]44$294.30$672.16$680.812.3×
fallon connectorcare [10503]44$135.85$141.87$147.891.1×
fallon mcaid carelon hlth [29]44$176.00$251.00$312.001.8×
amerihealth24$59.60$190.78$248.144.2×
grants [20507]44$176.00$251.00$312.001.8×
Humana34$62.43$224.44$390.456.3×
tufts connectorcare [10507]44$120.26$121.01$121.751.0×
connecticare [11105]44$176.00$251.00$312.001.8×
workers compensation [20501]44$57.85$108.74$124.802.2×
tufts us family [11203]44$70.70$71.14$71.571.0×
CHAMPVA44$63.49$73.05$75.551.2×
upmc health plan13$14.64$20.92$63.644.3×
commonwealth care mcr [10115]33$74.23$74.23$75.151.0×
evernorth behavioral health [27]33$152.00$249.60$249.601.6×
fallon mcr [10105]33$74.23$74.23$75.151.0×
masshealth mcd mbhp [38]33$190.00$312.00$312.001.6×
Medicare33$70.70$70.70$71.571.0×
pennsylvania health and wellness13$13.07$63.64$112.138.6×
tufts dual [10111]33$70.70$70.70$71.571.0×
fallon carelon hlth [28]22$176.00$183.00$190.001.1×
optum transplant [20601]22$312.00$312.00$312.001.0×
directnet12$242.90$242.90$242.901.0×
oscar12$123.30$143.85$164.401.3×
wellsense cc carelon hlth [20]22$312.00$312.00$312.001.0×
tufts mcr [10112]22$75.15$75.15$75.151.0×
tufts mcr supp [20209]22$74.23$74.23$74.231.0×
eternalhealth mcr replace [10116]22$74.23$74.23$74.231.0×
fidelis care12$66.64$79.92$93.191.4×
automobile [10401]22$312.00$312.00$312.001.0×
private healthcare systems12$337.02$337.02$337.021.0×
qualcare inc12$275.71$284.87$294.021.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Healthalliance-ClintonLeominsterMA32$176.00$176.00$57.85$91.52$294.30
Chestnut Hill Benevolent AssociationChestnut HillMA19$1,293.00$12.55$66.67$1,267.14
Beth Israel Deaconess - PlymouthPlymouthMA13$359.00$74.77$3.43$204.63$335.05
High Point HospitalMiddleboroughMA19$411.00$205.50$59.60$163.17$390.45
Umass Memorial Medical CenterWorcesterMA37$312.00$312.00$61.35$150.54$672.16
Marlborough HospitalMarlboroughMA37$312.00$312.00$61.35$150.54$672.16
Harrington Memorial HospitalSouthbridgeMA31$190.00$190.00$61.35$129.35$680.81
Berkshire Medical CenterPittsfieldMA0$222.47$211.35
Fairview HospitalGreat BarringtonMA0$222.47$211.35
North Shore Medical CenterSalemMA0$1,385.39$1,385.39
Hebrew Rehabilitation CenterRoslindaleMA0$73.50$73.50
Whittier Hospital-BradfordBradfordMA0$137.53$137.53
Whittier Hospital-WestboroughWestboroughMA0$138.00$138.00
North Adams Regional HospitalNorth AdamsMA0$222.47$211.35

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.