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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$21.37 – $2,958.00

Negotiated median

$353.56

CPT 99282 ED visit level 2 · Showing 200 of 394 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Beth Israel Deaconess - Plymouth	MA	Chargemaster	N/A	outpatient	gross	$1,531.00
North Shore Medical Center	MA	Chargemaster	N/A	inpatient	gross	$1,519.46
North Shore Medical Center	MA	Chargemaster	N/A	outpatient	gross	$1,519.46
Marlborough Hospital	MA	Chargemaster	N/A	both	gross	$887.00
Umass Memorial Medical Center	MA	Chargemaster	N/A	both	gross	$887.00
Healthalliance-Clinton	MA	Chargemaster	N/A	both	gross	$622.00
Harrington Memorial Hospital	MA	Chargemaster	N/A	both	gross	$355.00
Berkshire Medical Center	MA	Chargemaster	N/A	inpatient	gross	$333.08
Berkshire Medical Center	MA	Chargemaster	N/A	outpatient	gross	$333.08
North Adams Regional Hospital	MA	Chargemaster	N/A	inpatient	gross	$333.08
North Adams Regional Hospital	MA	Chargemaster	N/A	outpatient	gross	$333.08
Berkshire Medical Center	MA	Chargemaster	N/A	inpatient	gross	$323.54
Berkshire Medical Center	MA	Chargemaster	N/A	outpatient	gross	$323.54
North Adams Regional Hospital	MA	Chargemaster	N/A	inpatient	gross	$323.54
North Adams Regional Hospital	MA	Chargemaster	N/A	outpatient	gross	$323.54
North Shore Medical Center	MA	Cash pay	N/A	inpatient	cash	$1,519.46
North Shore Medical Center	MA	Cash pay	N/A	outpatient	cash	$1,519.46
Marlborough Hospital	MA	Cash pay	N/A	both	cash	$887.00
Umass Memorial Medical Center	MA	Cash pay	N/A	both	cash	$887.00
Healthalliance-Clinton	MA	Cash pay	N/A	both	cash	$622.00
Harrington Memorial Hospital	MA	Cash pay	N/A	both	cash	$355.00
Beth Israel Deaconess - Plymouth	MA	Cash pay	N/A	outpatient	cash	$318.90
Berkshire Medical Center	MA	Cash pay	N/A	inpatient	cash	$316.43
Berkshire Medical Center	MA	Cash pay	N/A	outpatient	cash	$316.43
North Adams Regional Hospital	MA	Cash pay	N/A	inpatient	cash	$316.43
North Adams Regional Hospital	MA	Cash pay	N/A	outpatient	cash	$316.43
Berkshire Medical Center	MA	Cash pay	N/A	inpatient	cash	$307.36
Berkshire Medical Center	MA	Cash pay	N/A	outpatient	cash	$307.36
North Adams Regional Hospital	MA	Cash pay	N/A	inpatient	cash	$307.36
North Adams Regional Hospital	MA	Cash pay	N/A	outpatient	cash	$307.36
North Shore Medical Center	MA	[De-identified Min]	—	inpatient	min	$759.73
Beth Israel Deaconess - Plymouth	MA	[De-identified Min]	—	outpatient	min	$398.00
Beth Israel Deaconess - Plymouth	MA	[De-identified Min]	—	outpatient	min	$315.00
North Adams Regional Hospital	MA	[De-identified Min]	—	outpatient	min	$203.51
Berkshire Medical Center	MA	[De-identified Min]	—	outpatient	min	$200.46
Berkshire Medical Center	MA	[De-identified Min]	—	outpatient	min	$193.93
Berkshire Medical Center	MA	[De-identified Min]	—	inpatient	min	$188.19
North Adams Regional Hospital	MA	[De-identified Min]	—	inpatient	min	$188.19
Berkshire Medical Center	MA	[De-identified Min]	—	inpatient	min	$182.80
North Adams Regional Hospital	MA	[De-identified Min]	—	inpatient	min	$182.80
Berkshire Medical Center	MA	[De-identified Min]	—	outpatient	min	$175.10
North Shore Medical Center	MA	[De-identified Min]	—	outpatient	min	$154.19
Healthalliance-Clinton	MA	[De-identified Min]	—	both	min	$150.70
Marlborough Hospital	MA	[De-identified Min]	—	both	min	$150.70
Umass Memorial Medical Center	MA	[De-identified Min]	—	both	min	$150.70
North Shore Medical Center	MA	[De-identified Min]	—	outpatient	min	$117.47
North Shore Medical Center	MA	[De-identified Min]	—	outpatient	min	$107.30
North Adams Regional Hospital	MA	[De-identified Min]	—	outpatient	min	$73.22
Berkshire Medical Center	MA	[De-identified Min]	—	outpatient	min	$59.50
North Shore Medical Center	MA	[De-identified Min]	—	outpatient	min	$46.99
North Adams Regional Hospital	MA	[De-identified Min]	—	outpatient	min	$44.68
Harrington Memorial Hospital	MA	[De-identified Min]	—	both	min	$40.76
Berkshire Medical Center	MA	[De-identified Min]	—	outpatient	min	$30.39
North Adams Regional Hospital	MA	[De-identified Min]	—	outpatient	min	$30.39
Beth Israel Deaconess - Plymouth	MA	[De-identified Min]	—	outpatient	min	$21.37
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$2,958.00
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	Managed	outpatient	negotiated	$2,930.00
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$1,568.00
