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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$305.7
Median
$777.33
Max
$1,267
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield736$280.45$548.97$2,95810.5×
UnitedHealthcare736$37.79$423.75$2,48365.7×
Aetna725$302.89$839.98$3,316.0410.9×
institution [10406]420$331.2$1,855.13$2,4257.3×
Cigna715$291.67$1,047$5,775.3919.8×
harvard pilgrim [10701]412$242$671.5$8403.5×
tufts [11201]410$354.69$716.93$1,345.993.8×
Medicaid49$259.48$696.28$1,2614.9×
correctional care [11003]38$331.2$331.2$1,2513.8×
fallon connectorcare [10503]46$574.73$679.25$1,149.452.0×
medcost16$524.74$795.93$1,255.082.4×
First Health55$374.25$1,392.6$1,818.754.9×
Multiplan45$1,004.25$1,762.2$1,818.751.8×
fallon mcaid carelon hlth [29]44$61.68$1,882$2,42539.3×
amerihealth24$283.91$1,561.79$3,03410.7×
Humana34$288.86$1,065.8$1,860.16.4×
grants [20507]44$499$1,882$2,4254.9×
hsno/free care [10801]44$294.3$672.16$680.812.3×
hne [11108]44$324.75$920.36$1,093.683.4×
CHAMPVA44$295.94$340.5$352.171.2×
tufts us family [11203]44$327.15$329.18$331.21.0×
tufts mcr supp [20209]24$173.88$260.82$347.762.0×
workers compensation [20501]44$243.41$705.07$9704.0×
connecticare [11105]44$499$1,882$2,4254.9×
tufts connectorcare [10507]44$563.37$563.37$563.371.0×
senior whole health [10110]44$350.05$352.22$354.381.0×
mgb mcr [10124]44$331.2$347.76$347.761.1×
wellpoint [11112]44$266.22$266.22$266.221.0×
upmc health plan13$79.31$113.3$294.473.7×
commonwealth care mcr [10115]33$347.76$347.76$347.761.0×
evernorth behavioral health [27]33$399.2$1,940$1,9404.9×
fallon mcr [10105]33$347.76$347.76$347.761.0×
geisinger13$188$291.67$9184.9×
masshealth mcd mbhp [38]33$499$2,425$2,4254.9×
Medicare33$327.15$327.15$331.21.0×
pennsylvania health and wellness13$183$294.47$518.832.8×
tufts dual [10111]33$331.2$331.2$331.21.0×
keystone first12$286.06$298.03$3101.1×
fidelis care12$310.65$456.59$602.531.9×
fallon mcr supp [20202]22$347.76$347.76$347.761.0×
directnet12$1,157.18$1,157.18$1,157.181.0×
devon health12$3,571.12$3,571.12$3,571.121.0×
optum transplant [20601]22$2,425$2,425$2,4251.0×
tufts mcr [10112]22$347.76$347.76$347.761.0×
oscar12$587.4$685.3$783.21.3×
fallon carelon hlth [28]22$499$919$1,3392.7×
wellsense cc carelon hlth [20]22$2,425$2,425$2,4251.0×
automobile [10401]22$2,425$2,425$2,4251.0×
eternalhealth mcr replace [10116]22$347.76$347.76$347.761.0×
private healthcare systems12$1,605.56$1,605.56$1,605.561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA37$2,425$2,425$173.88$805$2,425
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA37$2,425$2,425$173.88$805$2,425
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$1,958$979$283.91$777.33$2,483
HEALTHALLIANCE-CLINTONLEOMINSTERMA32$1,339$1,339$266.22$412.34$1,339
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA31$499$499$61.68$351.07$5,775.39
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$3,644$79.31$305.7$3,571.12
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$2,321$483.46$37.79$1,267$3,034
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$746.58$709.25
NORTH SHORE MEDICAL CENTERSALEMMA0$2,808.93$2,808.93
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$746.58$709.25
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$746.58$709.25

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.