▸ Hospital · MA · CCN 224042
HIGH POINT HOSPITAL
52 OAK STREET, MIDDLEBOROUGH, MA, 02346
72 beds2
Compliance grade
A
100/100
Procedures tracked
135
of 209 target codes
Payers
19
with negotiated rates
Rates published
37,595
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $11,617 | $13,601 | $20,131 |
| Psychiatric eval with medical services | CPT | 90792 | 19 | $376 | $188 | $54.52 | $156.78 | $357.2 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $633 | $316.5 | $91.79 | $251.3 | $1,323 |
| ED visit level 2 | CPT | 99282 | 19 | $1,061 | $530.5 | $153.85 | $421.22 | $1,653 |
| ED visit level 3 | CPT | 99283 | 19 | $1,958 | $979 | $283.91 | $777.33 | $2,483 |
| ED visit level 4 | CPT | 99284 | 19 | $3,497 | $1,748.5 | $507.07 | $1,388.31 | $3,322.15 |
| ED visit level 5 | CPT | 99285 | 19 | $4,964 | $2,482 | $719.78 | $1,970.71 | $4,715.8 |
| Critical care, first hour | CPT | 99291 | 19 | $3,044 | $1,522 | $441.38 | $1,208.47 | $3,478 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 19 | $2,292 | $1,146 | $332.34 | $963.79 | $4,079 |
| CT head with contrast | CPT | 70460 | 19 | $3,218 | $1,609 | $466.61 | $1,353.17 | $4,079 |
| CT head with and without contrast | CPT | 70470 | 19 | $3,781 | $1,890.5 | $548.25 | $1,589.91 | $4,079 |
| CT neck with contrast | CPT | 70491 | 19 | $3,017 | $1,508.5 | $437.47 | $1,268.65 | $4,079 |
| MRI brain without contrast | CPT | 70551 | 19 | $2,904 | $1,452 | $421.08 | $1,221.13 | $4,563 |
| MRI brain with contrast | CPT | 70552 | 19 | $5,441 | $2,720.5 | $788.95 | $2,287.94 | $5,168.95 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $5,439 | $2,719.5 | $788.66 | $2,287.1 | $5,167.05 |
| Chest X-ray single view | CPT | 71045 | 19 | $333 | $166.5 | $48.29 | $140.03 | $316.35 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $414 | $207 | $60.03 | $174.09 | $393.3 |
| CT chest without contrast | CPT | 71250 | 19 | $1,362 | $681 | $197.49 | $572.72 | $4,079 |
| CT chest with contrast | CPT | 71260 | 19 | $2,955 | $1,477.5 | $428.48 | $1,242.58 | $4,079 |
| CT chest with and without contrast | CPT | 71270 | 19 | $2,713 | $1,356.5 | $393.39 | $1,140.82 | $4,079 |
| MRI chest without contrast | CPT | 71550 | 19 | $2,880 | $1,440 | $417.6 | $1,211.04 | $4,563 |
| MRI chest with and without contrast | CPT | 71552 | 19 | $4,748 | $2,374 | $688.46 | $1,996.54 | $4,563 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $530 | $265 | $76.85 | $222.87 | $503.5 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $2,698 | $1,349 | $391.21 | $1,134.51 | $4,079 |
| CT thoracic spine without contrast | CPT | 72128 | 19 | $2,385 | $1,192.5 | $345.83 | $1,002.9 | $4,079 |
| CT lumbar spine without contrast | CPT | 72131 | 19 | $1,933 | $966.5 | $280.29 | $812.83 | $4,079 |
| MRI cervical spine without contrast | CPT | 72141 | 19 | $3,117 | $1,558.5 | $451.97 | $1,310.7 | $4,563 |
| MRI thoracic spine without contrast | CPT | 72146 | 19 | $3,183 | $1,591.5 | $461.54 | $1,338.45 | $4,563 |
| MRI lumbar spine without contrast | CPT | 72148 | 19 | $3,217 | $1,608.5 | $466.47 | $1,352.75 | $4,563 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $5,123 | $2,561.5 | $742.84 | $2,154.22 | $4,866.85 |
| MRI cervical spine with and without contrast | CPT | 72156 | 19 | $3,709 | $1,854.5 | $537.81 | $1,559.64 | $4,563 |
| MRI lumbar spine with contrast | CPT | 72158 | 19 | $5,575 | $2,787.5 | $808.38 | $2,344.29 | $5,296.25 |
| CT pelvis without contrast | CPT | 72192 | 19 | $1,477 | $738.5 | $214.17 | $621.08 | $4,079 |
| CT pelvis with contrast | CPT | 72193 | 19 | $2,894 | $1,447 | $419.63 | $1,216.93 | $4,079 |
| Shoulder X-ray | CPT | 73030 | 19 | $428 | $214 | $62.06 | $179.98 | $406.6 |
| Humerus X-ray | CPT | 73060 | 19 | $345 | $172.5 | $50.03 | $145.08 | $327.75 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $399 | $199.5 | $57.86 | $167.78 | $379.05 |
| MRI upper extremity joint without contrast | CPT | 73221 | 19 | $3,467 | $1,733.5 | $502.72 | $1,457.88 | $4,563 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 19 | $6,658 | $3,329 | $965.41 | $2,799.69 | $6,325.1 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $516 | $258 | $74.82 | $216.98 | $490.2 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $386 | $193 | $55.97 | $162.32 | $366.7 |
| MRI lower extremity joint without contrast | CPT | 73721 | 19 | $3,455 | $1,727.5 | $500.98 | $1,452.83 | $4,563 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 19 | $6,648 | $3,324 | $963.96 | $2,795.49 | $6,315.6 |
