Major small/large bowel procedures w/o CC/MCC in Massachusetts
What Massachusetts hospitals charge for major small/large bowel procedures w/o cc/mcc (MS-DRG 331). Rates sourced from federally-mandated machine-readable files.
Hospitals
16
Rate rows
251
Neg. median
$16,632
Min
$60
Max
$53,573
Cash median
$46,438
Across 16 Massachusetts hospitals, the negotiated rate for Major small/large bowel procedures w/o CC/MCC ranges from $60 to $53,573, with a median of $16,632. The interquartile range is $15,290 to $20,924. Cash-pay patients typically pay $46,438; gross charges median $58,455.
By payer in Massachusetts
Top 30 payers for Major small/large bowel procedures w/o CC/MCC in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 8 | 25 | $17,538 |
| Blue Cross Blue Shield | 8 | 29 | $20,227 |
| Cigna | 6 | 13 | $16,013 |
| Aetna | 5 | 11 | $16,632 |
| institution [10406] | 4 | 7 | $15,588 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,939.47 |
| tufts connectorcare [10507] | 4 | 4 | $20,924 |
| fallon connectorcare [10503] | 4 | 4 | $23,697 |
| tufts [11201] | 4 | 6 | $6,958 |
| senior whole health [10110] | 4 | 4 | $17,106 |
| hsno/free care [10801] | 4 | 4 | $18,382 |
| mgb mcr [10124] | 4 | 4 | $16,442 |
| correctional care [11003] | 3 | 6 | $18,533 |
| Medicare | 3 | 3 | $20,924 |
| commonwealth care mcr [10115] | 3 | 3 | $16,940 |
| Humana | 3 | 3 | $15,859 |
| fallon mcr [10105] | 3 | 3 | $16,940 |
| tufts dual [10111] | 3 | 3 | $20,924 |
| tufts mcr supp [20209] | 2 | 2 | $16,940 |
| tufts mcr [10112] | 2 | 2 | $16,288 |
| WellCare | 2 | 2 | $25,073 |
| wellpoint [11112] | 2 | 2 | $14,729 |
| fallon mcr supp [20202] | 2 | 2 | $16,288 |
| fallon carelon hlth [28] | 2 | 2 | $1,637.86 |
| eternalhealth mcr replace [10116] | 2 | 2 | $16,940 |
| amerihealth | 2 | 4 | $24,914 |
| hne [11108] | 2 | 2 | $3,685 |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $16,940 |
| Medicaid | 2 | 2 | $4,693.54 |
| health partners plans | 1 | 1 | $16,167 |
Hospital comparison — Major small/large bowel procedures w/o CC/MCC in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Hospital For Behavioral Medicine | Worcester | $14,406 | — | — |
| Healthalliance-Clinton | Leominster | $15,588 | $36,488 | $36,488 |
| Harrington Memorial Hospital | Southbridge | $15,840 | $46,438 | $46,438 |
| High Point Hospital | Middleborough | $15,930 | — | — |
| Chestnut Hill Benevolent Association | Chestnut Hill | $16,167 | — | — |
| Umass Memorial Medical Center | Worcester | $16,940 | $70,472 | $70,472 |
| Marlborough Hospital | Marlborough | $16,940 | $70,472 | $70,472 |
| Beth Israel Deaconess - Plymouth | Plymouth | $30,727 | $3,470 | — |
| Baystate Medical Center | Springfield | — | — | — |
| Fairview Hospital | Great Barrington | — | — | — |
| Baystate Franklin Medical Center | Greenfield | — | — | — |
| Baystate Wing Hospital & Medical Ctr | Palmer | — | — | — |
| North Shore Medical Center | Salem | — | — | — |
| Berkshire Medical Center | Pittsfield | — | — | — |
| North Adams Regional Hospital | North Adams | — | — | — |
| Baystate Noble Hospital | Westfield | — | — | — |