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$1,526.00
Beth Israel Deaconess - Plymouth	MA	amerihealth	Regional Preferred	outpatient	negotiated	$1,504.00
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	PIP	outpatient	negotiated	$1,428.88
Beth Israel Deaconess - Plymouth	MA	qualcare inc	HMO/POS	outpatient	negotiated	$1,387.00
Beth Israel Deaconess - Plymouth	MA	qualcare inc	PPO/WC	outpatient	negotiated	$1,253.88
Beth Israel Deaconess - Plymouth	MA	amerihealth	Local Value	outpatient	negotiated	$1,236.00
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$1,229.00
Beth Israel Deaconess - Plymouth	MA	First Health	Commercial	outpatient	negotiated	$918.60
Marlborough Hospital	MA	automobile [10401]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$887.00
Umass Memorial Medical Center	MA	automobile [10401]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$887.00
Marlborough Hospital	MA	institution [10406]	All HOSPICE VNA CARE UM [252] Plans	both	negotiated	$887.00
Marlborough Hospital	MA	institution [10406]	All HOSPICE SALMON HEALTH UM [254] Plans	both	negotiated	$887.00
Marlborough Hospital	MA	institution [10406]	All HOSPICE ADMEDISYS/BEACON UM [264] Plans	both	negotiated	$887.00
Marlborough Hospital	MA	institution [10406]	All HOSPICE COMPASS GREATER WESTERN MA UM [293] Plans	both	negotiated	$887.00
Marlborough Hospital	MA	institution [10406]	All HOSPICE NOTRE DAME UM [336] Plans	both	negotiated	$887.00
Umass Memorial Medical Center	MA	institution [10406]	All HOSPICE VNA CARE UM [252] Plans	both	negotiated	$887.00
Umass Memorial Medical Center	MA	institution [10406]	All HOSPICE SALMON HEALTH UM [254] Plans	both	negotiated	$887.00
Umass Memorial Medical Center	MA	institution [10406]	All HOSPICE ADMEDISYS/BEACON UM [264] Plans	both	negotiated	$887.00
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Commercial	outpatient	negotiated	$712.00
Harrington Memorial Hospital	MA	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$671.00
Healthalliance-Clinton	MA	Cigna	All TUFTS PPO/CARELINK HA [174] Plans	both	negotiated	$656.87
Healthalliance-Clinton	MA	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HA [266] Plans	both	negotiated	$643.00
Healthalliance-Clinton	MA	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HA [38] Plans	both	negotiated	$622.00
Healthalliance-Clinton	MA	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$622.00
Healthalliance-Clinton	MA	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH WELLSENSE/FALLON MCAID HA [275] Plans	both	negotiated	$622.00
Healthalliance-Clinton	MA	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$622.00
Beth Israel Deaconess - Plymouth	MA	wellpoint	NJ Family Care	outpatient	negotiated	$620.00
Healthalliance-Clinton	MA	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HA [120] Plans	both	negotiated	$616.00
Beth Israel Deaconess - Plymouth	MA	Aetna	HMO	outpatient	negotiated	$614.00
Beth Israel Deaconess - Plymouth	MA	Aetna	PPO	outpatient	negotiated	$614.00
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Nexus	outpatient	negotiated	$605.00
Healthalliance-Clinton	MA	tufts [11201]	All TUFTS HMO HA [173] Plans	both	negotiated	$597.15
Marlborough Hospital	MA	Aetna	All AETNA UM [92] Plans	both	negotiated	$578.32
Umass Memorial Medical Center	MA	Aetna	All AETNA UM [92] Plans	both	negotiated	$578.32
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$570.00
Healthalliance-Clinton	MA	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HA [119] Plans	both	negotiated	$536.00
Marlborough Hospital	MA	institution [10406]	All FAIRLAWN REHAB [281] Plans	both	negotiated	$470.11
Umass Memorial Medical Center	MA	institution [10406]	All FAIRLAWN REHAB [281] Plans	both	negotiated	$470.11
Healthalliance-Clinton	MA	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$466.50
Healthalliance-Clinton	MA	Multiplan	All MULTIPLAN [81] Plans	both	negotiated	$466.50
Healthalliance-Clinton	MA	fallon connectorcare [10503]	All FALLON HMO HA [111] Plans	both	negotiated	$464.75
Harrington Memorial Hospital	MA	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$464.75
Marlborough Hospital	MA	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$461.24
Umass Memorial Medical Center	MA	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$461.24
Beth Israel Deaconess - Plymouth	MA	Cigna	PPO	outpatient	negotiated	$421.00
Healthalliance-Clinton	MA	Aetna	All AETNA HA [147] Plans	both	negotiated	$406.79
