Quick answers
- Does Baystate Medical Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Baystate Medical Center. In a medical emergency, call 911.
- Where is Baystate Medical Center?
- 759 Chestnut Street, Springfield, MA 01199, in Hampden County, Massachusetts.
- What is the phone number of Baystate Medical Center?
- (413) 794-5516, as listed by Medicare (CMS).
- What is the Medicare star rating of Baystate Medical Center?
- 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Baystate Medical Center for hospital-acquired conditions?
- Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Baystate Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.6795; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][6][11][14][17]
- Emergency Medicine
- Surgery
- Cancer care
- Heart and vascular
- Neurology
- Gastroenterology
- Obstetrics and gynecology
- Laboratory services
- Critical care medicine
- Pediatric critical care
- Pediatric hematology oncology
- Maternal fetal medicine
- Newborn medicine
- Infectious disease
- Medical genetics
- Rheumatology
- Pathology
- Interventional radiology and imaging
- Trauma and acute care surgery
- Geriatric medicine (inpatient)
- Palliative care (inpatient)
- Behavioral health
- Pediatrics
- Psychiatry
- Sleep medicine
Conditions treated[15][17]
- Balance problems
- Cognitive impairments
- Concussions and traumatic brain injury
- Epilepsy and seizures
- Headache and migraine
- Movement disorders
- Spinal cord injuries
- Psychiatric disorders (adults 18 and older)
Treatments[4][14]
- Wound care and hyperbaric medicine
- Polysomnography sleep studies
- In-laboratory and home sleep studies
- Multiple sleep latency testing
- Oxygen titration
- CPAP and BiPAP therapy
- Botulinum toxin (Botox) for movement disorders
- Electroencephalogram (EEG)
Procedures[7][9][10][12][14]
- Electromyography (EMG)
- Needle muscle biopsy
- Interventional radiology procedures
- Diagnostic imaging
- Doppler ultrasound
- Complex heart and vascular procedures
- Advanced trauma care and acute surgery
Programs and centers[4][5][6][8][11][12][13][17][18]
- Neurodiagnostics and Sleep Center
- Emergency Department
- Baystate Children's Hospital
- Pediatric intensive care unit
- Children's and Adolescents' Unit
- Wesson Women and Infants' Unit
- Adult psychiatric treatment unit
- Inpatient palliative care service
- Geriatric medicine (inpatient)
- Psychiatry consultation services
- Davis Family Heart and Vascular Center
- Residency training programs
Emergency care (hospital website)[4][8]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Trauma designation | Level I |
Visiting and practical information
| Visiting | Visiting 10 a.m.-8 p.m. daily, up to three visitors at a time; one support person any hour[4] |
|---|---|
| Parking | Free parking 24 hours a day, seven days a week; weekday valet at several entrances[4] |
| Interpreters and languages | Free language services for patients whose primary language is not English; interpreter line 413-794-5419[16] |
Recognition[4]
- Accredited residency programs (ACGME)
Doctors and clinicians (1,779)
1,779 doctors and other clinicians list Baystate Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Physician Assistant286
- Nurse Practitioner270
- Internal Medicine206
- Hospitalist130
- Emergency Medicine76
- Diagnostic Radiology71
- Anesthesiology63
- Family Practice62
- Obstetrics/Gynecology58
- Cardiovascular Disease (Cardiology)46
- Certified Registered Nurse Anesthetist (CRNA)42
- General Surgery37
Doctors with a page on this site (1,779)
- Aakanksha Sharma, MDHospitalist
- Aaron Hayes, CNACertified Registered Nurse Anesthetist (CRNA)
- Aaron J. Berkenwald, MDUrology
- Aaron L. Stupple, MDHospitalist
- Abhinav Dodeja, MDHospitalist
- Abhishek K. Bhagat, MDCardiac Electrophysiology
- Abigail N. Behrens, PAPhysician Assistant
- Abigail Orenstein, MDCritical Care (Intensivists)
- Adam A. Goldenberg, MDAnesthesiology
- Adam A. Sprague, PAPhysician Assistant
- Adam Baskin, NPNurse Practitioner
- Adam C. Lau, MDPsychiatry
- Adam D. Garretson, MDFamily Practice
- Adam G. Vaughan, PAPhysician Assistant
- Adam G. Wychowski, MDInternal Medicine
- Adam L. Rosenblum, DOHospitalist
- Adam M. Stern, MDCardiovascular Disease (Cardiology)
