ED visit level 5 in Massachusetts
What Massachusetts hospitals charge for ed visit level 5 (CPT 99285). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
441
Neg. median
$962.64
Min
$93.07
Max
$10,516
Cash median
$2,482
Across 11 Massachusetts hospitals, the negotiated rate for ED visit level 5 ranges from $93.07 to $10,516, with a median of $962.64. The interquartile range is $713.71 to $2,135. Cash-pay patients typically pay $2,482; gross charges median $2,687.
By payer in Massachusetts
Top 30 payers for ED visit level 5 in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 7 | 36 | $996.72 |
| Cigna | 7 | 15 | $1,355.6 |
| Aetna | 7 | 25 | $2,020.35 |
| UnitedHealthcare | 7 | 36 | $841.68 |
| First Health | 5 | 5 | $2,738.4 |
| connecticare [11105] | 4 | 4 | $3,180.5 |
| mgb mcr [10124] | 4 | 4 | $749.4 |
| institution [10406] | 4 | 20 | $3,232.89 |
| tufts connectorcare [10507] | 4 | 4 | $1,214.03 |
| tufts us family [11203] | 4 | 4 | $718.13 |
| wellpoint [11112] | 4 | 4 | $457.73 |
| grants [20507] | 4 | 4 | $3,180.5 |
| hsno/free care [10801] | 4 | 4 | $672.16 |
| Medicaid | 4 | 9 | $1,110.2 |
| CHAMPVA | 4 | 4 | $753.94 |
| harvard pilgrim [10701] | 4 | 12 | $671.5 |
| Multiplan | 4 | 5 | $3,169.5 |
| hne [11108] | 4 | 4 | $1,548.53 |
| tufts [11201] | 4 | 6 | $1,981.96 |
| senior whole health [10110] | 4 | 4 | $763.67 |
| fallon connectorcare [10503] | 4 | 4 | $1,627.19 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $3,180.5 |
| workers compensation [20501] | 4 | 4 | $1,196.09 |
| masshealth mcd mbhp [38] | 3 | 3 | $4,226 |
| Medicare | 3 | 3 | $713.71 |
| Humana | 3 | 4 | $2,652.19 |
| correctional care [11003] | 3 | 8 | $713.71 |
| fallon mcr [10105] | 3 | 3 | $749.4 |
| commonwealth care mcr [10115] | 3 | 3 | $749.4 |
| evernorth behavioral health [27] | 3 | 3 | $3,380.8 |
Hospital comparison — ED visit level 5 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 | $639.36 | — | $10,731 |
| Harrington Memorial Hospital | Southbridge | $749.4 | $1,083 | $1,083 |
| Healthalliance-Clinton | Leominster | $749.4 | $2,135 | $2,135 |
| Marlborough Hospital | Marlborough | $1,432.61 | $4,226 | $4,226 |
| Umass Memorial Medical Center | Worcester | $1,432.61 | $4,226 | $4,226 |
| Beth Israel Deaconess - Plymouth | Plymouth | $1,485 | $950.68 | $4,564 |
| High Point Hospital | Middleborough | $1,970.71 | $2,482 | $4,964 |
| North Adams Regional Hospital | North Adams | — | $1,706.35 | $1,796.16 |
| Fairview Hospital | Great Barrington | — | $1,706.35 | $1,796.16 |
| Berkshire Medical Center | Pittsfield | — | $1,706.35 | $1,796.16 |
| North Shore Medical Center | Salem | — | $7,149.31 | $7,149.31 |