Beth Israel Deaconess - Plymouth	MA	Cigna	HMO	outpatient	negotiated	$400.00
Beth Israel Deaconess - Plymouth	MA	Emblem Health	Commercial	outpatient	negotiated	$398.00
Beth Israel Deaconess - Plymouth	MA	fidelis care	NJ Family Care	outpatient	negotiated	$397.44
Healthalliance-Clinton	MA	Cigna	All CIGNA HA [46] Plans	both	negotiated	$393.78
Beth Israel Deaconess - Plymouth	MA	Aetna	Better Health	outpatient	negotiated	$380.91
Harrington Memorial Hospital	MA	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$355.00
Harrington Memorial Hospital	MA	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$355.00
Harrington Memorial Hospital	MA	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$355.00
Harrington Memorial Hospital	MA	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$355.00
Harrington Memorial Hospital	MA	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$355.00
Harrington Memorial Hospital	MA	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$355.00
Beth Israel Deaconess - Plymouth	MA	WellCare	Ambetter Health Commercial	outpatient	negotiated	$353.56
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Community Plan	outpatient	negotiated	$347.69
Healthalliance-Clinton	MA	hne [11108]	All HEALTH NEW ENGLAND HA [87] Plans	both	negotiated	$347.01
Healthalliance-Clinton	MA	UnitedHealthcare	All UHC HA [125] Plans	both	negotiated	$334.01
Healthalliance-Clinton	MA	UnitedHealthcare	All UHC SUREST HA [323] Plans	both	negotiated	$334.01
Healthalliance-Clinton	MA	institution [10406]	All FAIRLAWN REHAB [281] Plans	both	negotiated	$329.66
Healthalliance-Clinton	MA	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$323.44
Beth Israel Deaconess - Plymouth	MA	Cigna	Local Plus	outpatient	negotiated	$315.00
Marlborough Hospital	MA	Blue Cross Blue Shield	All BC PPO UM [44] Plans	both	negotiated	$302.76
Umass Memorial Medical Center	MA	Blue Cross Blue Shield	All BC PPO UM [44] Plans	both	negotiated	$302.76
Harrington Memorial Hospital	MA	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$301.47
Harrington Memorial Hospital	MA	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$301.47
Healthalliance-Clinton	MA	hsno/free care [10801]	All HSNO HA [89] Plans	both	negotiated	$294.30
Harrington Memorial Hospital	MA	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$290.00
Harrington Memorial Hospital	MA	Aetna	All AETNA HR [12] Plans	both	negotiated	$285.42
Harrington Memorial Hospital	MA	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$284.00
Harrington Memorial Hospital	MA	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$278.00
Marlborough Hospital	MA	Blue Cross Blue Shield	All BC HMO UM [11] Plans	both	negotiated	$271.73
Umass Memorial Medical Center	MA	Blue Cross Blue Shield	All BC HMO UM [11] Plans	both	negotiated	$271.73
Harrington Memorial Hospital	MA	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$266.25
Harrington Memorial Hospital	MA	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$252.33
Harrington Memorial Hospital	MA	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$252.33
Harrington Memorial Hospital	MA	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$242.00
Healthalliance-Clinton	MA	Blue Cross Blue Shield	All BC HMO HA [61] Plans	both	negotiated	$236.62
Healthalliance-Clinton	MA	Blue Cross Blue Shield	All BC PPO HA [58] Plans	both	negotiated	$232.37
Harrington Memorial Hospital	MA	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$231.03
Harrington Memorial Hospital	MA	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$230.76
Harrington Memorial Hospital	MA	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$214.96
Healthalliance-Clinton	MA	UnitedHealthcare	All UHC RHODY PARTNERS [271] Plans	both	negotiated	$210.86
Healthalliance-Clinton	MA	workers compensation [20501]	All WORKERS COMP HA [42] Plans	both	negotiated	$204.45
Healthalliance-Clinton	MA	senior whole health [10110]	All SENIOR WHOLE HEALTH HA [131] Plans	both	negotiated	$199.33
Healthalliance-Clinton	MA	UnitedHealthcare	All UHC MCR HA [318] Plans	both	negotiated	$199.33
Harrington Memorial Hospital	MA	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$199.33
Harrington Memorial Hospital	MA	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$199.33
Healthalliance-Clinton	MA	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HA [229] Plans	both	negotiated	$195.61
