Does Milford Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Milford Regional Medical Center. In a medical emergency, call 911.

Where is Milford Regional Medical Center?

14 Prospect Street, Milford, MA 01757, in Worcester County, Massachusetts.

What is the phone number of Milford Regional Medical Center?

(508) 473-1190, as listed by Medicare (CMS).

What is the Medicare star rating of Milford Regional Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Milford Regional Medical Center — Milford, MA

Quick answers

Does Milford Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Milford Regional Medical Center. In a medical emergency, call 911.
Where is Milford Regional Medical Center?: 14 Prospect Street, Milford, MA 01757, in Worcester County, Massachusetts.
What is the phone number of Milford Regional Medical Center?: (508) 473-1190, as listed by Medicare (CMS).
What is the Medicare star rating of Milford Regional Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Obstetrics and Gynecology
Orthopedic Care
Neurology
Cancer Care
General Surgery
Radiology and Imaging
Rehabilitation Therapy Services
Pregnancy and childbirth

Programs and centers^{[4][6][9][10]}

Pregnancy and Childbirth
Center for Mindfulness
Emergency care (adults and children)
Pediatric emergency care in collaboration with Boston Children's Hospital physicians
Radiology and imaging

Emergency care (hospital website)^[4][6][9]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center certification from The Joint Commission

Visiting and practical information

Visiting	Recommended inpatient visiting 8 am-8 pm; maternity 1-2 pm and 4-8 pm; main entrance hours vary by day^[8]
Interpreters and languages	Interpreter services available upon request, per Milford Regional patient rights^[7]

Recognition^[6]

Primary Stroke Center Certification (The Joint Commission)

Doctors and clinicians (901)

901 doctors and other clinicians list Milford Regional 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

And 877 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Metrowest Medical Center10 mi · Framingham, MA · Acute Care Hospital
Landmark Medical Center11 mi · Woonsocket, RI · Acute Care Hospital
Marlborough Hospital14 mi · Marlborough, MA · Acute Care Hospital
UMass Memorial Medical Center/University Campus15 mi · Worcester, MA · Acute Care Hospital
Westwood Pembroke Health Systems16 mi · Westwood, MA · Psychiatric Hospital

Other hospitals nearby

Whittier Rehabilitation Hospital8.4 mi · Westborough, MA · Long-Term Acute Care Hospital
Westborough Behavioral Healthcare Hospital LLC8.9 mi · Westborough, MA · Psychiatric Hospital
Rehabilitation Hospital of Rhode Island12 mi · North Smithfield, RI · 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

OC Milford Gardens LLC1.2 mi · Milford, MA · 1 of 5 stars
Blaire House of Milford1.5 mi · Milford, MA · 1 of 5 stars
Countryside Health Care of Milford1.7 mi · Milford, MA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Preferred Peaceful Transitions Home Health Care Inc0.0 mi · Milford, MA
VNA & Hospice of Greater Milford0.0 mi · Milford, MA · 5 of 5 stars
Aseracare Hospice8.9 mi · Westborough, MA

All hospice providers in the state →

Home health agencies

Kimba Compassionate Healthcare & VNA Services LLC0.0 mi · Milford, MA
Preferred Transitions Home Health Care Inc0.0 mi · Milford, MA
VNA and Hospice of Greater Milford0.0 mi · Milford, MA

All home health agencies in the state →

Dialysis facilities

FMC Dialysis Services of Blackstone Valley0.0 mi · Milford, MA · 2 of 5 stars
Fresenius Medical Care Framingham9.6 mi · Framingham, MA · 4 of 5 stars
Dialysis Center of Woonsocket11 mi · Woonsocket, RI · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Milford Franklin Eye Center LLC0.0 mi · Milford, MA
Charles River Endoscopy, LLC9.6 mi · Framingham, MA
New England Surgical Suites12 mi · Natick, MA

All outpatient surgery centers in the state →

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

Edward M. Kennedy Community Health Center Milford2.1 mi · Milford, MA · Community health center
Edward M. Kennedy Community Health Center Framingham9.9 mi · Framingham, MA · Community health center
Thundermist Dental Admin Woonsocket10 mi · Woonsocket, RI · Community health center

Clinics and urgent care

Milford Emergency Associates, Inc0.0 mi · Milford, MA · Urgent care center
Convenientmd - FFS UC LLC6.2 mi · Bellingham, MA · Urgent care center
Convenientmd LLC6.2 mi · Bellingham, MA · Urgent care center

Pharmacies

Edward M. Kennedy Community Health Center, Inc0.0 mi · Milford, MA · Community/retail pharmacy
Rodeanpharma LLC0.0 mi · Milford, MA · Community/retail pharmacy
The Stop & Shop Supermarket Company LLC0.0 mi · Milford, 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 Milford Regional 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	76%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	593Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.418No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.403Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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	12.8%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	15%
Deaths within 30 days: COPD patients	6.4%
Deaths within 30 days: stroke patients	11.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.83No different from the national rate
Complications after hip or knee replacement	3.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	18.4%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	High (40,000–59,999)
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)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	44%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Massachusetts Best hospitals in Massachusetts

