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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in MA

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Hospitals
13
Min
$869.85
Median
$1,243.16
Max
$3,306.16
Range multiplier
3.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare746$148.50$1,414.53$3,478.0023.4×
Blue Cross Blue Shield742$554.00$1,288.86$6,358.0011.5×
institution [10406]434$989.95$5,887.00$6,358.006.4×
Aetna727$907.11$1,848.20$13,54314.9×
harvard pilgrim [10701]418$242.00$805.00$3,355.5913.9×
Cigna717$393.78$1,177.80$5,775.3914.7×
Medicaid414$989.95$1,942.71$3,306.163.3×
correctional care [11003]312$989.95$996.08$4,863.874.9×
Multiplan47$2,119.50$4,415.25$4,768.502.2×
First Health57$2,119.50$4,415.25$4,768.502.2×
tufts [11201]46$1,710.82$2,737.65$3,011.531.8×
hne [11108]46$1,576.63$2,655.04$2,867.461.8×
wellpoint [11112]46$2,081.07$4,335.19$4,682.032.2×
workers compensation [20501]46$928.91$2,354.80$2,543.202.7×
connecticare [11105]46$2,826.00$5,887.00$6,358.002.2×
senior whole health [10110]46$1,059.25$1,059.25$1,072.361.0×
fallon connectorcare [10503]46$1,966.25$2,790.44$3,013.691.5×
fallon mcaid carelon hlth [29]46$2,826.00$5,887.00$6,358.002.2×
grants [20507]46$2,826.00$5,887.00$6,358.002.2×
medcost16$815.79$1,237.39$1,951.202.4×
masshealth mcd mbhp [38]35$3,499.00$5,887.00$6,358.001.8×
evernorth behavioral health [27]35$2,799.20$4,709.60$5,086.401.8×
Humana34$874.09$1,888.13$2,891.803.3×
wellsense cc carelon hlth [20]24$5,887.00$6,122.50$6,358.001.1×
CHAMPVA44$900.58$1,036.18$1,071.701.2×
mgb mcr [10124]44$989.95$1,039.45$1,039.451.1×
automobile [10401]24$5,887.00$6,122.50$6,358.001.1×
optum transplant [20601]24$5,887.00$6,122.50$6,358.001.1×
amerihealth24$441.38$1,951.54$3,556.008.1×
tufts us family [11203]44$989.95$996.08$1,002.211.0×
tufts connectorcare [10507]44$1,683.91$1,683.91$1,683.911.0×
wellfleet [11106]24$5,298.30$5,510.25$5,722.201.1×
Medicare34$989.95$989.95$1,002.211.0×
hsno/free care [10801]44$294.30$672.16$680.812.3×
upmc health plan13$212.28$303.26$891.064.2×
commonwealth care mcr [10115]33$1,039.45$1,039.45$1,039.451.0×
fallon mcr [10105]33$1,039.45$1,039.45$1,039.451.0×
geisinger13$359.00$882.58$3,060.008.5×
pennsylvania health and wellness13$425.00$891.06$1,569.973.7×
tufts dual [10111]33$989.95$989.95$989.951.0×
health partners plans12$386.00$638.53$891.062.3×
harvard pilgrim mcr supp [20203]22$1,039.45$1,039.45$1,039.451.0×
fallon carelon hlth [28]22$2,826.00$3,162.50$3,499.001.2×
oscar12$913.20$1,065.40$1,217.601.3×
tufts mcr [10112]22$1,039.45$1,039.45$1,039.451.0×
tufts mcr supp [20209]22$1,039.45$1,039.45$1,039.451.0×
directnet12$1,799.00$1,799.00$1,799.001.0×
devon health12$14,584$14,584$14,5841.0×
harvard pilgrim mcr [10106]12$1,039.45$1,045.89$1,052.321.0×
keystone first12$310.00$587.80$865.602.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chestnut Hill Benevolent AssociationChestnut HillMA19$14,882$212.28$869.85$14,584
Umass Memorial Medical CenterWorcesterMA37$6,358.00$6,358.00$672.16$3,306.16$6,358.00
Marlborough HospitalMarlboroughMA37$6,358.00$6,358.00$672.16$3,306.16$6,358.00
Beth Israel Deaconess - PlymouthPlymouthMA13$5,775.00$1,202.93$148.50$1,862.00$5,389.80
Harrington Memorial HospitalSouthbridgeMA31$3,499.00$3,499.00$242.00$1,243.16$5,775.39
High Point HospitalMiddleboroughMA19$3,044.00$1,522.00$441.38$1,208.47$3,478.00
Healthalliance-ClintonLeominsterMA32$2,826.00$2,826.00$294.30$1,039.45$2,826.00
Berkshire Medical CenterPittsfieldMA0$3,849.21$3,656.75
Fairview HospitalGreat BarringtonMA0$3,849.21$3,656.75
North Adams Regional HospitalNorth AdamsMA0$3,849.21$3,656.75
Whittier Hospital-BradfordBradfordMA0$531.00$531.00
Whittier Hospital-WestboroughWestboroughMA0$531.00$531.00
North Shore Medical CenterSalemMA0$5,634.21$5,634.21

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.