Healthalliance-Clinton	MA	harvard pilgrim mcr [10106]	All HARVARD PILGRIM MCR HA [143] Plans	both	negotiated	$195.61
Harrington Memorial Hospital	MA	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	both	negotiated	$195.61
Marlborough Hospital	MA	Blue Cross Blue Shield	All OPTUM BEHAVIORAL HEALTH (UBH) UM [246] Plans	both	negotiated	$187.00
Umass Memorial Medical Center	MA	Blue Cross Blue Shield	All OPTUM BEHAVIORAL HEALTH (UBH) UM [246] Plans	both	negotiated	$187.00
Healthalliance-Clinton	MA	correctional care [11003]	All CORRECTIONAL CARE STATE HA [95] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	correctional care [11003]	All CORRECTIONAL CARE FORT DEVENS HA [162] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	tufts us family [11203]	All TUFTS US FAMILY HA [291] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	Cigna	All MEDICARE ADVANTAGE (MINUS IME) HA [134] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	Medicaid	All MEDICAID OF CT [28] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	institution [10406]	All HOSPICE HA [157] Plans	both	negotiated	$186.29
Healthalliance-Clinton	MA	Medicare	All MEDICARE/ MEDICARE ADV PLANS/ INST HA [98] Plans	both	negotiated	$186.29
Harrington Memorial Hospital	MA	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$186.29
Harrington Memorial Hospital	MA	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$186.29
Harrington Memorial Hospital	MA	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$184.60
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Medicare	outpatient	negotiated	$181.22
Beth Israel Deaconess - Plymouth	MA	Aetna	Medicare	outpatient	negotiated	$177.67
Beth Israel Deaconess - Plymouth	MA	clover health	Medicare Advantage	outpatient	negotiated	$177.67
Beth Israel Deaconess - Plymouth	MA	fidelis care	Medicare Advantage	outpatient	negotiated	$177.67
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$177.67
Beth Israel Deaconess - Plymouth	MA	Humana	Medicare	outpatient	negotiated	$177.67
Beth Israel Deaconess - Plymouth	MA	wellpoint	Medicare Advantage	outpatient	negotiated	$177.67
Harrington Memorial Hospital	MA	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$173.17
Healthalliance-Clinton	MA	wellpoint [11112]	All WELLPOINT (UNICARE) HA [57] Plans	both	negotiated	$150.70
Harrington Memorial Hospital	MA	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$150.70
Beth Israel Deaconess - Plymouth	MA	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$140.00
Harrington Memorial Hospital	MA	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$40.76
Harrington Memorial Hospital	MA	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$40.76
Beth Israel Deaconess - Plymouth	MA	UnitedHealthcare	Community Plan	outpatient	negotiated	$21.37
Beth Israel Deaconess - Plymouth	MA	[De-identified Max]	—	outpatient	max	$2,958.00
North Shore Medical Center	MA	[De-identified Max]	—	inpatient	max	$1,519.46
North Shore Medical Center	MA	[De-identified Max]	—	outpatient	max	$1,519.46
Marlborough Hospital	MA	[De-identified Max]	—	both	max	$1,177.80
Umass Memorial Medical Center	MA	[De-identified Max]	—	both	max	$1,177.80
Harrington Memorial Hospital	MA	[De-identified Max]	—	both	max	$680.81
Healthalliance-Clinton	MA	[De-identified Max]	—	both	max	$656.87
North Adams Regional Hospital	MA	[De-identified Max]	—	outpatient	max	$428.04
North Shore Medical Center	MA	[De-identified Max]	—	outpatient	max	$334.93
Berkshire Medical Center	MA	[De-identified Max]	—	inpatient	max	$316.43
Berkshire Medical Center	MA	[De-identified Max]	—	outpatient	max	$316.43
North Adams Regional Hospital	MA	[De-identified Max]	—	inpatient	max	$316.43
North Adams Regional Hospital	MA	[De-identified Max]	—	outpatient	max	$316.43
Berkshire Medical Center	MA	[De-identified Max]	—	inpatient	max	$307.36
Berkshire Medical Center	MA	[De-identified Max]	—	outpatient	max	$307.36
North Adams Regional Hospital	MA	[De-identified Max]	—	inpatient	max	$307.36
North Adams Regional Hospital	MA	[De-identified Max]	—	outpatient	max	$307.36
Berkshire Medical Center	MA	[De-identified Max]	—	outpatient	max	$264.56
Berkshire Medical Center	MA	[De-identified Max]	—	outpatient	max	$232.72
North Shore Medical Center	MA	[De-identified Max]	—	outpatient	max	$123.34
North Shore Medical Center	MA	[De-identified Max]	—	outpatient	max	$56.85

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).