Quick answers
- Does Emerson Hospital - have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Emerson Hospital -. In a medical emergency, call 911.
- Where is Emerson Hospital -?
- 133 Old Road to 9 Acre Corner, W Concord, MA 01742, in Middlesex County, Massachusetts.
- What is the phone number of Emerson Hospital -?
- (978) 369-1400, as listed by Medicare (CMS).
- What is the Medicare star rating of Emerson Hospital -?
- 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Emerson Hospital - for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Emerson Hospital - under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.5169; 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]
- Critical Care
- Pediatrics
- Behavioral Health
- Imaging & Radiology
- Laboratory
- Pathology
- Cardiac Health and Rehabilitation
- Pulmonary Rehabilitation
- Radiation Oncology
- Urology
Treatments[4]
- Infusion
- Radiation oncology services
Procedures[4]
- Colonoscopy
- Endoscopy
- Sleep testing
- Blood donation
Programs and centers[4]
- Clough Birthing Center
- Clough Surgical Center
- Mass General Brigham Cancer Institute at Emerson Hospital
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Doctors and clinicians (824)
824 doctors and other clinicians list Emerson Hospital - 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
- Internal Medicine162
- Nurse Practitioner122
- Physician Assistant77
- Orthopedic Surgery42
- Family Practice38
- Anesthesiology28
- Certified Registered Nurse Anesthetist (CRNA)24
- Dermatology23
- Diagnostic Radiology22
- Cardiovascular Disease (Cardiology)20
- Emergency Medicine19
- Gastroenterology18
Doctors with a page on this site (824)
- Aakash Deshpande, MDInternal Medicine
- Aaron R. Muncey, MDAnesthesiology
- Aartee Deshpande, MDHospitalist
- Abby L. HochbergDermatology
- Abhijeet Kashyap, MDGastroenterology
- Adam Brys, MDDermatology
- Adam E. Roy, MDOrthopedic Surgery
- Adam W. Cerel, MDCardiovascular Disease (Cardiology)
- Adhip Mukerjee, MDDiagnostic Radiology
- Agnes Virga, MDNeurology
- Aimee C. Kobjack, MDFamily Practice
- Ainsley D. McCowan, MDInternal Medicine
- Akmal E. Wahid, MDAnesthesiology
- Akmal Sarwar, MDPulmonary Disease
- Albert Y. Hung, MDNeurology
- Aldona D. Finkle, MDEndocrinology
- Alec L. Meleger, MDPhysical Medicine and Rehabilitation
- Aleksandra KolnickInternal Medicine
- Alexander Talarico, CNACertified Registered Nurse Anesthetist (CRNA)
- Alexandra B. Columbus, MDGeneral Surgery
- Alexandra JacksonClinical Psychologist
- Alexandra R. Adler, MDAnesthesiology
- Alexandra TerwilligerNurse Practitioner
- Alexi Otrakji, MDInterventional Radiology
And 800 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).