- Adam P. Foster, NPNurse Practitioner
- Adam QaziInternal Medicine
- Adam R. Kellogg, MDEmergency Medicine
- Adam T. Tyson, MDUrology
- Adam Velis, PAPhysician Assistant
- Adin T. Putnam Ii, MDCritical Care (Intensivists)
- Adrian D. Iusco, MDHospitalist
And 1,755 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Mercy Medical Center0.5 mi · Springfield, MA · Acute Care Hospital
- Holyoke Medical Center5.7 mi · Holyoke, MA · Acute Care Hospital
- Baystate Noble Hospital7.9 mi · Westfield, MA · Acute Care Hospital
- Baystate Wing Hospital14 mi · Palmer, MA · Acute Care Hospital
- Johnson Memorial Hospital15 mi · Stafford Springs, CT · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Springfield
- Miravista Behavioral Health Center3.7 mi · Holyoke, MA · Psychiatric Hospital
- Western Massachusetts Hospital5.0 mi · Westfield, MA · Long-Term Acute Care Hospital
- Valley Springs Behavioral Health Hospital5.5 mi · Holyoke, MA · Psychiatric Hospital
- Encompass Health Rehab Hospital of Western Mass7.2 mi · Ludlow, MA · Inpatient Rehabilitation Hospital
All hospitals in Springfield · Hospitals in Hampden County · Hospitals near me
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Agawam North Rehab and Nursing2.7 mi · Agawam, MA · 2 of 5 stars
- Agawam South Rehab and Nursing2.7 mi · Agawam, MA · 4 of 5 stars
- Agawam West Rehab and Nursing2.7 mi · Agawam, MA · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- Baystate Hospice2.4 mi · West Springfield, MA · 3 of 5 stars
- Harmony Hospice LLC4.3 mi · Chicopee, MA
- Hospice Services of Western & Central Mass5.3 mi · Feeding Hills, MA
All hospice providers in the state →
Home health agencies
- Aveanna Healthcare0.2 mi · Springfield, MA
- Better Healthcare Solutions LLC1.2 mi · Springfield, MA · 1 of 5 stars
- Home Care VNA LLC1.2 mi · Springfield, MA
All home health agencies in the state →
Dialysis facilities
- FMC - Western Mass. Kidney Center (BMA Springfield)1.2 mi · Springfield, MA · 2 of 5 stars
- Springfield Dialysis Center2.1 mi · Springfield, MA · 2 of 5 stars
- FMC Pioneer Valley Dialysis Center2.4 mi · West Springfield, MA · 3 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Baystate New England Orthopedic Surgery Center0.2 mi · Springfield, MA
- Greater Springfield Surgery Center0.2 mi · Springfield, MA
- Surgery Center of New England2.1 mi · Springfield, MA
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Baystate Brightwood Health Center0.5 mi · Springfield, MA · Community health center
- The Salvation Army1.0 mi · Springfield, MA · Community health center
- HSH Health Center & Dental Clinic1.2 mi · Springfield, MA · Community health center
Clinics and urgent care
- AFC Physicians of Massachusetts, PC2.4 mi · West Springfield, MA · Urgent care center
- Health-Md Urgent Care2.4 mi · West Springfield, MA · Urgent care center
- Patriot Urgent Care Professionals PC2.4 mi · West Springfield, MA · Urgent care center
Pharmacies
- Baystate Medical Center, Inc.0.2 mi · Springfield, MA · Clinic pharmacy
- Baystate Medical Center, Inc.0.2 mi · Springfield, MA · Community/retail pharmacy
- Baystate Medical Center, Inc.0.2 mi · Springfield, MA · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Eagle Point Living9.1 mi · Suffield, CT
- Suffield by the River9.1 mi · Suffield, CT
- All American Assisted Living at Enfield9.7 mi · Enfield, CT
- Stonebrook Village at Windsor Locks13 mi · Windsor Locks, CT
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Baystate Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 2 of 5 stars |
|---|---|
| Overall rating of the hospital | 2 of 5 stars |
| Would recommend the hospital | 3 of 5 stars |
| Nurses communicated well | 2 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 1 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 3 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 1 of 5 stars |
| Care Coordination | 2 of 5 stars |
| Symptoms After Stay | 2 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 59%National average: 72% |
| Would definitely recommend the hospital | 62%National average: 71% |
| Nurses “always” communicated well | 74%National average: 80% |
| Doctors “always” communicated well | 75%National average: 80% |