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Milford Regional 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30 min	$259	$259	$84.43 – $240
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Blue Cross — Indemnity & PPO: $179.45 Aetna — Commercial: 80.4% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 94.74% (a percentage in the contract, not a dollar amount) Cigna — Tufts Carelink: 94.74% (a percentage in the contract, not a dollar amount) Harvard Pilgrim HealthCare — Commercial: 53% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 81% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Evaluation New Pt Comprehensiv	$259	$259	$259
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Level 3-New Pt Eval	$109	$109	$109
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45 min	$204	$204	$119.83 – $303.77
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Blue Cross — Indemnity & PPO: $303.77 Aetna — Commercial: 80.4% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 94.74% (a percentage in the contract, not a dollar amount) Cigna — Tufts Carelink: 94.74% (a percentage in the contract, not a dollar amount) Harvard Pilgrim HealthCare — Commercial: 53% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 81% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Initial Visit Extended	$204	$204	$204
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Initial Evaluation	$163	$163	$163
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Level 5-New Pt Eval	$204	$204	$204
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Level 5 New	$153	$153	$153
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Cardiac Rehab Evaluation	$232	$232	$232
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Endo Peg Tube Removal	$351	$351	$351
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Level 3 Est Pt Eval	$71	$71	$71
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Diabetes Ind. Training Per 30m	$87	$87	$87
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30 min	$167	$167	$119.83 – $185.32
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross — Indemnity & PPO: $185.32 Aetna — Commercial: 80.4% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 94.74% (a percentage in the contract, not a dollar amount) Cigna — Tufts Carelink: 94.74% (a percentage in the contract, not a dollar amount) Harvard Pilgrim HealthCare — Commercial: 53% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 81% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Inf. Therapy Extend Visit -E/M	$143	$143	$143
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Level 4-Est Pt Eval	$107	$107	$107
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Physical Ages 18-39	$300	$300	$300
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Physical Ages 40-64	$300	$300	$300
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm	$734	$734	$205.15 – $616.56
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Medicare: $292.53 Blue Cross — Indemnity & PPO: $363.63 Blue Cross — Senior Plan: $292.53 Cigna — Commercial: $393.79 Cigna — Tufts Carelink: $393.79 Evercare SCO Dual — Medicare: $298.38 Fallon Community Care — Commercial: $400.14 Fallon Senior / Navicare — Medicare: $292.53 Harvard Pilgrim HealthCare — Commercial: $549 Harvard Pilgrim HealthCare — Stride (Medicare): $292.53
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Service Level 3	$734	$734	$734
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency dept visit low mdm	$734	$734	$205.15 – $616.56
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Medicare: $292.53 Blue Cross — Indemnity & PPO: $363.63 Blue Cross — Senior Plan: $292.53 Cigna — Commercial: $393.79 Cigna — Tufts Carelink: $393.79 Evercare SCO Dual — Medicare: $298.38 Fallon Community Care — Commercial: $400.14 Fallon Senior / Navicare — Medicare: $292.53 Harvard Pilgrim HealthCare — Commercial: $549 Harvard Pilgrim HealthCare — Stride (Medicare): $292.53
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm	$950	$950	$278.15 – $927.45
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $278.15 Aetna — Medicare: $447.15 Blue Cross — Indemnity & PPO: $587.65 Blue Cross — Senior Plan: $447.15 Cigna — Commercial: $927.45 Cigna — Tufts Carelink: $927.45 Evercare SCO Dual — Medicare: $456.09 Fallon Community Care — Commercial: $547.56 Fallon Senior / Navicare — Medicare: $447.15 Harvard Pilgrim HealthCare — Stride (Medicare): $447.15
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Service Level 4	$950	$950	$950
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency dept visit mod mdm	$950	$950	$352.73 – $1,051.06
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Medicare: $447.15 Blue Cross — Indemnity & PPO: $587.65 Blue Cross — Senior Plan: $447.15 Cigna — Commercial: $927.45 Cigna — Tufts Carelink: $927.45 Evercare SCO Dual — Medicare: $456.09 Fallon Community Care — Commercial: $547.56 Fallon Senior / Navicare — Medicare: $447.15 Harvard Pilgrim HealthCare — Commercial: $549 Harvard Pilgrim HealthCare — Stride (Medicare): $447.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm	$1,296	$1,296	$352.73 – $927.45
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Medicare: $638.18 Blue Cross — Indemnity & PPO: $856.61 Blue Cross — Senior Plan: $638.18 Cigna — Commercial: $927.45 Cigna — Tufts Carelink: $927.45 Evercare SCO Dual — Medicare: $650.95 Fallon Community Care — Commercial: $737.10 Fallon Senior / Navicare — Medicare: $638.18 Harvard Pilgrim HealthCare — Stride (Medicare): $638.18 Senior Whole Health — Medicare: $638.18
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Service Level 5	$1,296	$1,296	$1,296
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 24 In the file: Emergency dept visit hi mdm	$1,296	$1,296	$352.73 – $927.45
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Medicare: $638.18 Blue Cross — Indemnity & PPO: $856.61 Blue Cross — Senior Plan: $638.18 Cigna — Commercial: $927.45 Cigna — Tufts Carelink: $927.45 Evercare SCO Dual — Medicare: $650.95 Fallon Community Care — Commercial: $737.10 Fallon Senior / Navicare — Medicare: $638.18 Harvard Pilgrim HealthCare — Commercial: $549 Harvard Pilgrim HealthCare — Stride (Medicare): $638.18