- Lahey Hospital & Medical Center, Burlington9.6 mi · Burlington, MA · Acute Care Hospital
- Newton-Wellesley Hospital11 mi · Newton, MA · Acute Care Hospital
- Marlborough Hospital11 mi · Marlborough, MA · Acute Care Hospital
- Metrowest Medical Center12 mi · Framingham, MA · Acute Care Hospital
- Winchester Hospital13 mi · Winchester, MA · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near W Concord
- Bedford VA Medical Center5.8 mi · Bedford, MA · Federal/VA Acute Care Hospital
- McLean Hospital Corporation10 mi · Belmont, MA · Psychiatric Hospital
- Encompass Health Rehabilitation Hospital of New England11 mi · Woburn, MA · Inpatient Rehabilitation Hospital
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
- Rivercrest Long Term Care0.1 mi · W Concord, MA · 5 of 5 stars
- Care One at Concord0.4 mi · W Concord, MA · 4 of 5 stars
- The Commons Skilled Nursing & Rehabilitation3.0 mi · Lincoln, MA · 5 of 5 stars
All nursing homes in the state →
Hospice providers
- Convenient Hospice Services, Inc5.3 mi · Sudbury, MA
- Sudbury Pines Hospice5.3 mi · Sudbury, MA
- Solara Hospice, LLC7.3 mi · Waltham, MA
All hospice providers in the state →
Home health agencies
- Emerson Hospital Home Care Program1.0 mi · Concord, MA · 4 of 5 stars
- Acton Public Health Nursing SE3.8 mi · Acton, MA · 3.5 of 5 stars
- Angel Care Visiting Nurse Agency3.8 mi · Acton, MA
All home health agencies in the state →
Dialysis facilities
- DCI Walden Pond1.0 mi · Concord, MA · 3 of 5 stars
- The Dialysis Center at Waltham8.9 mi · Waltham, MA · 5 of 5 stars
- DaVita Burlington Regional Dialysis9.6 mi · Burlington, MA · 4 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Emerson Endoscopy and Digestive Health Center1.0 mi · Concord, MA
- Middlesex Digestive Health & Endoscopy Center3.8 mi · Acton, MA
- Boston Eye Surgery & Laser Center-West7.3 mi · Waltham, 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
- Charles River Community Health at 43 Foundry Ave9.9 mi · Waltham, MA · Community health center
- Edward M. Kennedy Community Health Center Framingham12 mi · Framingham, MA · Community health center
- EMPath13 mi · Brighton, MA · Community health center
Clinics and urgent care
- Alpha Medical Associates PC1.0 mi · Concord, MA · Urgent care center
- Med-Ex, LLC3.8 mi · Acton, MA · Urgent care center
- Carewell Urgent Care Centers of Ma, P.C8.1 mi · Lexington, MA · Urgent care center
Pharmacies
- Concord Pharmacy Inc1.0 mi · Concord, MA · Community/retail pharmacy
- Walgreen Co1.0 mi · Concord, MA · Pharmacy
- Acton Pharmacy Inc3.8 mi · Acton, MA · Community/retail pharmacy
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 Emerson Hospital - 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) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 1 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 4 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 69%National average: 72% |
| Would definitely recommend the hospital | 75%National average: 71% |
| Nurses “always” communicated well | 81%National average: 80% |
| Doctors “always” communicated well | 79%National average: 80% |
| “Always” got help as soon as they wanted | 57%National average: 64% |
| Staff “always” explained medicines before giving them | 63%National average: 62% |
| Were given information about recovery at home | 88%National average: 86% |
| Room and bathroom “always” clean | 69%National average: 73% |
| Completed surveys | 595Response rate: 26% |
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) | 0.803No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.498No different from the national benchmark |
| Surgical site infections after colon surgery | 0.6No different from the national benchmark |
| MRSA bloodstream infections | 0.724No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.616No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
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 | 11.9% |
|---|---|
| Deaths within 30 days: heart failure patients | 10.2% |
| Deaths within 30 days: pneumonia patients | 15.1% |
| Deaths within 30 days: COPD patients | 7.1% |
| Deaths within 30 days: stroke patients | 16.1% |
| Serious complications (patient safety indicator PSI-90) | 1.19No different from the national rate |
| Complications after hip or knee replacement | 3.7% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
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) | 15.9% |
|---|---|
| Readmitted within 30 days: heart failure | 21.3% |
| Readmitted within 30 days: pneumonia | 16.9% |
| Readmitted within 30 days: COPD | 22.3% |
| Readmitted within 30 days: hip or knee replacement | 5.1% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack |
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) | Medium (20,000–39,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 202 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 72%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 Emerson Hospital -, 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 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.5169Lower 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 failure | 0.9665Fewer readmissions than expected |