| CT abdomen without contrast | CPT | 74150 | 19 | $2,828 | $1,414 | $410.06 | $1,189.18 | $4,079 |
| CT abdomen with contrast | CPT | 74160 | 19 | $3,743 | $1,871.5 | $542.74 | $1,573.93 | $4,079 |
| CT abdomen with and without contrast | CPT | 74170 | 19 | $4,129 | $2,064.5 | $598.71 | $1,736.25 | $4,079 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $4,202 | $2,101 | $609.29 | $1,766.94 | $4,079 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $5,926 | $2,963 | $859.27 | $2,491.89 | $5,629.7 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 19 | $6,653 | $3,326.5 | $964.69 | $2,797.59 | $6,320.35 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $2,660 | $1,330 | $385.7 | $1,118.53 | $4,563 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $4,924 | $2,462 | $713.98 | $2,070.54 | $4,677.8 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $1,022 | $511 | $148.19 | $433.69 | $970.9 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $763 | $381.5 | $110.64 | $323.78 | $724.85 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $909 | $454.5 | $131.81 | $385.74 | $863.55 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $591 | $295.5 | $85.7 | $250.79 | $561.45 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $576 | $288 | $83.52 | $244.43 | $547.2 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $873 | $436.5 | $126.59 | $370.46 | $829.35 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $1,250 | $625 | $181.25 | $530.44 | $1,187.5 |
| Scrotal ultrasound | CPT | 76870 | 19 | $950 | $475 | $137.75 | $403.14 | $902.5 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $722 | $361 | $104.69 | $286.64 | $685.9 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $1,003 | $501.5 | $145.44 | $398.19 | $952.85 |
| Screening mammography bilateral | CPT | 77067 | 19 | $433 | $216.5 | $62.79 | $182.12 | $411.35 |
| EKG tracing only | CPT | 93005 | 19 | $411 | $205.5 | $59.6 | $163.17 | $390.45 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $3,386 | $1,693 | $490.97 | $1,366.25 | $3,216.7 |
| Stress echocardiogram | CPT | 93350 | 19 | $2,281 | $1,140.5 | $330.75 | $920.39 | $2,166.95 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $16,393 | $19,193 | $28,409 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $8,380.27 | $9,811.63 | $14,523 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $5,672.28 | $6,641.11 | $9,829.96 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $13,322 | $15,597 | $23,086 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $9,254.64 | $10,835 | $16,038 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $7,079.84 | $8,289.09 | $12,269 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $5,333.58 | $6,244.55 | $9,242.99 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $6,757.62 | $7,911.83 | $11,711 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $5,131.67 | $6,008.16 | $8,893.09 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $13,527 | $15,837 | $25,434 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $7,596.55 | $8,894.05 | $23,925 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $5,975.55 | $6,996.18 | $22,217 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $10,753 | $12,589 | $18,635 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $7,097.15 | $8,309.35 | $12,299 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $4,521.84 | $5,294.17 | $7,836.26 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $9,937.82 | $11,635 | $17,222 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $6,092.57 | $7,133.19 | $10,558 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $4,610.84 | $5,398.37 | $7,990.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $8,124.8 | $9,512.53 | $14,080 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $5,247.04 | $6,143.24 | $9,093.03 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $6,430.45 | $7,528.78 | $11,144 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $12,567 | $14,713 | $21,778 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $9,644.44 | $11,292 | $16,714 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $6,614.23 | $7,743.94 | $11,462 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $16,170 | $18,931 | $28,022 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $8,496.47 | $9,947.68 | $14,724 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $311 | $155.5 | $14.59 | $123.47 | $295.45 |