| “Always” got help as soon as they wanted | 44%National average: 64% |
| Staff “always” explained medicines before giving them | 54%National average: 62% |
| Were given information about recovery at home | 85%National average: 86% |
| Room and bathroom “always” clean | 63%National average: 73% |
| Completed surveys | 2,102Response rate: 20% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.949No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.384Better than the national benchmark |
| Surgical site infections after colon surgery | 0.665No different from the national benchmark |
| Surgical site infections after abdominal hysterectomy | 0.814No different from the national benchmark |
| MRSA bloodstream infections | 1.017No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.67Better than the national benchmark |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 11.8% |
|---|---|
| Deaths within 30 days: heart failure patients | 12.7% |
| Deaths within 30 days: pneumonia patients | 16.3% |
| Deaths within 30 days: COPD patients | 6.8% |
| Deaths within 30 days: stroke patients | 12% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 2.2% |
| Serious complications (patient safety indicator PSI-90) | 1.73Worse than the national rate |
| Complications after hip or knee replacement | 4.1% |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 18.4% |
|---|---|
| Readmitted within 30 days: heart attack | 14.9% |
| Readmitted within 30 days: heart failure | 22.9% |
| Readmitted within 30 days: pneumonia | 18.8% |
| Readmitted within 30 days: COPD | 22.4% |
| Readmitted within 30 days: coronary bypass surgery | 12.8% |
| Readmitted within 30 days: hip or knee replacement | 5.9% |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Very high (60,000 or more) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 274 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 4%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 35%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Baystate Medical Center, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | YesCMS applies a 1-percent payment reduction to this hospital. |
|---|---|
| Total HAC Score | 0.6795Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart attack | 1.1792More readmissions than expected |
|---|---|
| Heart failure | 1.0538More readmissions than expected |
| Pneumonia | 1.1764More readmissions than expected |
| COPD (chronic lung disease) | 1.0675More readmissions than expected |
| Hip or knee replacement | 0.9161Fewer readmissions than expected |
| Coronary bypass surgery (CABG) | 1.2464More readmissions than expected |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 12.75 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 26.67 out of 100 |
| Person and community engagement (patient survey) | 11.00 out of 100 |
| Safety (infections and sepsis care) | 13.33 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 0.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 1.03Above the national median hospital (1.00): Medicare spent more |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 63 common services exactly as Baystate Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 63 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL 3 NEW PT VISIT | $414 | $414 | $175.53 – $1,700.03 |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL 3 NEW PATIENT VISIT | $414 | $414 | $175.53 – $1,700.03 |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL III NEW PATIENT | $414 | $414 | $175.53 – $1,700.03 |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: LEVEL 4 NEW PT VISIT | $440 | $440 | $249.13 – $1,700.03 |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: LEVEL IV NEW PATIENT | $440 | $440 | $249.13 – $1,700.03 |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: LEVEL 4 NEW PATIENT VISIT | $440 | $440 | $249.13 – $1,700.03 |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL 5 NEW PT VISIT | $608 | $608 | $249.13 – $1,700.03 |
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL V NEW PATIENT | $608 | $608 | $249.13 – $1,700.03 |
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL 5 NEW PATIENT VISIT | $608 | $608 | $249.13 – $1,700.03 |