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic pnl total ca	$221	$221	$4 – $140.84
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Medicare: $8.46 Blue Cross — Indemnity & PPO: $25.75 Blue Cross — Senior Plan: $8.46 Cigna — Commercial: $140.84 Cigna — Tufts Carelink: $140.84 Evercare SCO Dual — Medicare: $8.63 Fallon Community Care — Commercial: $81.98 Fallon Senior / Navicare — Medicare: $8.46 Harvard Pilgrim HealthCare — Commercial: $25.47 Harvard Pilgrim HealthCare — Stride (Medicare): $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$221	$221	$221
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 91 In the file: Basic metabolic pnl total ca	$221	$221	$8.46 – $145
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $19.04 Aetna — Medicare: $8.46 Blue Cross — Indemnity & PPO: $25.75 Blue Cross — Senior Plan: $8.46 Cigna — Commercial: $140.84 Cigna — Tufts Carelink: $140.84 Evercare SCO Dual — Medicare: $8.63 Fallon Community Care — Commercial: $81.98 Fallon Senior / Navicare — Medicare: $8.46 Harvard Pilgrim HealthCare — Commercial: $25.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel	$365	$365	$10.56 – $175.85
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $23.76 Aetna — Medicare: $10.56 Blue Cross — Indemnity & PPO: $31.96 Blue Cross — Senior Plan: $10.56 Cigna — Commercial: $175.85 Cigna — Tufts Carelink: $175.85 Evercare SCO Dual — Medicare: $10.77 Fallon Community Care — Commercial: $102.36 Fallon Senior / Navicare — Medicare: $10.56 Harvard Pilgrim HealthCare — Commercial: $31.82
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$365	$365	$365
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 59 In the file: Comprehen metabolic panel	$365	$365	$10.56 – $175.85
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $23.76 Aetna — Medicare: $10.56 Blue Cross — Indemnity & PPO: $31.96 Blue Cross — Senior Plan: $10.56 Cigna — Commercial: $175.85 Cigna — Tufts Carelink: $175.85 Evercare SCO Dual — Medicare: $10.77 Fallon Community Care — Commercial: $102.36 Fallon Senior / Navicare — Medicare: $10.56 Harvard Pilgrim HealthCare — Commercial: $31.82
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel	$126	$126	$13.39 – $216.84
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $30.13 Aetna — Medicare: $13.39 Blue Cross — Indemnity & PPO: $40.84 Blue Cross — Senior Plan: $13.39 Cigna — Commercial: $216.84 Cigna — Tufts Carelink: $216.84 Evercare SCO Dual — Medicare: $13.66 Fallon Community Care — Commercial: $94.86 Fallon Senior / Navicare — Medicare: $13.39 Harvard Pilgrim HealthCare — Commercial: $40.33
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$126	$126	$126
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 59 In the file: Lipid panel	$126	$126	$13.39 – $216.84
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $30.13 Aetna — Medicare: $13.39 Blue Cross — Indemnity & PPO: $40.84 Blue Cross — Senior Plan: $13.39 Cigna — Commercial: $216.84 Cigna — Tufts Carelink: $216.84 Evercare SCO Dual — Medicare: $13.66 Fallon Community Care — Commercial: $94.86 Fallon Senior / Navicare — Medicare: $13.39 Harvard Pilgrim HealthCare — Commercial: $40.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel	$272	$272	$8.68 – $145
Kidney function panel: 10 of 16 insurance plan rates Aetna — Commercial: $19.53 Aetna — Medicare: $8.68 Blue Cross — Indemnity & PPO: $26.63 Blue Cross — Senior Plan: $8.68 Cigna — Commercial: $144.55 Cigna — Tufts Carelink: $144.55 Evercare SCO Dual — Medicare: $8.85 Fallon Community Care — Commercial: $84.08 Fallon Senior / Navicare — Medicare: $8.68 Harvard Pilgrim HealthCare — Commercial: $26.16
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$272	$272	$272
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel	$200	$200	$8.17 – $145
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $18.38 Aetna — Medicare: $8.17 Blue Cross — Indemnity & PPO: $24.86 Blue Cross — Senior Plan: $8.17 Cigna — Commercial: $135.97 Cigna — Tufts Carelink: $135.97 Evercare SCO Dual — Medicare: $8.33 Fallon Community Care — Commercial: $79.13 Fallon Senior / Navicare — Medicare: $8.17 Harvard Pilgrim HealthCare — Commercial: $22.16
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$200	$200	$200
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier 25 In the file: Hepatic function panel	$200	$200	$8.17 – $145
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $18.38 Aetna — Medicare: $8.17 Blue Cross — Indemnity & PPO: $24.86 Blue Cross — Senior Plan: $8.17 Cigna — Commercial: $135.97 Cigna — Tufts Carelink: $135.97 Evercare SCO Dual — Medicare: $8.33 Fallon Community Care — Commercial: $79.13 Fallon Senior / Navicare — Medicare: $8.17 Harvard Pilgrim HealthCare — Commercial: $22.16
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope	$54	$54	$3.17 – $145
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Commercial: $7.13 Aetna — Medicare: $3.17 Blue Cross — Indemnity & PPO: $9.77 Blue Cross — Senior Plan: $3.17 Cigna — Commercial: $52.72 Cigna — Tufts Carelink: $52.72 Evercare SCO Dual — Medicare: $3.23 Fallon Community Care — Commercial: $24.74 Fallon Senior / Navicare — Medicare: $3.17 Harvard Pilgrim HealthCare — Commercial: $8.59
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Micro	$300	$300	$300
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Routine	$54	$54	$54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope	$21	$21	$2.25 – $145
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $5.06 Aetna — Medicare: $2.25 Blue Cross — Indemnity & PPO: $7.10 Blue Cross — Senior Plan: $2.25 Cigna — Commercial: $37.46 Cigna — Tufts Carelink: $37.46 Evercare SCO Dual — Medicare: $2.30 Fallon Community Care — Commercial: $17.09 Fallon Senior / Navicare — Medicare: $2.25 Harvard Pilgrim HealthCare — Commercial: $6.76
