▸ Hospital · MA · CCN 220001

Health Alliance - Clinton Hospital

60 HOSPITAL ROAD, LEOMINSTER, MA, 220001

Compliance grade
A
100/100
Procedures tracked
163
of 209 target codes
Payers
30
with negotiated rates
Rates published
60,034
last crawl 2026-05-23

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88521$49,678$49,678$758.07$1,594$13,546
Psychiatric diagnostic evaluationCPT9079121$986$986$27.57$517.65$986
Psychiatric eval with medical servicesCPT9079220$801$801$27.57$424.53$801
Psychotherapy 30 minutesCPT9083221$708$708$21.76$349.88$708
Psychotherapy 45 minutesCPT9083422$630$630$27.57$294.3$630
Psychotherapy 60 minutesCPT9083720$911$911$27.57$464.61$911
Crisis psychotherapy 60 minutesCPT9083921$532$532$27.57$285.68$532
emergency
ED visit level 1CPT9928124$469$469$102.31$246.23$643
ED visit level 2CPT9928224$622$622$150.7$326.55$656.87
ED visit level 3CPT9928332$1,339$1,339$266.22$412.34$1,339
ED visit level 4CPT9928432$1,828$1,828$294.3$600.86$1,828
ED visit level 5CPT9928532$2,135$2,135$294.3$749.4$2,135
Critical care, first hourCPT9929132$2,826$2,826$294.3$1,039.45$2,826
imaging
CT head without contrastCPT7045030$2,744$2,744$113.66$133.19$2,744
CT head with contrastCPT7046030$2,763$2,763$190.27$287.2$2,763
CT head with and without contrastCPT7047030$2,932$2,932$190.27$320.24$2,932
CT neck with contrastCPT7049130$2,799$2,799$190.27$303.77$2,799
MRI brain without contrastCPT7055130$3,400$3,400$258.35$401.1$3,400
MRI brain with and without contrastCPT7055330$4,079$4,079$294.3$586.46$4,079
Chest X-ray single viewCPT7104533$18,570$18,570$2.89$276$13,147
Chest X-ray 2 viewsCPT7104633$3,415$3,415$8.35$110.87$3,290.17
Chest X-ray 3 viewsCPT7104731$432$432$94.11$135.79$432
CT chest without contrastCPT7125030$2,211$2,211$113.66$215.76$2,211
CT chest with contrastCPT7126030$7,842.56$7,842.56$190.27$250.82$2,861
CT chest with and without contrastCPT7127030$2,873$2,873$190.27$685.17$2,873
MRI chest without contrastCPT7155030$3,400$3,400$258.35$401.1$3,400
Lumbosacral spine X-rayCPT7210032$512$512$33.42$191.68$512
CT cervical spine without contrastCPT7212530$2,351$2,351$113.66$249.03$2,351
CT thoracic spine without contrastCPT7212830$2,297$2,297$113.66$249.03$2,297
CT lumbar spine without contrastCPT7213130$2,386$2,386$113.66$249.03$2,386
MRI cervical spine without contrastCPT7214131$3,774$3,774$151.98$319.43$3,774
MRI thoracic spine without contrastCPT7214631$3,774$3,774$151.98$319.43$3,774
MRI lumbar spine without contrastCPT7214831$3,774$3,774$151.98$319.43$3,774
MRI cervical spine with and without contrastCPT7215631$4,079$4,079$222.22$534.42$4,079
MRI lumbar spine with contrastCPT7215831$4,079$4,079$222.22$534.42$4,079
CT pelvis without contrastCPT7219230$2,371$2,371$113.66$245.55$2,371
CT pelvis with contrastCPT7219330$2,387$2,387$190.27$313.42$2,387
Shoulder X-rayCPT7303032$1,306$1,306$26.05$148.9$555.8
Humerus X-rayCPT7306032$284$284$26.05$110.87$294.3
Hand X-ray 3 viewsCPT7313032$319$319$26.84$112.98$373.26
MRI upper extremity joint without contrastCPT7322130$3,400$3,400$258.35$401.1$3,400
MRI upper extremity joint with and without contrastCPT7322330$6,051$6,051$294.3$586.46$6,051
Knee X-ray 1-2 viewsCPT7356032$58,666$58,666$24.53$133.19$26,496
Ankle X-ray 3 viewsCPT7361032$319$319$26.84$110.87$319