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL III ESTABLISHED PATIENT | $314 | $314 | $175.53 – $1,700.03 |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL 3 EST PT VISIT | $314 | $314 | $175.53 – $1,700.03 |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL 3 EST PATIENT VISIT | $314 | $314 | $175.53 – $1,700.03 |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL IV ESTABLISHED PATIENT | $365 | $365 | $249.13 – $1,700.03 |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL 4 EST PT VISIT | $365 | $365 | $249.13 – $1,700.03 |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL 4 EST PATIENT VISIT | $365 | $365 | $249.13 – $1,700.03 |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: LEVEL 3 CONSULTATION | $331.95 | $331.95 | $175.53 – $1,700.03 |
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: LEVEL III CONSULTATION | $331.95 | $331.95 | $175.53 – $1,700.03 |
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: LEVEL 4 CONSULTATION | $352.42 | $352.42 | $249.13 – $1,700.03 |
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: LEVEL IV CONSULTATION | $352.42 | $352.42 | $249.13 – $1,700.03 |
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Prev Med New Age 18-39 | $373 | $373 | $497.03 – $1,700.03 |
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Prev Visit New Age 18-39 | $373 | $373 | $497.03 – $1,700.03 |
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV MED NEW AGE 18-39 | $373 | $373 | $497.03 – $1,700.03 |
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Prev Med New Age 40-64 | $373 | $373 | $581.30 – $1,700.03 |
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV MED NEW AGE 40-64 | $373 | $373 | $581.30 – $1,700.03 |
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Service Class 3 | $733 | $733 | $426.50 – $1,700.03 |
Emergency room visit (moderate): 10 of 19 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY SERVICE CLASS 3 | $733 | $733 | $426.50 – $1,700.03 |
Emergency room visit (moderate): 10 of 19 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Service Class 4 | $1,464 | $1,464 | $733.31 – $1,700.03 |
Emergency room visit (moderately high): 10 of 19 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY SERVICE CLASS 4 | $1,464 | $1,464 | $733.31 – $1,700.03 |
Emergency room visit (moderately high): 10 of 19 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Service Class 5 | $2,062 | $2,062 | $733.31 – $1,700.03 |
Emergency room visit (high): 10 of 19 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY SERVICE CLASS 5 | $2,062 | $2,062 | $733.31 – $1,700.03 |
Emergency room visit (high): 10 of 19 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metab Panel(Cal,Tot) | $43 | $43 | $35.60 – $1,700.03 |
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METAB PANEL(CAL,TOT) | $48 | $48 | $35.60 – $1,700.03 |
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehen Metabolic Panel | $48 | $48 | $44.46 – $1,700.03 |
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL | $59 | $59 | $44.46 – $1,700.03 |
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel Nmr | $60 | $60 | $56.31 – $1,700.03 |
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel | $60 | $60 | $56.31 – $1,700.03 |
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL | $64 | $64 | $56.31 – $1,700.03 |
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel | $51 | $51 | $36.51 – $1,700.03 |
Kidney function panel: 10 of 13 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel | $47 | $47 | $34.39 – $1,700.03 |
Liver function panel: 10 of 13 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL | $47 | $47 | $34.39 – $1,700.03 |
Liver function panel: 10 of 13 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto With Micro | $47 | $47 | $13.36 – $1,700.03 |
Urine test (automated, with microscope): 10 of 13 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Relex(Renal Patient | $48 | $48 | $13.36 – $1,700.03 |
Urine test (automated, with microscope): 10 of 13 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO WITH MICRO | $47 | $47 | $13.36 – $1,700.03 |
Urine test (automated, with microscope): 10 of 13 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Formic Acid Reflex Sg | $11 | $11 | $10.75 – $1,700.03 |
