Major joint replacement w/o MCC in Massachusetts
What Massachusetts hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
251
Neg. median
$19,312
Min
$60
Max
$44,691
Cash median
$75,761
Across 11 Massachusetts hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $60 to $44,691, with a median of $19,312. The interquartile range is $17,816 to $25,541. Cash-pay patients typically pay $75,761; gross charges median $77,007.
By payer in Massachusetts
Top 30 payers for Major joint replacement w/o MCC in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 7 | 13 | $26,928 |
| Blue Cross Blue Shield | 7 | 28 | $23,651 |
| UnitedHealthcare | 7 | 23 | $20,232 |
| Aetna | 4 | 10 | $20,122 |
| mgb mcr [10124] | 3 | 3 | $19,312 |
| fallon mcaid carelon hlth [29] | 3 | 3 | $2,064.74 |
| tufts connectorcare [10507] | 3 | 3 | $23,883 |
| fallon connectorcare [10503] | 3 | 3 | $41,921 |
| mgb hlth partners [11110] | 3 | 6 | $24,876 |
| correctional care [11003] | 3 | 8 | $25,342 |
| tufts dual [10111] | 3 | 3 | $23,883 |
| tufts [11201] | 3 | 5 | $6,958 |
| Medicare | 3 | 3 | $23,883 |
| hsno/free care [10801] | 3 | 3 | $23,883 |
| institution [10406] | 3 | 6 | $9,287.21 |
| senior whole health [10110] | 3 | 3 | $19,680 |
| Humana | 3 | 3 | $18,138 |
| commonwealth care mcr [10115] | 3 | 3 | $19,312 |
| tufts us family [11203] | 2 | 2 | $19,833 |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $19,312 |
| tufts mcr supp [20209] | 2 | 2 | $19,312 |
| WellCare | 2 | 2 | $28,634 |
| fallon mcr [10105] | 2 | 2 | $19,312 |
| Medicaid | 2 | 2 | $5,924.49 |
| CHAMPVA | 2 | 2 | $19,833 |
| eternalhealth mcr replace [10116] | 2 | 2 | $19,312 |
| amerihealth | 2 | 4 | $23,901 |
| mgb connectorcare [10506] | 2 | 4 | $22,844 |
| health partners plans | 1 | 1 | $18,491 |
| devoted health | 1 | 1 | $15,583 |
Hospital comparison — Major joint replacement w/o 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 | $16,362 | — | — |
| High Point Hospital | Middleborough | $18,192 | — | — |
| Healthalliance-Clinton | Leominster | $18,221 | $53,147 | $53,147 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $18,491 | — | — |
| Umass Memorial Medical Center | Worcester | $19,680 | $78,252 | $78,252 |
| Marlborough Hospital | Marlborough | $19,680 | $78,252 | $78,252 |
| Beth Israel Deaconess - Plymouth | Plymouth | $29,790 | $3,470 | — |
| North Shore Medical Center | Salem | — | — | — |
| North Adams Regional Hospital | North Adams | — | — | — |
| Fairview Hospital | Great Barrington | — | — | — |
| Berkshire Medical Center | Pittsfield | — | — | — |