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis	$21	$21	$21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 59 In the file: Urinalysis auto w/o scope	$21	$21	$2.25 – $145
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $5.06 Aetna — Medicare: $2.25 Blue Cross — Indemnity & PPO: $7.10 Blue Cross — Senior Plan: $2.25 Cigna — Commercial: $37.46 Cigna — Tufts Carelink: $37.46 Evercare SCO Dual — Medicare: $2.30 Fallon Community Care — Commercial: $17.09 Fallon Senior / Navicare — Medicare: $2.25 Harvard Pilgrim HealthCare — Commercial: $6.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total	$175	$175	$18.39 – $306.25
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Commercial: $41.38 Aetna — Medicare: $18.39 Blue Cross — Indemnity & PPO: $55.94 Blue Cross — Senior Plan: $18.39 Cigna — Commercial: $306.25 Cigna — Tufts Carelink: $306.25 Evercare SCO Dual — Medicare: $18.76 Fallon Community Care — Commercial: $140.57 Fallon Senior / Navicare — Medicare: $18.39 Harvard Pilgrim HealthCare — Commercial: $49.87
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostatic Specific Ag (Total)	$175	$175	$175
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa Screen	$85	$85	$85
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone	$187	$187	$16.80 – $279.78
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $37.80 Aetna — Medicare: $16.80 Blue Cross — Indemnity & PPO: $51.49 Blue Cross — Senior Plan: $16.80 Cigna — Commercial: $279.78 Cigna — Tufts Carelink: $279.78 Evercare SCO Dual — Medicare: $17.14 Fallon Community Care — Commercial: $152.32 Fallon Senior / Navicare — Medicare: $16.80 Harvard Pilgrim HealthCare — Commercial: $50.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Tsh	$187	$187	$187
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 91 In the file: Assay thyroid stim hormone	$187	$187	$16.80 – $279.78
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $37.80 Aetna — Medicare: $16.80 Blue Cross — Indemnity & PPO: $51.49 Blue Cross — Senior Plan: $16.80 Cigna — Commercial: $279.78 Cigna — Tufts Carelink: $279.78 Evercare SCO Dual — Medicare: $17.14 Fallon Community Care — Commercial: $152.32 Fallon Senior / Navicare — Medicare: $16.80 Harvard Pilgrim HealthCare — Commercial: $50.63
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc	$57	$57	$7.77 – $145
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Commercial: $17.48 Aetna — Medicare: $7.77 Blue Cross — Indemnity & PPO: $23.98 Blue Cross — Senior Plan: $7.77 Cigna — Commercial: $129.46 Cigna — Tufts Carelink: $129.46 Evercare SCO Dual — Medicare: $7.93 Fallon Community Care — Commercial: $45.06 Fallon Senior / Navicare — Medicare: $7.77 Harvard Pilgrim HealthCare — Commercial: $21.06
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc/Diff	$57	$57	$57
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated	$51	$51	$6.47 – $145
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $14.56 Aetna — Medicare: $6.47 Blue Cross — Indemnity & PPO: $19.53 Blue Cross — Senior Plan: $6.47 Cigna — Commercial: $107.69 Cigna — Tufts Carelink: $107.69 Evercare SCO Dual — Medicare: $6.60 Fallon Community Care — Commercial: $44.90 Fallon Senior / Navicare — Medicare: $6.47 Harvard Pilgrim HealthCare — Commercial: $17.52
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc	$51	$51	$51
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier 59 In the file: Complete cbc automated	$51	$51	$6.47 – $145
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $14.56 Aetna — Medicare: $6.47 Blue Cross — Indemnity & PPO: $19.53 Blue Cross — Senior Plan: $6.47 Cigna — Commercial: $107.69 Cigna — Tufts Carelink: $107.69 Evercare SCO Dual — Medicare: $6.60 Fallon Community Care — Commercial: $44.90 Fallon Senior / Navicare — Medicare: $6.47 Harvard Pilgrim HealthCare — Commercial: $17.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time	$59	$59	$4.29 – $145
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Commercial: $9.65 Aetna — Medicare: $4.29 Blue Cross — Indemnity & PPO: $11.55 Blue Cross — Senior Plan: $4.29 Cigna — Commercial: $65.40 Cigna — Tufts Carelink: $65.40 Evercare SCO Dual — Medicare: $4.38 Fallon Community Care — Commercial: $30.78 Fallon Senior / Navicare — Medicare: $4.29 Harvard Pilgrim HealthCare — Commercial: $11.83
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: P T	$59	$59	$59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 91 In the file: Prothrombin time	$59	$59	$4.29 – $145
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Commercial: $9.65 Aetna — Medicare: $4.29 Blue Cross — Indemnity & PPO: $11.55 Blue Cross — Senior Plan: $4.29 Cigna — Commercial: $65.40 Cigna — Tufts Carelink: $65.40 Evercare SCO Dual — Medicare: $4.38 Fallon Community Care — Commercial: $30.78 Fallon Senior / Navicare — Medicare: $4.29 Harvard Pilgrim HealthCare — Commercial: $11.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial	$55	$55	$6.01 – $145
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Commercial: $13.52 Aetna — Medicare: $6.01 Blue Cross — Indemnity & PPO: $18.65 Blue Cross — Senior Plan: $6.01 Cigna — Commercial: $99.84 Cigna — Tufts Carelink: $99.84 Evercare SCO Dual — Medicare: $6.13 Fallon Community Care — Commercial: $46.89 Fallon Senior / Navicare — Medicare: $6.01 Harvard Pilgrim HealthCare — Commercial: $16.27
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: P T T	$55	$55	$55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 59 In the file: Thromboplastin time partial	$55	$55	$6.01 – $145
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Commercial: $13.52 Aetna — Medicare: $6.01 Blue Cross — Indemnity & PPO: $18.65 Blue Cross — Senior Plan: $6.01 Cigna — Commercial: $99.84 Cigna — Tufts Carelink: $99.84 Evercare SCO Dual — Medicare: $6.13 Fallon Community Care — Commercial: $46.89 Fallon Senior / Navicare — Medicare: $6.01 Harvard Pilgrim HealthCare — Commercial: $16.27

