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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in MA
Hospitals
7
Min
$85.00
Median
$85.00
Max
$85.00
Range multiplier
1.0×
By payer (10 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 7 | $52.12 | $69.77 | $3,777.00 | 72.5× |
| UnitedHealthcare | 1 | 6 | $22.71 | $7,835.50 | $9,494.00 | 418.1× |
| Cigna | 1 | 3 | $57.66 | $73.27 | $77.17 | 1.3× |
| Aetna | 1 | 3 | $24.88 | $8,587.00 | $8,587.00 | 345.1× |
| qualcare inc | 1 | 2 | $3,317.00 | $3,317.00 | $3,317.00 | 1.0× |
| amerihealth | 1 | 2 | $6,431.00 | $7,137.00 | $7,843.00 | 1.2× |
| wellpoint | 1 | 1 | $1,295.00 | $1,295.00 | $1,295.00 | 1.0× |
| fidelis care | 1 | 1 | $25.96 | $25.96 | $25.96 | 1.0× |
| First Health | 1 | 1 | $60.00 | $60.00 | $60.00 | 1.0× |
| Self-Pay (Cash) | 1 | 1 | $20.83 | $20.83 | $20.83 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 10 | — | — | $20.83 | $85.00 | $9,494.00 |
| North Adams Regional Hospital | North Adams | MA | 0 | $269.74 | $256.25 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $368.22 | $349.81 | — | — | — |
| Hebrew Rehabilitation Center | Roslindale | MA | 0 | $155.00 | $155.00 | — | — | — |
| Whittier Hospital-Bradford | Bradford | MA | 0 | $267.45 | $267.45 | — | — | — |
| Whittier Hospital-Westborough | Westborough | MA | 0 | $267.00 | $267.00 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $368.22 | $349.81 | — | — | — |
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.