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Coronary stent (PCI) in Massachusetts: what insurers pay

Posted commercial rates at 13 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 92928

HospitalMedian across insurers× MedicareInsurersFile date
Beverly Hospital Corporation Beverly$9,5130.7×32026-04-01
Lowell General Hospital Lowell$9,7180.7×22026-04-01
South Shore Hospital South Weymouth$11,0570.8×12026-04-01
Winchester Hospital Winchester$14,2601.0×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$14,5251.1×22026-04-01
New England Baptist Hospital Boston$15,0601.1×32026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$18,5431.3×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$18,6201.4×12026-04-01
Anna Jaques Hospital Newburyport$18,8181.4×22026-04-01
Mount Auburn Hospital Cambridge$18,8861.4×12026-04-01
Tufts Medical Center Boston$19,1911.4×22026-04-01
Beth Israel Deaconess Medical Center Boston$23,1761.7×12026-04-01

CPT 92930

HospitalMedian across insurers× MedicareInsurersFile date
Winchester Hospital Winchester$21,3841.0×22026-04-01
New England Baptist Hospital Boston$26,0901.2×22026-04-01
Beverly Hospital Corporation Beverly$29,9631.4×12026-04-01
Anna Jaques Hospital Newburyport$32,2621.5×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$34,7261.6×12026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$39,9861.8×12026-04-01
Beth Israel Deaconess Medical Center Boston$43,4022.0×12026-04-01

MS-DRG 322

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$12,5020.8×12026-05-18
Anna Jaques Hospital Newburyport$13,2440.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$13,6350.9×22026-04-01
Lowell General Hospital Lowell$14,5410.9×32026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$15,0311.0×12026-04-01
Beverly Hospital Corporation Beverly$16,3081.1×12026-04-01
Winchester Hospital Winchester$16,3081.1×12026-04-01
Mount Auburn Hospital Cambridge$16,7391.1×32026-04-01
New England Baptist Hospital Boston$18,7941.2×32026-04-01
Tufts Medical Center Boston$22,3141.5×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$29,4771.9×62026-04-01
Beth Israel Deaconess Medical Center Boston$31,8152.1×42026-04-01

MS-DRG 321

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$20,4390.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$23,1981.0×12026-04-01
Beverly Hospital Corporation Beverly$25,1671.1×12026-04-01
Winchester Hospital Winchester$25,1671.1×12026-04-01
New England Baptist Hospital Boston$29,0041.2×32026-04-01
Beth Israel Deaconess Medical Center Boston$38,1371.6×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$39,6561.7×62026-04-01

Questions

How much do insurers pay for coronary stent (pci) in Massachusetts?

13 Massachusetts hospitals post usable commercial rates for coronary stent (pci) in their federal price-transparency files. For CPT 92928, hospital outpatient, the median across 12 hospitals is $16,802, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.