Urine test (manual, without microscope): 10 of 13 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Poc Urine Ketones | $29 | $29 | $10.75 – $1,700.03 |
Urine test (manual, without microscope): 10 of 13 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Non-Auto W/O Micro | $32 | $32 | $10.75 – $1,700.03 |
Urine test (manual, without microscope): 10 of 13 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Auto Without Micro | $25 | $25 | $9.47 – $1,700.03 |
Urine test (automated, without microscope): 10 of 13 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Albumin Urine Qual | $20 | $20 | $9.47 – $1,700.03 |
Urine test (automated, without microscope): 10 of 13 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Specific Gravity | $22 | $22 | $9.47 – $1,700.03 |
Urine test (automated, without microscope): 10 of 13 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa Total, Phi | $163 | $163 | $77.34 – $1,700.03 |
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa, Ultra Sensitive | $83 | $83 | $77.34 – $1,700.03 |
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate-Specific Antigen;Tota | $84 | $84 | $77.34 – $1,700.03 |
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Tsh, Ultrasensitive | $27 | $27 | $70.63 – $1,700.03 |
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stim Hormone (Tsh) | $77 | $77 | $70.63 – $1,700.03 |
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc Auto W/Compl Auto Diff | $39 | $39 | $32.69 – $1,700.03 |
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC AUTO W/COMPL AUTO DIFF | $39 | $39 | $32.69 – $1,700.03 |
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Complete Automated Blood Count | $30 | $30 | $27.21 – $1,700.03 |
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE AUTOMATED BLOOD COUNT | $30 | $30 | $27.21 – $1,700.03 |
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time | $24 | $24 | $16.52 – $1,700.03 |
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME | $24 | $24 | $16.52 – $1,700.03 |
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: Inr | $24 | $24 | $16.52 – $1,700.03 |
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin (Ptt) | $29 | $29 | $25.21 – $1,700.03 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Poc-Ptt | $29 | $29 | $25.21 – $1,700.03 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct Head Or Brain Wo Cont | $1,043 | $1,043 | $662.06 – $1,700.03 |
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri Brain W/Wo Contrast | $3,834 | $3,834 | $1,389.45 – $1,790.24 |
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Chest 2 Views Front/ | $339 | $339 | $1,389.45 – $1,700.03 |
Chest X-ray, 2 views: 10 of 13 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Pedi Chest 2 Views F | $339 | $339 | $1,389.45 – $1,700.03 |
Chest X-ray, 2 views: 10 of 13 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Newborn Ap/Lat Chest | $339 | $339 | $1,389.45 – $1,700.03 |
Chest X-ray, 2 views: 10 of 13 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Spine Lumbar, Min. 4 Views | $673 | $673 | $260.67 – $1,700.03 |
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri Spine Lumbar W/O Contrast | $1,961 | $1,961 | $1,232.87 – $1,700.03 |
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct-Pelvis With Contrast | $1,549 | $1,549 | $927 – $1,700.03 |
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri Joint Lower Ext.W/O Cont | $1,754 | $1,754 | $1,232.87 – $1,700.03 |
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: Mri Joint Low.Ext.Bil.W/O Cont | $2,633 | $2,633 | $1,232.87 – $1,700.03 |
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN & PELVIS W/CONTRAS | $3,095 | $3,095 | $1,389.45 – $1,700.03 |
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Abdomen Complete | $1,001 | $1,001 | $317.74 – $1,700.03 |
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Pregnancy/Compl/Doppler | $932 | $932 | $317.74 – $1,700.03 |
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Non-Ob Transvag Us | $932 | $932 | $317.74 – $1,700.03 |
Transvaginal ultrasound: 10 of 13 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Us Non-Ob Transvaginal | $932 | $932 | $317.74 – $1,700.03 |