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) In the file: Ct head/brain w/o dye	$1,927	$1,927	$112.03 – $5,380.12
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $180.14 Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $408.50 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $5,380.12 Cigna — Tufts Carelink: $5,380.12 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $1,065.17 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: C/T Head Or Brain W/O Contrast	$1,927	$1,927	$1,927
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 59 In the file: Ct head/brain w/o dye	$1,927	$1,927	$112.03 – $5,380.12
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,288 Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $408.50 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $5,380.12 Cigna — Tufts Carelink: $5,380.12 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $1,065.17 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye	$3,303	$3,303	$373.86 – $17,030.84
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,147 Aetna — Medicare: $373.86 Blue Cross — Indemnity & PPO: $1,401.06 Blue Cross — Senior Plan: $373.86 Cigna — Commercial: $17,030.84 Cigna — Tufts Carelink: $17,030.84 Evercare SCO Dual — Medicare: $381.34 Fallon Community Care — Commercial: $3,029.36 Fallon Senior / Navicare — Medicare: $373.86 Harvard Pilgrim HealthCare — Commercial: $941.55
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri Brain W/O And W/Contrast	$3,303	$3,303	$3,303
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views	$487	$487	$61.70 – $438
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $61.70 Aetna — Medicare: $93.26 Blue Cross — Indemnity & PPO: $110.42 Blue Cross — Senior Plan: $93.26 Evercare SCO Dual — Medicare: $95.12 Fallon Community Care — Commercial: $96.22 Fallon Senior / Navicare — Medicare: $93.26 Harvard Pilgrim HealthCare — Commercial: $152.01 Harvard Pilgrim HealthCare — Stride (Medicare): $93.26 Senior Whole Health — Medicare: $93.26
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Rad Exam Chest 2 Views	$487	$487	$487
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 59 In the file: X-ray exam chest 2 views	$487	$487	$61.70 – $438
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $61.70 Aetna — Medicare: $93.26 Blue Cross — Indemnity & PPO: $110.42 Blue Cross — Senior Plan: $93.26 Evercare SCO Dual — Medicare: $95.12 Fallon Community Care — Commercial: $96.22 Fallon Senior / Navicare — Medicare: $93.26 Harvard Pilgrim HealthCare — Commercial: $152.01 Harvard Pilgrim HealthCare — Stride (Medicare): $93.26 Senior Whole Health — Medicare: $93.26
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws	$731	$731	$109.24 – $2,195.70
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $109.24 Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $199.42 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $2,195.70 Cigna — Tufts Carelink: $2,195.70 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $206.63 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Lumbar With Obliq.	$731	$731	$731
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye	$2,988	$2,988	$255.69 – $10,491.49
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,147 Aetna — Medicare: $255.69 Blue Cross — Indemnity & PPO: $837.12 Blue Cross — Senior Plan: $255.69 Cigna — Commercial: $10,491.49 Cigna — Tufts Carelink: $10,491.49 Evercare SCO Dual — Medicare: $260.80 Fallon Community Care — Commercial: $2,802.95 Fallon Senior / Navicare — Medicare: $255.69 Harvard Pilgrim HealthCare — Commercial: $562.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri L.S. Spine W/O Contrast	$2,988	$2,988	$2,988
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye	$1,954	$1,954	$187.96 – $9,210.19
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,288 Aetna — Medicare: $187.96 Blue Cross — Indemnity & PPO: $732.47 Blue Cross — Senior Plan: $187.96 Cigna — Commercial: $9,210.19 Cigna — Tufts Carelink: $9,210.19 Evercare SCO Dual — Medicare: $191.72 Fallon Community Care — Commercial: $1,541.52 Fallon Senior / Navicare — Medicare: $187.96 Harvard Pilgrim HealthCare — Commercial: $492.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: C/T Pelvis W/Contrast	$1,954	$1,954	$1,954
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye	$2,703	$2,703	$255.69 – $10,491.49
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,147 Aetna — Medicare: $255.69 Blue Cross — Indemnity & PPO: $837.12 Blue Cross — Senior Plan: $255.69 Cigna — Commercial: $10,491.49 Cigna — Tufts Carelink: $10,491.49 Evercare SCO Dual — Medicare: $260.80 Fallon Community Care — Commercial: $2,524.75 Fallon Senior / Navicare — Medicare: $255.69 Harvard Pilgrim HealthCare — Commercial: $562.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: Mri Ankle Left Without Contr	$2,703	$2,703	$2,703
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: Mri Ankle Right Without Contr	$2,703	$2,703	$2,703
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelvis w/contrast	$2,759	$2,759	$373.86 – $14,957.57
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,288 Aetna — Medicare: $373.86 Blue Cross — Indemnity & PPO: $1,401.06 Blue Cross — Senior Plan: $373.86 Cigna — Commercial: $14,957.57 Cigna — Tufts Carelink: $14,957.57 Evercare SCO Dual — Medicare: $381.34 Fallon Community Care — Commercial: $1,259.82 Fallon Senior / Navicare — Medicare: $373.86 Harvard Pilgrim HealthCare — Commercial: $941.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct Abd&Pelv W/Contrast (Mcr)	$2,759	$2,759	$2,759
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 25 In the file: Ct abd & pelvis w/contrast	$2,759	$2,759	$373.86 – $14,957.57
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,288 Aetna — Medicare: $373.86 Blue Cross — Indemnity & PPO: $1,401.06 Blue Cross — Senior Plan: $373.86 Cigna — Commercial: $14,957.57 Cigna — Tufts Carelink: $14,957.57 Evercare SCO Dual — Medicare: $381.34 Fallon Community Care — Commercial: $1,259.82 Fallon Senior / Navicare — Medicare: $373.86 Harvard Pilgrim HealthCare — Commercial: $941.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete	$1,211	$1,211	$112.03 – $3,078.43
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $199.42 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $3,078.43 Cigna — Tufts Carelink: $3,078.43 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $444.81 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52 Harvard Pilgrim HealthCare — Stride (Medicare): $112.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Total Abdomen	$1,211	$1,211	$1,211
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 59 In the file: Us exam abdom complete	$1,211	$1,211	$112.03 – $3,078.43
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $199.42 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $3,078.43 Cigna — Tufts Carelink: $3,078.43 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $444.81 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52 Harvard Pilgrim HealthCare — Stride (Medicare): $112.03
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob	$508	$508	$112.03 – $3,078.43
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Medicare: $112.03 Blue Cross — Indemnity & PPO: $199.42 Blue Cross — Senior Plan: $112.03 Cigna — Commercial: $3,078.43 Cigna — Tufts Carelink: $3,078.43 Evercare SCO Dual — Medicare: $114.27 Fallon Community Care — Commercial: $344.34 Fallon Senior / Navicare — Medicare: $112.03 Harvard Pilgrim HealthCare — Commercial: $274.52 Harvard Pilgrim HealthCare — Stride (Medicare): $112.03
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal - Non Ob	$508	$508	$508
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni	$491	$491	$39.48 – $465.17
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Medicare: $39.48 Blue Cross — Indemnity & PPO: $259.63 Blue Cross — Senior Plan: $39.48 Evercare SCO Dual — Medicare: $40.27 Fallon Community Care — Commercial: $462.08 Fallon Senior / Navicare — Medicare: $39.48 Harvard Pilgrim HealthCare — Commercial: $229.51 Harvard Pilgrim HealthCare — Stride (Medicare): $39.48 Senior Whole Health — Medicare: $39.48 Tufts Health One Care — Medicare: $39.48
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammogram Diag Unil Tomo Lt	$491	$491	$491
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammogram Diag Unil Tomo Rt	$491	$491	$491
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi	$608	$608	$48.52 – $591.19
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Medicare: $48.52 Blue Cross — Indemnity & PPO: $332.27 Blue Cross — Senior Plan: $48.52 Evercare SCO Dual — Medicare: $49.49 Fallon Community Care — Commercial: $591.19 Fallon Senior / Navicare — Medicare: $48.52 Harvard Pilgrim HealthCare — Commercial: $293.70 Harvard Pilgrim HealthCare — Stride (Medicare): $48.52 Senior Whole Health — Medicare: $48.52 Tufts Health One Care — Medicare: $48.52
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammogram Diag Bi Digital	$608	$608	$608
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mamogram Diag Bilateral Combo	$608	$608	$608
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad	$518	$518	$36.52 – $490.75
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Medicare: $36.52 Blue Cross — Indemnity & PPO: $274.55 Blue Cross — Senior Plan: $36.52 Evercare SCO Dual — Medicare: $37.25 Fallon Community Care — Commercial: $488.38 Fallon Senior / Navicare — Medicare: $36.52 Harvard Pilgrim HealthCare — Commercial: $242.71 Harvard Pilgrim HealthCare — Stride (Medicare): $36.52 Senior Whole Health — Medicare: $36.52 Tufts Health One Care — Medicare: $36.52
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Screening Digital	$518	$518	$518
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Screening Combo	$518	$518	$518

