▸ Compare · PriceTransparency
ED visit level 1
CPT 99281 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$116.95
Median
$251.3
Max
$570
Range multiplier
4.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 32 | $86.63 | $187 | $2,958 | 34.1× |
| UnitedHealthcare | 7 | 30 | $5.86 | $233.53 | $1,323 | 225.8× |
| Aetna | 7 | 23 | $93.56 | $306.73 | $1,446.9 | 15.5× |
| institution [10406] | 4 | 15 | $102.31 | $484 | $484 | 4.7× |
| Cigna | 7 | 14 | $90.1 | $370.65 | $1,177.8 | 13.1× |
| harvard pilgrim [10701] | 4 | 12 | $242 | $671.5 | $840 | 3.5× |
| Medicaid | 4 | 9 | $84.76 | $159.72 | $251.68 | 3.0× |
| tufts [11201] | 4 | 6 | $115.86 | $799.11 | $878.99 | 7.6× |
| medcost | 1 | 6 | $169.64 | $257.32 | $405.75 | 2.4× |
| Multiplan | 4 | 5 | $351.75 | $363 | $569.7 | 1.6× |
| First Health | 5 | 5 | $122.25 | $363 | $631.2 | 5.2× |
| senior whole health [10110] | 4 | 4 | $108.13 | $108.8 | $109.47 | 1.0× |
| wellpoint [11112] | 4 | 4 | $150.7 | $150.7 | $150.7 | 1.0× |
| hne [11108] | 4 | 4 | $106.08 | $218.28 | $261.66 | 2.5× |
| hsno/free care [10801] | 4 | 4 | $294.3 | $672.16 | $680.81 | 2.3× |
| connecticare [11105] | 4 | 4 | $163 | $476.5 | $484 | 3.0× |
| correctional care [11003] | 3 | 4 | $102.31 | $534.16 | $966 | 9.4× |
| grants [20507] | 4 | 4 | $163 | $476.5 | $484 | 3.0× |
| amerihealth | 2 | 4 | $91.79 | $720.74 | $1,504 | 16.4× |
| Humana | 3 | 4 | $89.23 | $343.74 | $601.35 | 6.7× |
| fallon connectorcare [10503] | 4 | 4 | $178.75 | $204.09 | $229.42 | 1.3× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $163 | $476.5 | $484 | 3.0× |
| workers compensation [20501] | 4 | 4 | $79.51 | $173.88 | $193.6 | 2.4× |
| Medicare | 3 | 3 | $101.06 | $101.06 | $102.31 | 1.0× |
| upmc health plan | 1 | 3 | $90.96 | $318 | $318 | 3.5× |
| masshealth mcd mbhp [38] | 3 | 3 | $163 | $484 | $484 | 3.0× |
| tufts us family [11203] | 3 | 3 | $101.06 | $101.06 | $102.31 | 1.0× |
| evernorth behavioral health [27] | 3 | 3 | $130.4 | $387.2 | $387.2 | 3.0× |
| geisinger | 1 | 3 | $51 | $90.1 | $602.82 | 11.8× |
| pennsylvania health and wellness | 1 | 3 | $50 | $90.96 | $160.27 | 3.2× |
| fallon carelon hlth [28] | 2 | 2 | $163 | $316 | $469 | 2.9× |
| automobile [10401] | 2 | 2 | $484 | $484 | $484 | 1.0× |
| devon health | 1 | 2 | $1,558.2 | $1,558.2 | $1,558.2 | 1.0× |
| directnet | 1 | 2 | $374.1 | $374.1 | $374.1 | 1.0× |
| fidelis care | 1 | 2 | $98.79 | $185.94 | $273.09 | 2.8× |
| health partners plans | 1 | 2 | $55 | $72.98 | $90.96 | 1.7× |
| keystone first | 1 | 2 | $88.36 | $199.18 | $310 | 3.5× |
| optum transplant [20601] | 2 | 2 | $484 | $484 | $484 | 1.0× |
| oscar | 1 | 2 | $189.9 | $221.55 | $253.2 | 1.3× |
| private healthcare systems | 1 | 2 | $519.06 | $519.06 | $519.06 | 1.0× |
| qualcare inc | 1 | 2 | $861.58 | $1,124.29 | $1,387 | 1.6× |
| WellCare | 2 | 2 | $92.73 | $144.66 | $196.59 | 2.1× |
| wellfleet [11106] | 2 | 2 | $435.6 | $435.6 | $435.6 | 1.0× |
| wellpoint | 1 | 2 | $98.79 | $359.4 | $620 | 6.3× |
| wellsense cc carelon hlth [20] | 2 | 2 | $484 | $484 | $484 | 1.0× |
| harvard pilgrim mcr [10106] | 1 | 1 | $107.42 | $107.42 | $107.42 | 1.0× |
| point comfort | 1 | 1 | $86.63 | $86.63 | $86.63 | 1.0× |
| alliance | 1 | 1 | $93.62 | $93.62 | $93.62 | 1.0× |
| wellsense mcaid carelon hlth [21] | 1 | 1 | $163 | $163 | $163 | 1.0× |
| gateway health plan | 1 | 1 | $90.96 | $90.96 | $90.96 | 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 | 13 | $1,052 | $219.13 | $5.86 | $570 | $2,958 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 28 | $484 | $484 | $101.06 | $411.4 | $1,177.8 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 28 | $484 | $484 | $101.06 | $411.4 | $1,177.8 |
| HIGH POINT HOSPITAL | MIDDLEBOROUGH | MA | 19 | $633 | $316.5 | $91.79 | $251.3 | $1,323 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 24 | $469 | $469 | $102.31 | $246.23 | $643 |
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 23 | $163 | $163 | $79.51 | $138.42 | $680.81 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 19 | $1,590 | — | $50 | $116.95 | $1,558.2 |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | $220.05 | $209.05 | — | — | — |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | $220.05 | $209.05 | — | — | — |
| NORTH SHORE MEDICAL CENTER | SALEM | MA | 0 | $886.17 | $886.17 | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | $220.05 | $209.05 | — | — | — |
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.