MRI lower extremity joint without contrastCPT7372130$3,400$3,400$258.35$401.1$3,400
MRI lower extremity joint with and without contrastCPT7372330$6,051$6,051$294.3$586.46$6,051
CT abdomen without contrastCPT7415030$2,386$2,386$113.66$242.64$2,386
CT abdomen with contrastCPT7416030$2,805$2,805$190.27$327.68$2,805
CT abdomen with and without contrastCPT7417030$2,843$2,843$190.27$328.15$2,843
CT abdomen and pelvis without contrastCPT7417630$4,692$4,692$258.35$303.97$4,692
CT abdomen and pelvis with contrastCPT7417730$7,842.56$7,842.56$250.82$444.45$4,816
CT abdomen and pelvis with and without contrastCPT7417830$5,021$5,021$294.3$586.46$5,021
MRI abdomen without contrastCPT7418130$3,400$3,400$258.35$401.1$3,400
MRI abdomen with and without contrastCPT7418330$4,506$4,506$294.3$586.46$4,506
Abdominal ultrasound completeCPT7670030$1,237$1,237$111.92$135.72$1,237
Abdominal ultrasound limitedCPT7670530$2,271$2,271$84.33$133.19$621
Retroperitoneal ultrasound completeCPT7677030$1,233$1,233$110.08$133.19$1,233
Obstetric ultrasound first trimesterCPT7680131$633$633$101.64$202.88$633
Obstetric ultrasound after first trimesterCPT7680531$1,237$1,237$113.66$202.88$1,237
Obstetric ultrasound with fetal anatomyCPT7681131$1,237$1,237$151.89$309.76$1,237
Transvaginal ultrasoundCPT7683031$1,254$1,254$96.43$133.19$643
Pelvic ultrasound completeCPT7685631$3,005$3,005$96.89$133.19$712
Scrotal ultrasoundCPT7687030$1,237$1,237$97.82$167.04$1,237
Diagnostic mammography unilateralCPT7706532$19,042$19,042$90.66$235.15$1,660
Diagnostic mammography bilateralCPT7706632$971$971$116.25$294.3$971
Screening mammography bilateralCPT7706731$734$734$50.36$144.21$734
EKG completeCPT9300028$124$124$40.76$124$294.3
EKG tracing onlyCPT9300532$176$176$57.85$91.52$294.3
Transthoracic echocardiogram completeCPT9330632$2,647$2,647$294.3$1,158.35$2,647
Transthoracic echocardiogramCPT9330732$1,611$1,611$171.21$426.34$2,000.8
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06422$39,879$39,879$758.07$18,560$25,220
Intracranial hemorrhage/CVA w CCMS-DRG06522$26,499$26,499$758.07$9,493.7$12,893
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06622$26,647$26,647$758.07$6,540.99$8,726.47
Respiratory infections & inflammations w MCCMS-DRG17722$42,926$42,926$758.07$14,499$20,494
COPD w MCCMS-DRG19023$53,493$53,493$758.07$10,519$32,181
COPD w CCMS-DRG19122$21,334$21,334$758.07$7,977.92$10,892
COPD w/o CC/MCCMS-DRG19223$53,169$53,169$758.07$6,206.5$51,005
Simple pneumonia & pleurisy w CCMS-DRG19423$48,748$48,748$758.07$7,820.82$44,605
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19522$13,404$13,404$758.07$6,034.51$7,894.77
AMI discharged alive w MCCMS-DRG28023$68,271$68,271$758.07$15,075$67,542
AMI discharged alive w CCMS-DRG28122$21,821$21,821$758.07$8,828.38$33,726
AMI discharged alive w/o CC/MCCMS-DRG28222$65,161$65,161$758.07$7,053.98$79,007
Heart failure & shock w MCCMS-DRG29122$27,547$27,547$758.07$11,972$16,543
Heart failure & shock w CCMS-DRG29222$25,180$25,180$758.07$8,032.28$10,919
Cardiac arrhythmia w MCCMS-DRG30823$72,252$72,252$758.07$11,403$56,169
Cardiac arrhythmia w CCMS-DRG30922$20,199$20,199$758.07$7,005.76$9,373.07
Cardiac arrhythmia w/o CC/MCCMS-DRG31022$17,872$17,872$758.07$5,469.16$7,093.5
GI hemorrhage w CCMS-DRG37822$33,378$33,378$758.07$9,225.51$12,500
