ED visit level 1 in Massachusetts
What Massachusetts hospitals charge for ed visit level 1 (CPT 99281). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
385
Neg. median
$251.77
Min
$5.86
Max
$2,958
Cash median
$209.05
Across 11 Massachusetts hospitals, the negotiated rate for ED visit level 1 ranges from $5.86 to $2,958, with a median of $251.77. The interquartile range is $116.82 to $484. Cash-pay patients typically pay $209.05; gross charges median $220.05.
By payer in Massachusetts
Top 30 payers for ED visit level 1 in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 7 | 23 | $306.73 |
| Blue Cross Blue Shield | 7 | 32 | $187 |
| UnitedHealthcare | 7 | 30 | $233.53 |
| Cigna | 7 | 14 | $370.65 |
| First Health | 5 | 5 | $363 |
| workers compensation [20501] | 4 | 4 | $173.88 |
| grants [20507] | 4 | 4 | $476.5 |
| Multiplan | 4 | 5 | $363 |
| harvard pilgrim [10701] | 4 | 12 | $671.5 |
| connecticare [11105] | 4 | 4 | $476.5 |
| institution [10406] | 4 | 15 | $484 |
| hne [11108] | 4 | 4 | $218.28 |
| tufts [11201] | 4 | 6 | $799.11 |
| senior whole health [10110] | 4 | 4 | $108.8 |
| fallon connectorcare [10503] | 4 | 4 | $204.09 |
| wellpoint [11112] | 4 | 4 | $150.7 |
| Medicaid | 4 | 9 | $159.72 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $476.5 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| tufts us family [11203] | 3 | 3 | $101.06 |
| Medicare | 3 | 3 | $101.06 |
| correctional care [11003] | 3 | 4 | $534.16 |
| Humana | 3 | 4 | $343.74 |
| evernorth behavioral health [27] | 3 | 3 | $387.2 |
| masshealth mcd mbhp [38] | 3 | 3 | $484 |
| WellCare | 2 | 2 | $144.66 |
| optum transplant [20601] | 2 | 2 | $484 |
| wellfleet [11106] | 2 | 2 | $435.6 |
| automobile [10401] | 2 | 2 | $484 |
| fallon carelon hlth [28] | 2 | 2 | $316 |
Hospital comparison — ED visit level 1 in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Chestnut Hill Benevolent Association | Chestnut Hill | $116.95 | — | $1,590 |
| Harrington Memorial Hospital | Southbridge | $138.42 | $163 | $163 |
| Healthalliance-Clinton | Leominster | $246.23 | $469 | $469 |
| High Point Hospital | Middleborough | $251.3 | $316.5 | $633 |
| Umass Memorial Medical Center | Worcester | $411.4 | $484 | $484 |
| Marlborough Hospital | Marlborough | $411.4 | $484 | $484 |
| Beth Israel Deaconess - Plymouth | Plymouth | $570 | $219.13 | $1,052 |
| North Shore Medical Center | Salem | — | $886.17 | $886.17 |
| Fairview Hospital | Great Barrington | — | $191.16 | $201.22 |
| Berkshire Medical Center | Pittsfield | — | $191.16 | $201.22 |
| North Adams Regional Hospital | North Adams | — | $191.16 | $201.22 |