Transvaginal ultrasound: 10 of 13 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal Gyn Us | $932 | $932 | $317.74 – $1,700.03 |
Transvaginal ultrasound: 10 of 13 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammo Diag Uni Digital W/Cad | $572 | $572 | $191.64 – $1,700.03 |
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier PO In the file: Mammo Diag Uni Digital W/Cad | $572 | $572 | $191.64 – $1,700.03 |
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammo Diag Bilat Digital W/Cad | $795.30 | $795.30 | $238.57 – $1,700.03 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PO In the file: Mammo Diag Bilat Digital W/Cad | $795.30 | $795.30 | $238.57 – $1,700.03 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: Mammo Screen/Diag Same Day | $723 | $723 | $238.57 – $1,700.03 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammo Screen Bilat W/Cad | $708.41 | $708.41 | $224.46 – $1,700.03 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: Mammo Screen Uni Digital W/Cad | $670 | $670 | $224.46 – $1,700.03 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier PO In the file: Mammo Screen Bilat W/Cad | $708.41 | $708.41 | $224.46 – $1,700.03 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Left Hrt Cath W/Ventrclgrphy | $7,384 | $7,384 | $1,389.45 – $9,348.60 |
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: Comp Ep Eval Wo A Induction | $14,087 | $14,087 | $1,389.45 – $8,957.61 |
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Tx Atrial Fib Pulm Vein Isol | $41,180 | $41,180 | $1,389.45 – $35,981.66 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Psg | $2,738 | $2,738 | $1,389.45 – $2,994.63 |
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Psg & Epilepsy Monitoring | $2,738 | $2,738 | $1,389.45 – $2,994.63 |
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: Psg Reduced Service | $2,738 | $2,738 | $1,389.45 – $2,994.63 |
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT THERAPEUTIC EXERCISE | $163.54 | $163.54 | $113.70 – $1,700.03 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: OT THERAPEUTIC EXERCISE | $163.54 | $163.54 | $113.70 – $1,700.03 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: Pt Therapeutic Exercise | $163.54 | $163.54 | $113.70 – $1,700.03 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX | $425.05 | $425.05 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: Pt Eval Low Complex | $425.05 | $425.05 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX | $493.78 | $493.78 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: Pt Eval Mod Complex | $493.78 | $493.78 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX | $476.14 | $476.14 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: Pt Eval High Complex | $476.14 | $476.14 | $1,389.45 – $1,700.03 |
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Php Psych Ther 30Min W/Patient | $934 | $934 | $1,389.45 – $1,700.03 |
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Cp Psych Ther 30Min W/Patient | $232.27 | $232.27 | $1,389.45 – $1,700.03 |
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Th Ph Sw Psy Ther 30 Min W/Pt | $232.27 | $232.27 | $1,389.45 – $1,700.03 |
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Php Psych Ther 45Min W/Patient | $934 | $934 | $1,389.45 – $1,700.03 |
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psych Ther 45 Min Sw | $285 | $285 | $1,389.45 – $1,700.03 |
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Th Ph Sw Psy Ther 45 Min W/Pt | $285 | $285 | $1,389.45 – $1,700.03 |
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Th Ph Sw Psy Ther 60 Min W/Pt | $332 | $332 | $1,389.45 – $1,700.03 |
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Th Av Sw Psy Ther 60 Min W/Pt | $332 | $332 | $1,389.45 – $1,700.03 |
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psych Ther 60 Min Sw | $332 | $332 | $1,389.45 – $1,700.03 |
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Sw Fam Ther Pt Not Pres | $320 | $320 | $1,389.45 – $1,700.03 |
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Th Av Sw Fam Ther Pt Not Pres | $320 | $320 | $1,389.45 – $1,700.03 |
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Th Ph Sw Fam Ther Pt Not Pres | $320 | $320 | $1,389.45 – $1,700.03 |