GI hemorrhage w/o CC/MCCMS-DRG37922$17,574$17,574$758.07$6,051.74$8,072.27
Esophagitis/gastroenteritis w/o MCCMS-DRG39222$22,579$22,579$758.07$7,403.51$9,892.87
Kidney/UTI w MCCMS-DRG68922$28,543$28,543$758.07$10,853$14,837
Kidney/UTI w/o MCCMS-DRG69022$22,680$22,680$758.07$7,674.41$10,176
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87122$39,091$39,091$758.07$17,940$24,876
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87222$27,731$27,731$758.07$9,611.46$13,071
lab
Basic metabolic panel (BMP)CPT8004832$90$90$7.46$14.39$294.3
General health panelCPT8005031$291$291$17.65$156.8$294.3
Electrolyte panelCPT8005132$120$120$6.18$18.65$294.3
Comprehensive metabolic panelCPT8005332$130$130$10.56$17.96$294.3
Lipid panelCPT8006133$133$133$11.81$34.77$294.3
Renal function panelCPT8006932$125$125$7.65$25.62$294.3
Hepatic function panelCPT8007632$213$213$7.2$21.59$294.3
Urinalysis non-automatedCPT8100233$27$27$2.44$4.1$294.3
Urinalysis automatedCPT8100333$49$49$1.98$5.76$294.3
Glucose quantitativeCPT8294733$42$42$3.47$13.22$294.3
Hemoglobin A1cCPT8303633$86$86$8.56$12.01$294.3
Thyroid stimulating hormone (TSH)CPT8444333$324$324$14.82$24.55$324
Complete blood count with automated differentialCPT8502533$114$114$6.85$8.56$294.3
Complete blood count without differentialCPT8502733$49$49$5.71$15.26$294.3
Urine culture bacterialCPT8708633$131$131$7.12$9.99$294.3
Urine culture identificationCPT8708833$69.1$69.1$7.13$19.48$294.3
Tissue exam by pathologist level IVCPT8830532$288$288$27.79$93.98$294.3
maternity
Fetal non-stress testCPT5902532$641$641$13.23$308.99$641
Vaginal delivery onlyCPT5940922$6,262$6,262$294.3$4,095.35$6,813.96
C-section delivery onlyCPT5951432$12,180$12,180$294.3$2,770.05$12,180
Vaginal delivery w complicating dxMS-DRG7741$22,942$22,942$16,913$18,181$19,450
Vaginal delivery w/o complicating dxMS-DRG7751$42,996$42,996$8,903.04$18,296$64,933
office
Office visit, new patient, 15-29 minCPT9920230$304$304$23.04$166.89$304
Office visit, new patient, 30-44 minutesCPT9920330$528$528$23.04$169.61$528
Office visit, new patient, 45-59 minCPT9920430$773$773$23.04$172.84$773
Office visit, new patient, 60-74 minCPT9920530$1,017$1,017$23.04$290.25$1,017
Office visit, established patient, 5 minCPT9921130$257$257$22.67$161.53$294.3
Office visit, established patient, 10-19 minCPT9921230$291$291$23.04$166.89$294.3
Office visit, established patient, 20-29 minutesCPT9921330$484$484$23.04$172.84$484
Office visit, established patient, 30-39 minutesCPT9921430$686$686$23.04$169.61$686
Office visit, established patient, 40-54 minCPT9921530$926$926$23.04$172.84$926
preventive
Upper GI endoscopy diagnosticCPT4323532$8,377.23$8,377.23$294.3$1,508.22$4,409.2
Upper GI endoscopy with biopsyCPT4323932$14,790$14,790$55.58$1,155.45$4,409.2
Sigmoidoscopy diagnosticCPT4533032$5,910.5$5,910.5$47$1,175.24$3,290.17
Sigmoidoscopy with biopsyCPT4533132$6,814.11$6,814.11$27.79$1,170.23$3,290.17
Colonoscopy diagnosticCPT4537832$7,770.94$7,770.94$294.3$1,170.23$4,409.2
Colonoscopy with biopsyCPT4538032$13,178$13,178$55.58$1,505.82$4,409.2
Colonoscopy with polyp removalCPT4538532$23,918$23,918$27.79$1,505.82$4,644
surgery
Total shoulder arthroplastyCPT2347223$113,565$113,565$2.89$21,273$36,186
PCI w drug-eluting stent w MCCMS-DRG2461$16,531$16,531$14,561$15,653$16,746
