Major joint replacement w MCC in Massachusetts
What Massachusetts hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
285
Neg. median
$29,961
Min
$60
Max
$106,066
Cash median
$39,887
Across 12 Massachusetts hospitals, the negotiated rate for Major joint replacement w MCC ranges from $60 to $106,066, with a median of $29,961. The interquartile range is $26,937 to $41,317. Cash-pay patients typically pay $39,887; gross charges median $40,693.
By payer in Massachusetts
Top 30 payers for Major joint replacement w MCC in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 7 | 28 | $39,779 |
| UnitedHealthcare | 7 | 23 | $31,538 |
| Cigna | 7 | 13 | $44,691 |
| Aetna | 4 | 10 | $31,894 |
| mgb hlth partners [11110] | 4 | 20 | $26,335 |
| fallon mcaid carelon hlth [29] | 3 | 3 | $2,064.74 |
| mgb mcr [10124] | 3 | 3 | $29,961 |
| tufts dual [10111] | 3 | 3 | $37,169 |
| commonwealth care mcr [10115] | 3 | 3 | $29,961 |
| Medicare | 3 | 3 | $37,169 |
| correctional care [11003] | 3 | 8 | $43,066 |
| tufts connectorcare [10507] | 3 | 3 | $37,169 |
| hsno/free care [10801] | 3 | 3 | $37,169 |
| Humana | 3 | 3 | $28,371 |
| tufts [11201] | 3 | 5 | $6,958 |
| senior whole health [10110] | 3 | 3 | $30,532 |
| institution [10406] | 3 | 6 | $14,290 |
| fallon connectorcare [10503] | 3 | 3 | $65,921 |
| WellCare | 2 | 2 | $49,640 |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $29,961 |
| tufts mcr supp [20209] | 2 | 2 | $29,961 |
| Medicaid | 2 | 2 | $9,381.39 |
| fallon mcr [10105] | 2 | 2 | $29,961 |
| eternalhealth mcr replace [10116] | 2 | 2 | $29,961 |
| amerihealth | 2 | 4 | $46,325 |
| mgb connectorcare [10506] | 2 | 8 | $23,256 |
| healthy blue | 1 | 1 | $31,226 |
| elder health | 1 | 1 | $33,053 |
| health partners plans | 1 | 1 | $28,922 |
| devoted health | 1 | 1 | $23,944 |
Hospital comparison — Major joint replacement w 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 | $25,141 | — | — |
| Harrington Memorial Hospital | Southbridge | $26,335 | $18,011 | $18,011 |
| Healthalliance-Clinton | Leominster | $27,821 | $43,799 | $43,799 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $28,922 | — | — |
| Marlborough Hospital | Marlborough | $29,961 | $40,693 | $40,693 |
| Umass Memorial Medical Center | Worcester | $29,961 | $40,693 | $40,693 |
| High Point Hospital | Middleborough | $31,538 | — | — |
| Beth Israel Deaconess - Plymouth | Plymouth | $60,834 | $3,470 | — |
| North Shore Medical Center | Salem | — | — | — |
| North Adams Regional Hospital | North Adams | — | — | — |
| Fairview Hospital | Great Barrington | — | — | — |
| Berkshire Medical Center | Pittsfield | — | — | — |