Does Newton-Wellesley Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Newton-Wellesley Hospital. In a medical emergency, call 911.

Where is Newton-Wellesley Hospital?

2014 Washington Street, Newton, MA 02462, in Middlesex County, Massachusetts.

What is the phone number of Newton-Wellesley Hospital?

(617) 243-6000, as listed by Medicare (CMS).

What is the Medicare star rating of Newton-Wellesley Hospital?

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

Newton-Wellesley Hospital — Newton, MA

Quick answers

Does Newton-Wellesley Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Newton-Wellesley Hospital. In a medical emergency, call 911.
Where is Newton-Wellesley Hospital?: 2014 Washington Street, Newton, MA 02462, in Middlesex County, Massachusetts.
What is the phone number of Newton-Wellesley Hospital?: (617) 243-6000, as listed by Medicare (CMS).
What is the Medicare star rating of Newton-Wellesley Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][7][8]

Programs and centers^[8][9]

Primary Stroke Services
Sleep Center
Nurse Residency (Transition-to-Practice) Program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	On-site lots and garage with pay stations. Free up to 20 min, validated max $10, valet weekdays 7 a.m.-6 p.m. ($12 flat)^[10]
Interpreters and languages	Interpreter services at no cost; Newton-Wellesley contact line 617-243-6698. Spoken and ASL interpreters offered across MGB hospitals^[6]
Patient portal	Patient Gateway

Recognition^[9]

Advanced Stroke Certification (The Joint Commission, 2025)
Health Care Equity Certification (The Joint Commission, 2025)
ANCC Practice Transition Accreditation Program: Accreditation with Distinction (Nurse Residency, 2024)

Doctors and clinicians (2,821)

2,821 doctors and other clinicians list Newton-Wellesley 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 Medicine485
Nurse Practitioner311
Diagnostic Radiology296
Physician Assistant259
Cardiovascular Disease (Cardiology)138
Family Practice98
Orthopedic Surgery87
Obstetrics/Gynecology73
Neurology69
Anesthesiology69
Hospitalist61
Hematology/Oncology59

And 2,797 more: the button below opens the full list.

Other emergency rooms nearby

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

Beth Israel Deaconess Hospital - Needham3.7 mi · Needham, MA · Acute Care Hospital
Boston Medical Center-Brighton5.3 mi · Brighton, MA · Acute Care Hospital
Brigham and Women Faulkner Hospital6.5 mi · Jamaica Plain, MA · Acute Care Hospital
Mount Auburn Hospital6.6 mi · Cambridge, MA · Acute Care Hospital
VA Boston Healthcare System - Jamaica Plain7.0 mi · Jamaica Plain, MA · Federal/VA Acute Care Hospital

Other hospitals nearby

McLean Hospital Corporation5.2 mi · Belmont, MA · Psychiatric Hospital
Bournewood Hospital5.5 mi · Brookline, MA · Psychiatric Hospital
Franciscan Children's Hospital & Rehab Center5.5 mi · Brighton, MA · Children's Hospital
Hebrew Rehabilitation Center6.3 mi · Boston, MA · Long-Term Acute Care 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

Care One at Newton0.1 mi · Newton, MA · 2 of 5 stars
Lasell House0.7 mi · Newton, MA · 5 of 5 stars
Elizabeth Seton1.6 mi · Wellesley, MA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Gentiva1.0 mi · Auburndale, MA · 5 of 5 stars
Brighton Hospice Massachusetts, LLC1.9 mi · Newton, MA
Hands and Hearts Hospice Corporation2.1 mi · Wellesley Hills, MA

All hospice providers in the state →

Home health agencies

At Home Senior Care, Inc2.3 mi · Newton, MA · 2 of 5 stars
Aveanna Healthcare2.3 mi · Needham, MA
Caretenders2.3 mi · Needham Heights, MA

All home health agencies in the state →

Dialysis facilities

Wellesley Dialysis2.1 mi · Wellesley, MA · 4 of 5 stars
Fresenius Kidney Care Wellesley3.6 mi · Wellesley, MA · 3 of 5 stars
The Dialysis Center at Waltham4.7 mi · Waltham, MA · 5 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.