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) In the file: Therapeutic exercises	$94	$94	$26.13 – $359.84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Medicare: $29.79 Blue Cross — Indemnity & PPO: $74.37 Blue Cross — Senior Plan: $29.79 Cigna — Commercial: $359.84 Cigna — Tufts Carelink: $359.84 Evercare SCO Dual — Medicare: $30.39 Fallon Community Care — Commercial: $42.12 Fallon Senior / Navicare — Medicare: $29.79 Harvard Pilgrim HealthCare — Commercial: $220.80 Harvard Pilgrim HealthCare — Stride (Medicare): $29.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier 59 In the file: Therapeutic exercises	$94	$94	$29.79 – $359.84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Medicare: $29.79 Blue Cross — Indemnity & PPO: $74.37 Blue Cross — Senior Plan: $29.79 Cigna — Commercial: $359.84 Cigna — Tufts Carelink: $359.84 Evercare SCO Dual — Medicare: $30.39 Fallon Community Care — Commercial: $42.12 Fallon Senior / Navicare — Medicare: $29.79 Harvard Pilgrim HealthCare — Commercial: $220.80 Harvard Pilgrim HealthCare — Stride (Medicare): $29.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP,GP In the file: Tp Exercise 15 Min	$94	$94	$94
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min	$454	$454	$99.73 – $289.82
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Medicare: $99.73 Blue Cross — Indemnity & PPO: $205.66 Blue Cross — Senior Plan: $99.73 Evercare SCO Dual — Medicare: $101.72 Fallon Community Care — Commercial: $289.82 Fallon Senior / Navicare — Medicare: $99.73 Harvard Pilgrim HealthCare — Commercial: $220.80 Harvard Pilgrim HealthCare — Stride (Medicare): $99.73 Senior Whole Health — Medicare: $99.73 Tufts Health One Care — Medicare: $99.73
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Low Compl Eval 15 Minutes	$308	$308	$308
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Low Compl Eval 30 Minutes	$324	$324	$324
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min	$475	$475	$76.57 – $305.66
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Medicare: $99.73 Blue Cross — Indemnity & PPO: $205.66 Blue Cross — Senior Plan: $99.73 Evercare SCO Dual — Medicare: $101.72 Fallon Community Care — Commercial: $289.82 Fallon Senior / Navicare — Medicare: $99.73 Harvard Pilgrim HealthCare — Commercial: $220.80 Harvard Pilgrim HealthCare — Stride (Medicare): $99.73 Senior Whole Health — Medicare: $99.73 Tufts Health One Care — Medicare: $99.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Moderate Comp Eval 15 Minutes	$329	$329	$329
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Moderate Compl Eval 30 Minutes	$346	$346	$346
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min	$621	$621	$99.73 – $428.19
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Medicare: $99.73 Blue Cross — Indemnity & PPO: $205.66 Blue Cross — Senior Plan: $99.73 Evercare SCO Dual — Medicare: $101.72 Fallon Community Care — Commercial: $289.82 Fallon Senior / Navicare — Medicare: $99.73 Harvard Pilgrim HealthCare — Commercial: $220.80 Harvard Pilgrim HealthCare — Stride (Medicare): $99.73 Senior Whole Health — Medicare: $99.73 Tufts Health One Care — Medicare: $99.73
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: High Compl Eval 120 Minutes	$589	$589	$589
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: High Compl Eval 15 Minutes	$351	$351	$351