| General health panel | CPT | 80050 | 9 | — | — | $16.45 | $16.62 | $16.95 |
| Electrolyte panel | CPT | 80051 | 19 | $138 | $69 | $12.54 | $54.79 | $131.1 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $456 | $228 | $15.37 | $181.03 | $433.2 |
| Lipid panel | CPT | 80061 | 19 | $292 | $146 | $24.38 | $115.93 | $277.4 |
| Renal function panel | CPT | 80069 | 19 | $240 | $120 | $14.59 | $95.28 | $228 |
| Hepatic function panel | CPT | 80076 | 19 | $348 | $174 | $14.59 | $138.16 | $330.6 |
| Urinalysis non-automated | CPT | 81002 | 19 | $37 | $18.5 | $4.66 | $14.69 | $35.15 |
| Urinalysis automated | CPT | 81003 | 19 | $73 | $36.5 | $4.09 | $28.98 | $69.35 |
| Glucose quantitative | CPT | 82947 | 19 | $25 | $12.5 | $4.12 | $9.93 | $23.75 |
| Hemoglobin A1c | CPT | 83036 | 19 | $172 | $86 | $17.65 | $68.29 | $163.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $202 | $101 | $29.65 | $80.2 | $191.9 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $177 | $88.5 | $14.13 | $70.27 | $168.15 |
| Complete blood count without differential | CPT | 85027 | 19 | $126 | $63 | $11.78 | $50.02 | $119.7 |
| Urine culture bacterial | CPT | 87086 | 19 | $45 | $22.5 | $7.41 | $17.87 | $42.75 |
| Urine culture identification | CPT | 87088 | 19 | $72 | $36 | $11.85 | $28.59 | $68.4 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $482 | $241 | $62.47 | $191.36 | $457.9 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 19 | $409 | $204.5 | $59.31 | $170.54 | $388.55 |
| Vaginal delivery only | CPT | 59409 | 19 | $6,810 | $3,405 | $987.45 | $2,679.74 | $6,469.5 |
| preventive | ||||||||
| Sigmoidoscopy diagnostic | CPT | 45330 | 19 | $1,869 | $934.5 | $271.01 | $735.46 | $1,775.55 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $40,820 | $40,820 | $40,820 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $38,815 | $38,815 | $38,815 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $37,842 | $44,305 | $65,579 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $19,479 | $22,806 | $33,757 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $13,606 | $15,930 | $23,579 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $13,667 | $16,001 | $23,684 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $10,858 | $12,713 | $18,817 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $29,087 | $34,055 | $50,407 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $26,937 | $31,538 | $46,682 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $15,538 | $18,192 | $26,928 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $24,237 | $28,376 | $42,002 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $17,099 | $20,020 | $29,633 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $13,074 | $15,306 | $22,656 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $22,469 | $26,307 | $38,939 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $13,161 | $15,409 | $22,808 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $12,047 | $14,104 | $20,877 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $9,878.49 | $11,566 | $17,119 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $16,103 | $18,853 | $27,906 |
| PCI single major coronary artery | CPT | 92920 | 19 | $19,711 | $9,855.5 | $2,858.1 | $8,150.5 | $18,725 |
| PCI with drug-eluting stent | CPT | 92928 | 19 | $28,234 | $14,117 | $4,093.93 | $11,675 | $26,822 |
| PCI bypass graft | CPT | 92937 | 19 | $28,670 | $14,335 | $4,157.15 | $11,855 | $27,237 |
| Left heart catheterization | CPT | 93452 | 19 | $5,241 | $2,620.5 | $759.95 | $2,114.75 | $7,895 |
| Coronary angiography with cath | CPT | 93455 | 19 | $16,631 | $8,315.5 | $2,411.5 | $6,602.51 | $15,799 |
| Coronary angiography with bypass cath | CPT | 93458 | 19 | $20,118 | $10,059 | $2,917.11 | $7,916.43 | $19,112 |
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 135 | $3,478 |
| partners | 133 | $507.07 |
| trillium | 133 | $522.45 |
| carolina complete | 133 | $507.07 |
| alliance | 133 | $517.21 |
| healthy blue | 133 | $507.07 |
| amerihealth | 133 | $917.97 |
| vaya | 133 | $512.31 |
| WellCare | 133 | $512.31 |
| Cigna | 132 | $1,978.05 |
| Ambetter | 132 | $1,152.96 |
| Blue Cross Blue Shield | 132 | $1,857.41 |
| Humana | 89 | $1,848.23 |
| directnet | 89 | $1,157.18 |
| Aetna | 89 | $830.04 |
| medcost | 89 | $771.1 |
| Multiplan | 89 | $1,762.2 |
| oscar | 89 | $701.55 |
| private healthcare systems | 89 | $1,605.56 |