▸ Payer

masshealth [20302]

Negotiated rates published by hospitals for masshealth [20302] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

124

Median neg. rate

$7.59

Top procedures for masshealth [20302]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Urinalysis automated	CPT	81003	10	$1.98
Glucose quantitative	CPT	82947	10	$5.6
Hemoglobin A1c	CPT	83036	10	$8.56
Thyroid stimulating hormone (TSH)	CPT	84443	10	$14.82
Complete blood count without differential	CPT	85027	10	$5.71
Urine culture bacterial	CPT	87086	10	$7.12
Urine culture identification	CPT	87088	10	$7.13
Chest X-ray 2 views	CPT	71046	10	$157.11
Lipid panel	CPT	80061	10	$11.81
Complete blood count with automated differential	CPT	85025	10	$6.85
Lap salpingo-oophorectomy	CPT	58661	10	$38.87
Urinalysis non-automated	CPT	81002	10	$3.07
ACL reconstruction	CPT	29888	6	$29.45
Sigmoidoscopy with biopsy	CPT	45331	4	$41.9
Lap inguinal hernia repair	CPT	49650	4	$8.11
Colonoscopy with biopsy	CPT	45380	4	$4.79
Open appendectomy	CPT	44950	4	$11.42
Cataract surgery with lens implant	CPT	66984	4	$5.6
Laparoscopic appendectomy	CPT	44970	4	$7.59
Shoulder X-ray	CPT	73030	4	$16.4
Lap cholecystectomy with cholangiography	CPT	47563	4	$7.59
Upper GI endoscopy with biopsy	CPT	43239	4	$7.59
Upper GI endoscopy diagnostic	CPT	43235	4	$7.59
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	$6.6
Total knee replacement	CPT	27447	3	$5.6
Pelvic ultrasound complete	CPT	76856	3	$16.39
Chest X-ray single view	CPT	71045	3	$5.71
Knee X-ray 1-2 views	CPT	73560	3	$7.59
Knee revision arthroplasty all components	CPT	27487	3	$8.35
Colonoscopy diagnostic	CPT	45378	3	$7.59

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Healthalliance-Clinton	Leominster	MA	$10.73
HealthAlliance-Clinton, Leominster Campus	—	—	$10.73
HealthAlliance-Clinton, Clinton Campus	—	—	$10.73
Harrington Memorial Hospital	Southbridge	MA	$22.34
UMass Memorial Health-Harrington Hospital	—	—	$22.34
Webster County Memorial Hospital	Webster Springs	WV	$22.34
UMass Memorial Medical Center University Campus	—	—	$25.8
Marlborough Hospital	Marlborough	MA	$25.8
Umass Memorial Medical Center	Worcester	MA	$25.8
UMass Memorial Medical Center-Marlborough Campus	—	—	$25.8

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States with hospitals publishing rates for masshealth [20302].

State	Hospitals	Avg rate
MA	4	$22.35
WV	1	$22.34

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