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ED visit level 2

CPT 99282 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$212.96
Median
$421.22
Max
$686.08
Range multiplier
3.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield732$140.00$302.76$2,958.0021.1×
UnitedHealthcare730$21.37$301.47$1,653.0077.4×
Aetna725$170.37$541.11$2,108.4712.4×
institution [10406]415$186.29$887.00$887.004.8×
Cigna714$164.06$396.89$1,177.807.2×
harvard pilgrim [10701]412$242.00$671.50$840.003.5×
Medicaid49$184.01$292.71$461.242.5×
medcost16$284.35$431.30$680.102.4×
tufts [11201]46$252.33$960.38$1,056.384.2×
First Health55$266.25$665.25$918.603.5×
Multiplan45$466.50$665.25$954.902.0×
Humana34$162.48$582.20$1,007.956.2×
connecticare [11105]44$355.00$754.50$887.002.5×
correctional care [11003]34$186.29$576.15$966.005.2×
devon health14$2,064.86$2,167.76$2,270.661.1×
wellpoint [11112]44$150.70$150.70$150.701.0×
fallon mcaid carelon hlth [29]44$40.76$754.50$887.0021.8×
amerihealth24$153.85$790.20$1,504.009.8×
senior whole health [10110]44$196.90$198.12$199.331.0×
grants [20507]44$355.00$754.50$887.002.5×
workers compensation [20501]44$173.17$279.63$354.802.0×
hne [11108]44$231.03$373.53$400.041.7×
hsno/free care [10801]44$294.30$672.16$680.812.3×
fallon connectorcare [10503]44$420.44$442.60$464.751.1×
evernorth behavioral health [27]33$284.00$709.60$709.602.5×
masshealth mcd mbhp [38]33$355.00$887.00$887.002.5×
upmc health plan13$46.17$65.96$165.643.6×
pennsylvania health and wellness13$65.00$165.64$291.844.5×
tufts us family [11203]33$184.01$184.01$186.291.0×
Medicare33$184.01$184.01$186.291.0×
geisinger13$67.00$164.06$714.0010.7×
fallon carelon hlth [28]22$355.00$488.50$622.001.8×
automobile [10401]22$887.00$887.00$887.001.0×
directnet12$627.05$627.05$627.051.0×
fidelis care12$177.67$287.56$397.442.2×
health partners plans12$72.00$118.82$165.642.3×
keystone first12$160.91$235.46$310.001.9×
optum transplant [20601]22$887.00$887.00$887.001.0×
oscar12$318.30$371.35$424.401.3×
private healthcare systems12$870.02$870.02$870.021.0×
qualcare inc12$1,253.88$1,320.44$1,387.001.1×
WellCare22$155.44$254.50$353.562.3×
wellfleet [11106]22$798.30$798.30$798.301.0×
wellpoint12$177.67$398.84$620.003.5×
wellsense cc carelon hlth [20]22$887.00$887.00$887.001.0×
harvard pilgrim mcr [10106]11$195.61$195.61$195.611.0×
point comfort11$157.75$157.75$157.751.0×
alliance11$156.92$156.92$156.921.0×
wellsense mcaid carelon hlth [21]11$40.76$40.76$40.761.0×
gateway health plan11$165.64$165.64$165.641.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Marlborough HospitalMarlboroughMA28$887.00$887.00$150.70$686.08$1,177.80
Umass Memorial Medical CenterWorcesterMA28$887.00$887.00$150.70$686.08$1,177.80
Beth Israel Deaconess - PlymouthPlymouthMA13$1,531.00$318.90$21.37$570.00$2,958.00
High Point HospitalMiddleboroughMA19$1,061.00$530.50$153.85$421.22$1,653.00
Healthalliance-ClintonLeominsterMA24$622.00$622.00$150.70$326.55$656.87
Harrington Memorial HospitalSouthbridgeMA23$355.00$355.00$40.76$252.33$680.81
Chestnut Hill Benevolent AssociationChestnut HillMA19$2,317.00$46.17$212.96$2,270.66
North Adams Regional HospitalNorth AdamsMA0$333.08$316.43
Berkshire Medical CenterPittsfieldMA0$333.08$316.43
North Shore Medical CenterSalemMA0$1,519.46$1,519.46
Fairview HospitalGreat BarringtonMA0$333.08$316.43

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.