|---|---|
| Pneumonia | 1.0128More readmissions than expected |
| COPD (chronic lung disease) | 1.0872More readmissions than expected |
| Hip or knee replacement | 0.8735Fewer readmissions than expected |
| No result published | Heart attack; Coronary bypass surgery (CABG) (not reported, or too few cases) |
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 | 38.67 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 44.00 out of 100 |
| Person and community engagement (patient survey) | 49.00 out of 100 |
| Safety (infections and sepsis care) | 61.67 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 | 1.01Above 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 68 common services exactly as Emerson Hospital - 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 68 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACC NEW VISIT >=30 MIN | $156 | $117 | $28.68 – $156 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
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| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACC EST VISIT >=20 MIN | $156 | $117 | $28.68 – $156 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D EVALUATION LEVEL 3 | $156 | $117 | $79.41 – $156 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IVR LEVEL 3 INTERVENTION 45MIN | $155 | $116.25 | $28.68 – $155 |
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
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| Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IVR LEVEL 3 INTERVENTION 45MIN | $155 | $116.25 | $141.83 |
Office consultation with a specialist (moderate): rates for 1 insurance plan
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IVR LEVEL 4 INTERVENTION 60MIN | $293 | $219.75 | $28.68 – $293 |
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $293 | $219.75 | $28.68 – $293 |
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IVR LEVEL 4 INTERVENTION 60MIN | $293 | $219.75 | $268.10 |
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL III | $1,138 | $853.50 | $192.95 – $1,138 |
Emergency room visit (moderate): 10 of 16 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL III W PROCEDURE | $1,138 | $853.50 | $192.95 – $1,138 |
Emergency room visit (moderate): 10 of 16 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL III | $1,138 | $853.50 | $1,041.27 |
Emergency room visit (moderate): rates for 1 insurance plan
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL IV | $1,455 | $1,091.25 | $331.75 – $1,455 |
Emergency room visit (moderately high): 10 of 16 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL IV W PROCEDURE | $1,455 | $1,091.25 | $331.75 – $1,455 |
Emergency room visit (moderately high): 10 of 16 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL IV | $1,455 | $1,091.25 | $1,331.33 |
Emergency room visit (moderately high): rates for 1 insurance plan
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL V | $1,843 | $1,382.25 | $331.75 – $1,843 |
Emergency room visit (high): 10 of 16 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL V W PROCEDURE | $1,843 | $1,382.25 | $331.75 – $1,843 |
Emergency room visit (high): 10 of 16 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL V | $1,843 | $1,382.25 | $1,686.35 |
Emergency room visit (high): rates for 1 insurance plan
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL | $91 | $68.25 | $8.03 – $91 |
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
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| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL | $91 | $68.25 | $83.27 |
Basic metabolic panel (blood test): rates for 1 insurance plan
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| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL | $160 | $120 | $10.04 – $160 |
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL | $160 | $120 | $146.40 |
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REF LIPID PANEL | $236 | $177 | $12.36 – $236 |
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
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| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL | $236 | $177 | $12.36 – $236 |
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REF LIPID PANEL | $236 | $177 | $215.94 |
Cholesterol panel (lipid panel): rates for 1 insurance plan
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL | $76 | $57 | $7.75 – $76 |
Liver function panel: 10 of 16 insurance plan rates
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| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL | $76 | $57 | $69.54 |
Liver function panel: rates for 1 insurance plan
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis without microscopy | $34 | $25.50 | $2.43 – $34 |
Urine test (manual, without microscope): 10 of 16 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIPSTICK WO MICROSCOPY | $34 | $25.50 | $2.43 – $34 |
Urine test (manual, without microscope): 10 of 16 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis without microscopy | $34 | $25.50 | $31.11 |
