Hip & femur procedures except major joint w MCC in Massachusetts
What Massachusetts hospitals charge for hip & femur procedures except major joint w mcc (MS-DRG 480). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
266
Neg. median
$28,615
Min
$60
Max
$95,433
Cash median
$95,225
Across 12 Massachusetts hospitals, the negotiated rate for Hip & femur procedures except major joint w MCC ranges from $60 to $95,433, with a median of $28,615. The interquartile range is $26,457 to $37,843. Cash-pay patients typically pay $95,225; gross charges median $101,241.
By payer in Massachusetts
Top 30 payers for Hip & femur procedures except major joint w MCC in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 8 | 15 | $37,860 |
| UnitedHealthcare | 8 | 25 | $30,167 |
| Blue Cross Blue Shield | 8 | 29 | $35,042 |
| Aetna | 5 | 11 | $28,573 |
| senior whole health [10110] | 4 | 4 | $29,187 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,939.47 |
| institution [10406] | 4 | 7 | $26,726 |
| fallon connectorcare [10503] | 4 | 4 | $37,057 |
| hsno/free care [10801] | 4 | 4 | $31,423 |
| tufts [11201] | 4 | 6 | $6,958 |
| mgb mcr [10124] | 4 | 4 | $28,062 |
| tufts connectorcare [10507] | 4 | 4 | $35,714 |
| correctional care [11003] | 3 | 8 | $39,529 |
| commonwealth care mcr [10115] | 3 | 3 | $28,795 |
| Humana | 3 | 3 | $27,251 |
| fallon mcr [10105] | 3 | 3 | $28,795 |
| tufts dual [10111] | 3 | 3 | $35,714 |
| Medicare | 3 | 3 | $35,714 |
| tufts mcr [10112] | 2 | 2 | $27,908 |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $28,795 |
| tufts mcr supp [20209] | 2 | 2 | $28,795 |
| mgb hlth partners [11110] | 2 | 4 | $55,655 |
| mgb connectorcare [10506] | 2 | 4 | $48,397 |
| fallon mcr supp [20202] | 2 | 2 | $27,908 |
| fallon carelon hlth [28] | 2 | 2 | $1,637.86 |
| eternalhealth mcr replace [10116] | 2 | 2 | $28,795 |
| amerihealth | 2 | 4 | $44,163 |
| hne [11108] | 2 | 2 | $3,685 |
| Medicaid | 2 | 2 | $8,535.52 |
| WellCare | 2 | 2 | $44,663 |
Hospital comparison — Hip & femur procedures except major joint 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 | $24,180 | — | — |
| Healthalliance-Clinton | Leominster | $26,726 | $95,225 | $95,225 |
| Harrington Memorial Hospital | Southbridge | $27,131 | $61,300 | $61,300 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $27,780 | — | — |
| High Point Hospital | Middleborough | $28,376 | — | — |
| Umass Memorial Medical Center | Worcester | $29,344 | $107,257 | $107,257 |
| Marlborough Hospital | Marlborough | $29,344 | $107,257 | $107,257 |
| Beth Israel Deaconess - Plymouth | Plymouth | $54,735 | $3,470 | — |
| North Shore Medical Center | Salem | — | — | — |
| Fairview Hospital | Great Barrington | — | — | — |
| North Adams Regional Hospital | North Adams | — | — | — |
| Berkshire Medical Center | Pittsfield | — | — | — |