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$2,716.60 – $6,006.55
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Aetna — Medicare: $4,195.85 Blue Cross — Indemnity & PPO: $4,592.11 Blue Cross — Senior Plan: $4,195.85 Cigna — Commercial: $5,056.90 Cigna — Tufts Carelink: $5,056.90 Evercare SCO Dual — Medicare: $4,279.77 Fallon Community Care — Commercial: $2,716.60 Fallon Senior / Navicare — Medicare: $4,195.85 Harvard Pilgrim HealthCare — Stride (Medicare): $4,195.85 Senior Whole Health — Medicare: $4,195.85
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,608.62 – $19,820.68
Total hip replacement: 10 of 15 insurance plan rates Aetna — Medicare: $13,758.17 Blue Cross — Indemnity & PPO: $14,480.17 Blue Cross — Senior Plan: $13,758.17 Evercare SCO Dual — Medicare: $14,033.33 Fallon Senior / Navicare — Medicare: $13,758.17 Harvard Pilgrim HealthCare — Commercial: $19,820.68 Harvard Pilgrim HealthCare — Stride (Medicare): $13,758.17 Senior Whole Health — Medicare: $13,758.17 Tufts Health One Care — Medicare: $13,758.17 Tufts Medicare Preferred — Medicare: $14,446.08
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,246.94 – $19,820.68
Total knee replacement: 10 of 15 insurance plan rates Aetna — Medicare: $13,758.17 Blue Cross — Indemnity & PPO: $17,471.25 Blue Cross — Senior Plan: $13,758.17 Evercare SCO Dual — Medicare: $14,033.33 Fallon Senior / Navicare — Medicare: $13,758.17 Harvard Pilgrim HealthCare — Commercial: $19,820.68 Harvard Pilgrim HealthCare — Stride (Medicare): $13,758.17 Senior Whole Health — Medicare: $13,758.17 Tufts Health One Care — Medicare: $13,758.17 Tufts Medicare Preferred — Medicare: $14,446.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$424.83 – $5,056.90
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Blue Cross — Indemnity & PPO: $424.83 Cigna — Commercial: $5,056.90 Cigna — Tufts Carelink: $5,056.90 Fallon Community Care — Commercial: $2,716.60 Aetna — Commercial: 80.4% (a percentage in the contract, not a dollar amount) Harvard Pilgrim HealthCare — Commercial: 53% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 81% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$950.71 – $6,218.49
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates Aetna — Medicare: $3,506.34 Blue Cross — Indemnity & PPO: $4,277.91 Blue Cross — Senior Plan: $3,506.34 Cigna — Commercial: $6,218.49 Cigna — Tufts Carelink: $6,218.49 Evercare SCO Dual — Medicare: $3,576.46 Fallon Community Care — Commercial: $3,355.80 Fallon Senior / Navicare — Medicare: $3,506.34 Harvard Pilgrim HealthCare — Stride (Medicare): $3,506.34 Senior Whole Health — Medicare: $3,506.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,012 – $9,632
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Aetna — Medicare: $6,343.80 Blue Cross — Indemnity & PPO: $7,214.65 Blue Cross — Senior Plan: $6,343.80 Cigna — Commercial: $5,056.90 Cigna — Tufts Carelink: $5,056.90 Evercare SCO Dual — Medicare: $6,470.68 Fallon Community Care — Commercial: $3,825.80 Fallon Senior / Navicare — Medicare: $6,343.80 Harvard Pilgrim HealthCare — Stride (Medicare): $6,343.80 Senior Whole Health — Medicare: $6,343.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 73 In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$3,825.80 – $9,436.89
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Aetna — Medicare: $6,343.80 Blue Cross — Indemnity & PPO: $7,214.65 Blue Cross — Senior Plan: $6,343.80 Cigna — Commercial: $5,056.90 Cigna — Tufts Carelink: $5,056.90 Evercare SCO Dual — Medicare: $6,470.68 Fallon Community Care — Commercial: $3,825.80 Fallon Senior / Navicare — Medicare: $6,343.80 Harvard Pilgrim HealthCare — Stride (Medicare): $6,343.80 Senior Whole Health — Medicare: $6,343.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$569.26 – $3,290.17
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare: $971.94 Blue Cross — Indemnity & PPO: $1,241.87 Blue Cross — Senior Plan: $971.94 Cigna — Commercial: $3,290.17 Cigna — Tufts Carelink: $3,290.17 Evercare SCO Dual — Medicare: $991.38 Fallon Community Care — Commercial: $1,771.90 Fallon Senior / Navicare — Medicare: $971.94 Harvard Pilgrim HealthCare — Stride (Medicare): $971.94 Senior Whole Health — Medicare: $971.94
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 52 In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$556.70 – $3,290.17
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare: $971.94 Blue Cross — Indemnity & PPO: $1,241.87 Blue Cross — Senior Plan: $971.94 Cigna — Commercial: $3,290.17 Cigna — Tufts Carelink: $3,290.17 Evercare SCO Dual — Medicare: $991.38 Fallon Community Care — Commercial: $1,771.90 Fallon Senior / Navicare — Medicare: $971.94 Harvard Pilgrim HealthCare — Stride (Medicare): $971.94 Senior Whole Health — Medicare: $971.94
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 59 In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$971.94 – $3,290.17
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare: $971.94 Blue Cross — Indemnity & PPO: $1,241.87 Blue Cross — Senior Plan: $971.94 Cigna — Commercial: $3,290.17 Cigna — Tufts Carelink: $3,290.17 Evercare SCO Dual — Medicare: $991.38 Fallon Community Care — Commercial: $1,771.90 Fallon Senior / Navicare — Medicare: $971.94 Harvard Pilgrim HealthCare — Stride (Medicare): $971.94 Senior Whole Health — Medicare: $971.94
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$556.70 – $4,409.20
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare: $971.94 Blue Cross — Indemnity & PPO: $1,241.87 Blue Cross — Senior Plan: $971.94 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $991.38 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $971.94 Harvard Pilgrim HealthCare — Stride (Medicare): $971.94 Senior Whole Health — Medicare: $971.94
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$971.94 – $4,409.20
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare: $971.94 Blue Cross — Indemnity & PPO: $1,241.87 Blue Cross — Senior Plan: $971.94 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $991.38 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $971.94 Harvard Pilgrim HealthCare — Stride (Medicare): $971.94 Senior Whole Health — Medicare: $971.94
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$732.46 – $4,409.20
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare: $996.56 Blue Cross — Indemnity & PPO: $1,214.70 Blue Cross — Senior Plan: $996.56 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $1,016.49 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $996.56 Harvard Pilgrim HealthCare — Stride (Medicare): $996.56 Senior Whole Health — Medicare: $996.56
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$700.11 – $4,409.20
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare: $1,282.34 Blue Cross — Indemnity & PPO: $1,597.76 Blue Cross — Senior Plan: $1,282.34 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $1,307.99 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $1,282.34 Harvard Pilgrim HealthCare — Stride (Medicare): $1,282.34 Senior Whole Health — Medicare: $1,282.34
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 59 In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$430.95 – $4,409.20
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare: $1,282.34 Blue Cross — Indemnity & PPO: $1,597.76 Blue Cross — Senior Plan: $1,282.34 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $1,307.99 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $1,282.34 Harvard Pilgrim HealthCare — Stride (Medicare): $1,282.34 Senior Whole Health — Medicare: $1,282.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$886 – $4,409.20
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Medicare: $1,282.34 Blue Cross — Indemnity & PPO: $1,597.76 Blue Cross — Senior Plan: $1,282.34 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $1,307.99 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $1,282.34 Harvard Pilgrim HealthCare — Stride (Medicare): $1,282.34 Senior Whole Health — Medicare: $1,282.34
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$886 – $4,409.20
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Medicare: $996.56 Blue Cross — Indemnity & PPO: $1,214.70 Blue Cross — Senior Plan: $996.56 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $1,016.49 Fallon Community Care — Commercial: $1,771.90 Fallon Senior / Navicare — Medicare: $996.56 Harvard Pilgrim HealthCare — Commercial: $1,817.53 Harvard Pilgrim HealthCare — Stride (Medicare): $996.56
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$1,249.18 – $13,451.11
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Aetna — Medicare: $6,478.50 Blue Cross — Indemnity & PPO: $7,494.51 Blue Cross — Senior Plan: $6,478.50 Cigna — Commercial: $13,451.11 Cigna — Tufts Carelink: $13,451.11 Evercare SCO Dual — Medicare: $6,608.07 Fallon Community Care — Commercial: $3,355.80 Fallon Senior / Navicare — Medicare: $6,478.50 Harvard Pilgrim HealthCare — Stride (Medicare): $6,478.50 Senior Whole Health — Medicare: $6,478.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,355.80 – $6,404
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — Medicare: $3,836.82 Blue Cross — Indemnity & PPO: $4,806.23 Blue Cross — Senior Plan: $3,836.82 Cigna — Commercial: $6,218.49 Cigna — Tufts Carelink: $6,218.49 Evercare SCO Dual — Medicare: $3,913.56 Fallon Community Care — Commercial: $3,355.80 Fallon Senior / Navicare — Medicare: $3,836.82 Harvard Pilgrim HealthCare — Stride (Medicare): $3,836.82 Senior Whole Health — Medicare: $3,836.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,355.80 – $7,422.79
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — Medicare: $5,755.24 Blue Cross — Indemnity & PPO: $4,806.23 Blue Cross — Senior Plan: $3,836.82 Cigna — Commercial: $6,218.49 Cigna — Tufts Carelink: $6,218.49 Evercare SCO Dual — Medicare: $3,913.56 Fallon Community Care — Commercial: $3,355.80 Fallon Senior / Navicare — Medicare: $3,836.82 Harvard Pilgrim HealthCare — Stride (Medicare): $3,836.82 Senior Whole Health — Medicare: $3,836.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$1,327.38 – $16,512.90
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates Aetna — Medicare: $11,391.13 Blue Cross — Indemnity & PPO: $12,624.38 Blue Cross — Senior Plan: $11,391.13 Evercare SCO Dual — Medicare: $11,618.95 Fallon Community Care — Commercial: $5,306.30 Fallon Senior / Navicare — Medicare: $11,391.13 Harvard Pilgrim HealthCare — Stride (Medicare): $11,391.13 Senior Whole Health — Medicare: $11,391.13 Tufts Health One Care — Medicare: $11,391.13 Tufts Medicare Preferred — Medicare: $11,960.68
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,012 – $5,454
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — Medicare: $3,468.96 Blue Cross — Indemnity & PPO: $3,850.56 Blue Cross — Senior Plan: $3,468.96 Cigna — Commercial: $5,056.90 Cigna — Tufts Carelink: $5,056.90 Evercare SCO Dual — Medicare: $3,538.34 Fallon Community Care — Commercial: $1,771.90 Fallon Senior / Navicare — Medicare: $3,468.96 Harvard Pilgrim HealthCare — Stride (Medicare): $3,468.96 Senior Whole Health — Medicare: $3,468.96
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$886 – $4,409.20
Carpal tunnel release: 10 of 16 insurance plan rates Aetna — Medicare: $2,092.58 Blue Cross — Indemnity & PPO: $2,660.47 Blue Cross — Senior Plan: $2,092.58 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $2,134.43 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $2,092.58 Harvard Pilgrim HealthCare — Stride (Medicare): $2,092.58 Senior Whole Health — Medicare: $2,092.58
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 74 In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,092.58 – $4,409.20
Carpal tunnel release: 10 of 16 insurance plan rates Aetna — Medicare: $2,092.58 Blue Cross — Indemnity & PPO: $2,660.47 Blue Cross — Senior Plan: $2,092.58 Cigna — Commercial: $4,409.20 Cigna — Tufts Carelink: $4,409.20 Evercare SCO Dual — Medicare: $2,134.43 Fallon Community Care — Commercial: $2,378.20 Fallon Senior / Navicare — Medicare: $2,092.58 Harvard Pilgrim HealthCare — Stride (Medicare): $2,092.58 Senior Whole Health — Medicare: $2,092.58