Urine test (manual, without microscope): rates for 1 insurance plan
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| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO MICRO | $19 | $14.25 | $2.13 – $19 |
Urine test (automated, without microscope): 10 of 16 insurance plan rates
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| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO MICRO | $19 | $14.25 | $17.39 |
Urine test (automated, without microscope): rates for 1 insurance plan
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| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REF PSA TOTAL | $108 | $81 | $17.45 – $108 |
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $108 | $81 | $17.45 – $108 |
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REF PSA TOTAL | $108 | $81 | $98.82 |
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE | $161 | $120.75 | $15.94 – $161 |
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH | $161 | $120.75 | $15.94 – $161 |
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE | $161 | $120.75 | $147.31 |
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTO CBC AND DIFF | $164 | $123 | $7.38 – $164 |
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTO CBC AND DIFF | $164 | $123 | $150.06 |
Complete blood count (CBC) with differential: rates for 1 insurance plan
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| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTO CBC | $32 | $24 | $6.14 – $32 |
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTO CBC | $32 | $24 | $29.28 |
Complete blood count (CBC), automated: rates for 1 insurance plan
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POINT OF CARE INR | $22 | $16.50 | $3.73 – $22 |
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $22 | $16.50 | $3.73 – $22 |
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INR FINGERSTICK | $22 | $16.50 | $3.73 – $22 |
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $60 | $45 | $5.69 – $60 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME - PARTIAL | $60 | $45 | $5.69 – $60 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $60 | $45 | $54.90 |
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
| |||
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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEAD WITHOUT CONTRAST | $1,906 | $1,429.50 | $299.51 – $1,906 |
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEAD WITHOUT CONTRAST | $1,906 | $1,429.50 | $1,743.99 |
CT scan of the head or brain, without contrast: rates for 1 insurance plan
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WOW CONTRAST | $3,571 | $2,678.25 | $809.91 – $3,571 |
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PITUITARY ONLY WOW CONTRAS | $3,571 | $2,678.25 | $809.91 – $3,571 |
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WOW CONTRAST | $3,571 | $2,678.25 | $3,267.47 |
MRI of the brain, before and after contrast: rates for 1 insurance plan
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $411 | $308.25 | $110.42 – $411 |
Chest X-ray, 2 views: 10 of 16 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $411 | $308.25 | $376.06 |
Chest X-ray, 2 views: rates for 1 insurance plan
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LS COMP w/OBL | $632 | $474 | $117.93 – $632 |
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LS COMP w/OBL | $632 | $474 | $578.28 |
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SACRUM WO CONTRAST | $2,407 | $1,805.25 | $557.75 – $2,407 |
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR LMTD | $2,407 | $1,805.25 | $557.75 – $2,407 |
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SACRUM WO CONTRAST | $2,407 | $1,805.25 | $2,202.41 |
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIS WITH CONTRAST | $3,591 | $2,693.25 | $419.38 – $3,591 |
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PELVIS WITH CONTRAST | $3,591 | $2,693.25 | $3,285.77 |
CT scan of the pelvis, with contrast: rates for 1 insurance plan
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE LEFT | $2,071 | $1,553.25 | $557.75 – $2,071 |
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE RIGHT | $2,071 | $1,553.25 | $557.75 – $2,071 |
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP LEFT | $2,071 | $1,553.25 | $557.75 – $2,071 |
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PEL W CONTRAST | $2,836 | $2,127 | $690.91 – $2,836 |
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PEDI APPY ABD LTD PEL IV | $2,836 | $2,127 | $690.91 – $2,836 |
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PEL W CONTRAST | $2,836 | $2,127 | $2,594.94 |
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABD US COMP | $1,924 | $1,443 | $143.75 – $1,924 |
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABD US COMP | $1,924 | $1,443 | $1,760.46 |
Ultrasound of the abdomen, complete: rates for 1 insurance plan
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREG US COMP 2ND/3RD TRIM SING | $1,185 | $888.75 | $143.75 – $1,185 |
