▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$639.36
Median
$1,432.61
Max
$1,970.71
Range multiplier
3.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 36 | $554.00 | $996.72 | $4,259.58 | 7.7× |
| UnitedHealthcare | 7 | 36 | $93.07 | $841.68 | $3,312.00 | 35.6× |
| Aetna | 7 | 25 | $660.78 | $2,020.35 | $9,765.21 | 14.8× |
| institution [10406] | 4 | 20 | $713.71 | $3,232.89 | $4,226.00 | 5.9× |
| Cigna | 7 | 15 | $636.30 | $1,355.60 | $5,775.39 | 9.1× |
| harvard pilgrim [10701] | 4 | 12 | $242.00 | $671.50 | $840.00 | 3.5× |
| Medicaid | 4 | 9 | $563.16 | $1,110.20 | $2,197.52 | 3.9× |
| correctional care [11003] | 3 | 8 | $713.71 | $713.71 | $2,417.00 | 3.4× |
| medcost | 1 | 6 | $1,330.35 | $2,017.87 | $3,181.92 | 2.4× |
| tufts [11201] | 4 | 6 | $769.80 | $1,981.96 | $2,180.08 | 2.8× |
| First Health | 5 | 5 | $812.25 | $2,738.40 | $3,169.50 | 3.9× |
| Multiplan | 4 | 5 | $1,601.25 | $3,169.50 | $4,467.60 | 2.8× |
| connecticare [11105] | 4 | 4 | $1,083.00 | $3,180.50 | $4,226.00 | 3.9× |
| tufts connectorcare [10507] | 4 | 4 | $1,214.03 | $1,214.03 | $1,214.03 | 1.0× |
| tufts us family [11203] | 4 | 4 | $713.71 | $718.13 | $722.55 | 1.0× |
| senior whole health [10110] | 4 | 4 | $763.67 | $763.67 | $763.67 | 1.0× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| mgb mcr [10124] | 4 | 4 | $713.71 | $749.40 | $749.40 | 1.1× |
| CHAMPVA | 4 | 4 | $655.28 | $753.94 | $779.79 | 1.2× |
| wellpoint [11112] | 4 | 4 | $457.73 | $457.73 | $457.73 | 1.0× |
| hne [11108] | 4 | 4 | $704.82 | $1,548.53 | $1,905.93 | 2.7× |
| fallon connectorcare [10503] | 4 | 4 | $1,251.25 | $1,627.19 | $2,003.12 | 1.6× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $171.45 | $3,180.50 | $4,226.00 | 24.6× |
| amerihealth | 2 | 4 | $719.78 | $2,194.16 | $3,387.00 | 4.7× |
| grants [20507] | 4 | 4 | $1,083.00 | $3,180.50 | $4,226.00 | 3.9× |
| Humana | 3 | 4 | $630.18 | $2,652.19 | $4,715.80 | 7.5× |
| workers compensation [20501] | 4 | 4 | $528.29 | $1,196.09 | $1,690.40 | 3.2× |
| upmc health plan | 1 | 3 | $194.24 | $277.48 | $642.42 | 3.3× |
| commonwealth care mcr [10115] | 3 | 3 | $749.40 | $749.40 | $749.40 | 1.0× |
| evernorth behavioral health [27] | 3 | 3 | $866.40 | $3,380.80 | $3,380.80 | 3.9× |
| fallon mcr [10105] | 3 | 3 | $749.40 | $749.40 | $749.40 | 1.0× |
| geisinger | 1 | 3 | $302.00 | $636.30 | $1,734.00 | 5.7× |
| masshealth mcd mbhp [38] | 3 | 3 | $1,083.00 | $4,226.00 | $4,226.00 | 3.9× |
| Medicare | 3 | 3 | $713.71 | $713.71 | $722.55 | 1.0× |
| pennsylvania health and wellness | 1 | 3 | $375.00 | $642.42 | $1,131.89 | 3.0× |
| tufts dual [10111] | 3 | 3 | $713.71 | $713.71 | $713.71 | 1.0× |
| hp optum bh [32] | 2 | 2 | $1,083.00 | $1,609.00 | $2,135.00 | 2.0× |
| fidelis care | 1 | 2 | $687.85 | $936.33 | $1,184.81 | 1.7× |
| fallon mcr supp [20202] | 2 | 2 | $749.40 | $749.40 | $749.40 | 1.0× |
| keystone first | 1 | 2 | $310.00 | $467.04 | $624.07 | 2.0× |
| fallon carelon hlth [28] | 2 | 2 | $1,083.00 | $1,609.00 | $2,135.00 | 2.0× |
| eternalhealth mcr replace [10116] | 2 | 2 | $749.40 | $749.40 | $749.40 | 1.0× |
| wellsense cc carelon hlth [20] | 2 | 2 | $4,226.00 | $4,226.00 | $4,226.00 | 1.0× |
| optum transplant [20601] | 2 | 2 | $4,226.00 | $4,226.00 | $4,226.00 | 1.0× |
| oscar | 1 | 2 | $1,489.20 | $1,737.40 | $1,985.60 | 1.3× |
| private healthcare systems | 1 | 2 | $4,070.48 | $4,070.48 | $4,070.48 | 1.0× |
| qualcare inc | 1 | 2 | $1,387.00 | $2,562.46 | $3,737.91 | 2.7× |
| directnet | 1 | 2 | $2,933.72 | $2,933.72 | $2,933.72 | 1.0× |
| devon health | 1 | 2 | $10,516 | $10,516 | $10,516 | 1.0× |
| tufts mcr [10112] | 2 | 2 | $749.40 | $749.40 | $749.40 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Harrington Memorial Hospital | Southbridge | MA | 31 | $1,083.00 | $1,083.00 | $171.45 | $749.40 | $5,775.39 |
| Healthalliance-Clinton | Leominster | MA | 32 | $2,135.00 | $2,135.00 | $294.30 | $749.40 | $2,135.00 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 19 | $10,731 | — | $194.24 | $639.36 | $10,516 |
| High Point Hospital | Middleborough | MA | 19 | $4,964.00 | $2,482.00 | $719.78 | $1,970.71 | $4,715.80 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | $4,564.00 | $950.68 | $93.07 | $1,485.00 | $4,259.58 |
| Umass Memorial Medical Center | Worcester | MA | 37 | $4,226.00 | $4,226.00 | $457.73 | $1,432.61 | $4,226.00 |
| Marlborough Hospital | Marlborough | MA | 37 | $4,226.00 | $4,226.00 | $457.73 | $1,432.61 | $4,226.00 |
| North Shore Medical Center | Salem | MA | 0 | $7,149.31 | $7,149.31 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $2,687.00 | $2,552.65 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $2,687.00 | $2,552.65 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $2,687.00 | $2,552.65 | — | — | — |
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.