PCI w drug-eluting stent w/o MCCMS-DRG2471$31,381$31,381$11,565$16,647$55,442
Total hip replacementCPT2713022$60,410$60,410$1.44$15,577$26,496
Total knee replacementCPT2744722$59,236$59,236$25.11$15,577$26,496
Knee revision arthroplasty single componentCPT2748623$36,800$36,800$8.35$15,577$26,496
Knee revision arthroplasty all componentsCPT2748723$120,296$120,296$8.35$20,138$36,186
Shoulder arthroscopy with decompressionCPT2982624$33,644$33,644$294.3$5,129.63$14,975
Shoulder arthroscopy with rotator cuff repairCPT2982724$35,059$35,059$294.3$8,803.83$14,975
Knee arthroscopy with meniscectomyCPT2988124$16,261$16,261$294.3$3,969.86$6,752.73
ACL reconstructionCPT2988825$56,974$56,974$51.31$8,219.54$14,975
Major small/large bowel procedures w MCCMS-DRG32922$84,731$84,731$758.07$41,985$58,217
Major small/large bowel procedures w CCMS-DRG33022$59,186$59,186$758.07$22,059$29,968
Major small/large bowel procedures w/o CC/MCCMS-DRG33122$36,488$36,488$758.07$15,588$20,932
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41822$49,379$49,379$758.07$15,666$21,026
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41922$44,219$44,219$758.07$12,715$16,705
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG4201$37,246$37,246$11,159$17,974$50,642
Laparoscopic appendectomyCPT4497024$24,817$24,817$25.11$7,334.93$12,477
Major joint replacement w MCCMS-DRG46922$102,173$102,173$758.07$27,821$55,252
Major joint replacement w/o MCCMS-DRG47022$75,761$75,761$758.07$18,221$30,765
Laparoscopic cholecystectomyCPT4756224$21,593$21,593$2.89$7,334.93$13,451
Lap cholecystectomy with cholangiographyCPT4756324$22,181$22,181$25.11$7,334.93$13,451
Hip & femur procedures except major joint w MCCMS-DRG48021$95,225$95,225$758.07$26,726$37,287
Hip & femur procedures except major joint w CCMS-DRG48121$71,567$71,567$758.07$19,317$26,306
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48222$57,486$57,486$758.07$15,117$20,113
Lap inguinal hernia repairCPT4965024$27,276$27,276$294.3$7,334.93$12,477
Lap salpingo-oophorectomyCPT5866126$21,517$21,517$6.52$6,235.79$12,477
Complex cataract surgeryCPT6698223$23,061$23,061$294.3$2,800.04$10,363
Cataract surgery with lens implantCPT6698424$35,304$35,304$2.89$2,800.04$10,363
Uterine & adnexa procedures w CC/MCCMS-DRG74322$28,743$28,743$758.07$11,581$15,197
Uterine & adnexa procedures w/o CC/MCCMS-DRG74422$28,436$28,436$758.07$18,905$24,773

Payer mix (top 30)

PayerCodes coveredMedian rate
Aetna158$429.77
Blue Cross Blue Shield158$418.69
Cigna158$678.58
hsno/free care [10801]158$294.3
institution [10406]158$289.49
tufts [11201]158$616.85
UnitedHealthcare158$351.07
correctional care [11003]152$423.28
senior whole health [10110]152$452.91
harvard pilgrim mcr [10106]152$444.45
Medicare152$289.49
tufts connectorcare [10507]149$492.43
tufts mcr [10112]149$303.97
commonwealth care mcr [10115]149$303.97
mgb mcr [10124]149$303.97
tufts dual [10111]149$289.49
fallon mcr supp [20202]147$303.97
wellpoint [11112]144$590.82
fallon carelon hlth [28]142$1,828
fallon mcaid carelon hlth [29]142$1,814.19
hne [11108]133$1,377.46
Medicaid121$126.84
workers compensation [20501]121$284.08
CHAMPVA117$190.27
tufts us family [11203]115$212.81
fallon connectorcare [10503]112$814
grants [20507]108$633
connecticare [11105]105$749
Multiplan105$561.75
First Health105$561.75