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Php Fam Tx Pt Present | $934 | $934 | $1,389.45 – $1,700.03 |
Family psychotherapy, with the patient: 10 of 19 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Sw Family Ther Pt Pres | $320 | $320 | $1,389.45 – $1,700.03 |
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Fam Ther Pt Present Sw | $320 | $320 | $1,389.45 – $1,700.03 |
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Sw Group Therapy | $135.20 | $135.20 | $1,389.45 – $1,700.03 |
Group psychotherapy: 10 of 18 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Cp Group Therapy | $135.20 | $135.20 | $1,389.45 – $1,700.03 |
Group psychotherapy: 10 of 18 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP THERAPY | $135.20 | $135.20 | $1,389.45 – $1,700.03 |
Group psychotherapy: 10 of 18 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Excis Biopsy Of Breast Cyst | $3,206.40 | $3,206.40 | $1,389.45 – $1,700.03 |
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier PO In the file: Excis Biopsy Of Breast Cyst | $3,206.40 | $3,206.40 | $1,389.45 – $1,700.03 |
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Ugi Endoscopy, Diagnostic | $1,597 | $1,597 | $1,389.45 – $2,416.22 |
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UGI ENDOSCOPY, DIAGNOSTIC | $1,597 | $1,597 | $1,389.45 – $2,416.22 |
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Bx.Prostate Needle; 1 Or More | $2,432.73 | $2,432.73 | $1,389.45 – $1,700.03 |
Prostate biopsy: 10 of 19 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj Epid/Sub,Lumb/Sacr W/Img | $1,999 | $1,999 | $1,389.45 – $1,725.15 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: INJ EPID/SUB,LUMB/SACR W/IMG | $1,999 | $1,999 | $1,389.45 – $1,725.15 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Transfor Epid Lum/Sac (64483) | $1,808.40 | $1,808.40 | $1,389.45 – $1,725.15 |
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC | Not listed in the file | Not listed in the file | $127,154 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC | Not listed in the file | Not listed in the file | $10,755 |
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion without CC/MCC | Not listed in the file | Not listed in the file | $10,755 |
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC | Not listed in the file | Not listed in the file | $10,755 |
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
| |||
Source: Baystate Medical Center’s standard charges file (baystatehealth.canto.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 5, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 759 Chestnut Street, Springfield, MA 01199 |
| County | Hampden County |
| State | Massachusetts |
| Phone | (413) 794‑5516 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 2 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 220077 |
| Name in Medicare records | BAYSTATE MEDICAL CENTER |
| Profile level | Medicare data + hospital website |
| Main phone on the hospital’s website | (413) 794‑0000[4] |
| Official website | baystatehealth.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Baystate Medical Center — baystatehealth.org
- Baystate Inpatient Palliative Care | Baystate Health — baystatehealth.org
- Baystate Behavioral Health - Psychiatry Consultation Services — baystatehealth.org
- Baystate Trauma and Acute Care Surgery - Springfield - Chestnut Street — baystatehealth.org
- Baystate Emergency Medicine - Springfield — baystatehealth.org
- Baystate Interventional Radiology | Baystate Health — baystatehealth.org
- Baystate Radiology & Imaging - Springfield - Chestnut Street — baystatehealth.org
- Pediatric Emergency Medicine | Baystate Health — baystatehealth.org
- Davis Family Heart & Vascular Center — baystatehealth.org
- Baystate Geriatric Medicine (Inpatient) — baystatehealth.org
- Baystate Sleep Medicine - Springfield — baystatehealth.org
- Baystate Neurology - Springfield - Chestnut Street — baystatehealth.org
- Interpreter Services — baystatehealth.org
- Baystate Behavioral Health - Adult Psychiatric Treatment Unit — baystatehealth.org
- Baystate Pediatric Critical Care Medicine — baystatehealth.org