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREG US COMP 2ND/3RD TRIM SING | $1,185 | $888.75 | $1,084.28 |
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US | $755 | $566.25 | $143.75 – $755 |
Transvaginal ultrasound: 10 of 16 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TRANSVAGINAL US | $755 | $566.25 | $690.83 |
Transvaginal ultrasound: rates for 1 insurance plan
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT DX MAMMO INCL CAD UNI | $612 | $459 | $100.73 – $612 |
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RT DX MAMMO INCL CAD UNI | $612 | $459 | $100.73 – $612 |
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT POST PROC MAMMO W/O CAD | $612 | $459 | $100.73 – $612 |
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BI DX MAMMO INCL CAD | $720 | $540 | $129.16 – $720 |
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BI DX MAMMO INCL CAD SAME DAY | $720 | $540 | $129.16 – $720 |
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILAT DIAGNOST MAM DIG IMPLANT | $720 | $540 | $129.16 – $720 |
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BI SCR MAMMO INCL CAD | $657 | $492.75 | $106.59 – $657 |
Screening mammogram, both breasts: 10 of 16 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT SCR MAMMO INCL CAD | $500 | $375 | $106.59 – $500 |
Screening mammogram, both breasts: 10 of 16 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RT SCR MAMMO INCL CAD | $500 | $375 | $106.59 – $500 |
Screening mammogram, both breasts: 10 of 16 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PED EKG 12 LEADS TRACING | $249 | $186.75 | $38.14 – $249 |
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PED EKG 12 LEADS TRACING | $249 | $186.75 | $227.84 |
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ATTENDED POLYSOM REDUCED | $3,279 | $2,459.25 | $1,354.78 – $3,279 |
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ATTENDED POLYSOMNOGRAPHY | $4,053 | $3,039.75 | $1,354.78 – $4,053 |
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY REDUCED SERV | $3,279 | $2,459.25 | $1,354.78 – $3,279 |
Sleep study (overnight, in a sleep lab): 10 of 16 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EX EA 15 MIN | $131 | $98.25 | $31.64 – $247.20 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC PX 1/> AREAS EACH | $131 | $98.25 | $31.64 – $170.06 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EX,EA 15 MIN | $131 | $98.25 | $31.64 – $247.20 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $401 | $300.75 | $107.09 – $401 |
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $401 | $300.75 | $366.92 |
Physical therapy evaluation (low complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $401 | $300.75 | $107.09 – $401 |
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $401 | $300.75 | $366.92 |
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $401 | $300.75 | $107.09 – $401 |
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $401 | $300.75 | $366.92 |
Physical therapy evaluation (high complexity): rates for 1 insurance plan
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PT 30 MINS | $309 | $231.75 | $146.55 – $309 |
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MINS | $309 | $231.75 | $146.55 – $309 |
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES | $309 | $231.75 | $146.55 – $309 |
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MINS | $411 | $308.25 | $189.62 – $411 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES | $411 | $308.25 | $189.62 – $411 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MINS | $411 | $308.25 | $376.06 |
Psychotherapy, 45 minutes: rates for 1 insurance plan
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MINS | $411 | $308.25 | $189.62 – $411 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MINS | $411 | $308.25 | $376.06 |
Psychotherapy, 60 minutes: rates for 1 insurance plan
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $282 | $211.50 | $180.48 – $282 |
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $282 | $211.50 | $258.03 |
Family psychotherapy, with the patient: rates for 1 insurance plan
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP PSYCHOTHERAPY per SESSION | $177 | $132.75 | $104.79 – $177 |
Group psychotherapy: 10 of 15 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GRP PSYCHOTHERAPY per SESSION | $177 | $132.75 | $161.96 |
Group psychotherapy: rates for 1 insurance plan
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION | $8,768.82 | $6,576.62 | $309.88 – $7,453.50 |
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY | $32,513.43 | $24,385.07 | $309.88 – $27,636.42 |
Total hip replacement: 10 of 13 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY | $25,379.61 | $19,034.71 | $309.88 – $21,572.67 |
Total knee replacement: 10 of 13 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $3,041.46 | $2,281.10 | $387.30 – $2,941.06 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $10,478.76 | $7,859.07 | $309.88 – $8,906.95 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $7,901.43 | $5,926.07 | $309.88 – $8,600.71 |