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	$85,619.07 – $92,083.22
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans Aetna — Medicare: $92,083.22 Blue Cross — Senior Plan: $87,698.30 Evercare SCO Dual — Medicare: $87,698.30 Fallon Senior / Navicare — Medicare: $87,698.30 Harvard Pilgrim HealthCare — Stride (Medicare): $87,698.30 Senior Whole Health — Medicare: $92,083.22 Tufts Health One Care — Medicare: $87,698.30 Tufts Medicare Preferred — Medicare: $92,083.22 Tufts Senior Care Options — Medicare: $87,698.30
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	$16,881.73 – $30,764.98
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Aetna — Medicare: $18,156.29 Blue Cross — Senior Plan: $17,291.70 Cigna — Commercial: $30,764.98 Cigna — Tufts Carelink: $30,764.98 Evercare SCO Dual — Medicare: $17,291.70 Fallon Senior / Navicare — Medicare: $17,291.70 Harvard Pilgrim HealthCare — Stride (Medicare): $17,291.70 Senior Whole Health — Medicare: $18,156.29 Tufts Health One Care — Medicare: $17,291.70 Tufts Medicare Preferred — Medicare: $18,156.29
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	$21,366.26 – $22,979.39
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans Aetna — Medicare: $22,979.39 Blue Cross — Senior Plan: $21,885.13 Evercare SCO Dual — Medicare: $21,885.13 Fallon Senior / Navicare — Medicare: $21,885.13 Harvard Pilgrim HealthCare — Stride (Medicare): $21,885.13 Senior Whole Health — Medicare: $22,979.39 Tufts Health One Care — Medicare: $21,885.13 Tufts Medicare Preferred — Medicare: $22,979.39 Tufts Senior Care Options — Medicare: $21,885.13
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	$10,858.61 – $11,678.42
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans Aetna — Medicare: $11,678.42 Blue Cross — Senior Plan: $11,122.30 Evercare SCO Dual — Medicare: $11,122.30 Fallon Senior / Navicare — Medicare: $11,122.30 Harvard Pilgrim HealthCare — Stride (Medicare): $11,122.30 Senior Whole Health — Medicare: $11,678.42 Tufts Health One Care — Medicare: $11,122.30 Tufts Medicare Preferred — Medicare: $11,678.42 Tufts Senior Care Options — Medicare: $11,122.30

Source: Milford Regional Medical Center’s standard charges file (d1477x5i4cdpk9.cloudfront.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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	14 Prospect Street, Milford, MA 01757
County	Worcester County
State	Massachusetts
Phone	(508) 473‑1190
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	220090
Name in Medicare records	MILFORD REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	ummhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Milford Regional Medical Center — ummhealth.org
Milford Regional | UMass Memorial Health — ummhealth.org
Patient Rights and Responsibilities Milford Regional | UMass Memorial Health — ummhealth.org
Milford Visitation | UMass Memorial Health — ummhealth.org
Milford Regional Medical Center Emergency Department | UMass Memorial Health — ummhealth.org
Emergency Care | UMass Memorial Health — ummhealth.org

Milford Regional Medical Center

Summary

Profile from official sources

At a glance