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Diagnostic | $2,326 | $1,744.50 | $1,093.11 – $2,326 |
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Diagnostic | $2,326 | $1,744.50 | $2,128.29 |
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD w Biopsy(P) | $2,326 | $1,744.50 | $1,093.11 – $2,401.29 |
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD w Biopsy(S) | $1,745 | $1,308.75 | $1,093.11 – $2,401.29 |
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Endoscopy w/ biopsy | $2,326 | $1,744.50 | $638 – $2,326 |
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Diagnostic | $2,326 | $1,744.50 | $1,103.87 – $2,401.29 |
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy Diagnostic | $2,326 | $1,744.50 | $2,128.29 |
Colonoscopy (diagnostic): rates for 1 insurance plan
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w BX(P) | $2,326 | $1,744.50 | $1,103.87 – $2,401.29 |
Colonoscopy with biopsy: 10 of 16 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w BX(S) | $1,745 | $1,308.75 | $1,103.87 – $2,401.29 |
Colonoscopy with biopsy: 10 of 16 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy w BX(P) | $2,326 | $1,744.50 | $2,128.29 |
Colonoscopy with biopsy: rates for 1 insurance plan
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w Snare(P) | $2,996 | $2,247 | $1,103.87 – $2,996 |
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w Snare(S) | $2,247 | $1,685.25 | $1,103.87 – $2,401.29 |
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy w Snare(P) | $2,996 | $2,247 | $2,741.34 |
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US (P) | $2,305.21 | $1,728.91 | $1,103.87 – $2,401.29 |
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US (S) | $1,728.90 | $1,296.68 | $1,103.87 – $2,401.29 |
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US (P) | $2,305.21 | $1,728.91 | $2,109.27 |
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy CA Screening | $2,326 | $1,744.50 | $1,103.87 – $2,401.29 |
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy CA Screening | $2,326 | $1,744.50 | $2,128.29 |
Screening colonoscopy (not high risk): rates for 1 insurance plan
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY | $13,981.46 | $10,486.10 | $309.88 – $11,884.24 |
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $11,369.34 | $8,527.01 | $309.88 – $9,663.94 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | $5,233.49 | $3,925.12 | $309.88 – $4,448.46 |
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC | $2,326 | $1,744.50 | $890.20 – $2,326 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC | $2,326 | $1,744.50 | $2,128.29 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NERV ROOT INj LUM/SACR 1ST | $2,334 | $1,750.50 | $780.46 – $2,334 |
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $2,334 | $1,750.50 | $780.46 – $2,334 |
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NERV ROOT INJ LUMB/SACR 1ST | $2,334 | $1,750.50 | $780.46 – $2,334 |
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | $3,760.05 | $2,820.04 | $309.88 – $3,581.32 |
Carpal tunnel release: 10 of 13 insurance plan rates
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| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP | $5,796.24 | $4,347.18 | $309.88 – $5,202.74 |
Cataract removal with lens implant: 10 of 13 insurance plan rates
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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) · Hospital (facility) fee 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 | $1,800 – $97,928.14 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates
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| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | Not listed in the file | Not listed in the file | $1,800 – $31,845.18 |
Spinal fusion (not neck), without major complications: rates for 10 insurance plans
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee 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 | $1,800 – $16,809.47 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $1,800 – $21,265.39 |
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates
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| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $1,800 – $10,824.77 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
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Source: Emerson Hospital -’s standard charges file (emersonhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 18, 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 | 133 Old Road to 9 Acre Corner, W Concord, MA 01742 |
| County | Middlesex County |
| State | Massachusetts |
| Phone | (978) 369‑1400 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 5 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 220084 |
| Name in Medicare records | EMERSON HOSPITAL - |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Emerson Hospital Main Campus |
| Official website | emersonhealth.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 2026-10-31.
- Emerson Hospital Main Campus - Emerson Health — emersonhealth.org