Boston Endoscopy Center2.1 mi · Wellesley, MA
Boston Eye Surgery & Laser Ctr-West4.9 mi · Waltham, MA
Boston Ivf, Inc4.9 mi · Waltham, 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

Charles River Community Health at 43 Foundry Ave3.1 mi · Waltham, MA · Community health center
EMPath4.5 mi · Brighton, MA · Community health center
Element Care PACE - Chestnut Hill Ave/Brighton4.9 mi · Brighton, MA · Community health center

Clinics and urgent care

Mass General Brigham Urgent Care LLC2.3 mi · Newton, MA · Urgent care center
Patriot Urgent Care Professionals, PC2.3 mi · Needham, MA · Urgent care center
Golden Touch Enterprises3.7 mi · Needham, MA · Urgent care center

Pharmacies

Keyes Drug Inc1.0 mi · Auburndale, MA · Community/retail pharmacy
Atrius Health, Inc.2.1 mi · Wellesley, MA · Clinic pharmacy
CVS Pharmacy Inc2.1 mi · Wellesley, MA · 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 Newton-Wellesley 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	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	79%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	644Response 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)	0.676No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.062No different from the national benchmark
Surgical site infections after colon surgery	0.316No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.535No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.387Better 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	10.9%
Deaths within 30 days: heart failure patients	8.1%
Deaths within 30 days: pneumonia patients	11.9%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	8.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.67Better than the national rate
Complications after hip or knee replacement	3.3%

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	13.8%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	19.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.7%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	265 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)	41%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 54 common services exactly as Newton-Wellesley 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office Visit, New Patient	$357	$267.75	$141.78 – $260.61
New patient office visit (about 30–44 minutes): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $208.13 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $223.13
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Psych New Patient (99203) - Medium Level (16-45 Min)	$357	$267.75	$141.78 – $339.51
New patient office visit (about 30–44 minutes): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $208.13 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $223.13
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office Visit, New Patient	$748	$561	$145.39 – $546.04
New patient office visit (about 60–74 minutes): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $436.08 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $467.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Psych Est Patient (99213) - Medium Level (16-45 Min)	$228	$171	$101.35 – $216.83
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $132.92 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $144.55 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL GIC: $132.24 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $132.24 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL PPO: $138.85 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $142.50 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $166.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office Visit, Established Pat	$228	$171	$101.35 – $166.44
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $132.92 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL GIC: $132.24 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $132.24 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL PPO: $138.85 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $142.50 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $166.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office Visit, Established Pat	$287	$215.25	$79.30 – $344
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan CIGNA [1006] — HB CH CIGNA HMO / PPO: $170.19
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Preventive Med New 18-39 Yrs	$224	$168	$118.72 – $401.40
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $163.52
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Preventive Med New 18-39 Yrs	$224	$168	$79.30 – $175.73
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan CIGNA [1006] — HB CH CIGNA HMO / PPO: $132.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Preventive Med New 40-64 Yrs	$275	$206.25	$160.33
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $160.33
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Preventive Med New 40-64 Yrs	$275	$206.25	$79.30 – $215.74
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan CIGNA [1006] — HB CH CIGNA HMO / PPO: $163.08
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Department Visit Low Mdm	$1,244	$933	$312.38 – $908.12
Emergency room visit (moderate): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $725.25 MEDICARE [2001] — HB NWH MEDICARE: $328.79
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Emergency Department Visit Low Mdm\|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME	$1,244	$933	$322.25 – $552.96
Emergency room visit (moderate): rates for 1 insurance plan MEDICARE [2001] — HB NWH MEDICARE: $328.82
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Department Visit High Mdm	$3,369	$2,526.75	$592.29 – $2,459.37
Emergency room visit (high): rates for 5 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,964.13 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $803.10 MEDICARE [2001] — HB NWH MEDICARE: $779.71 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $764.11 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $713.46
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Department Visit High Mdm	$3,369	$2,526.75	$380.60 – $2,642.98
Emergency room visit (high): rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $2,642.98
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency Department Visit High Mdm\|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME	$3,369	$2,526.75	$1,997.82
Emergency room visit (high): rates for 1 insurance plan CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,997.82

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$98	$73.50	$8.29 – $93.10
Basic metabolic panel (blood test): rates for 7 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $57.13 CHAMPVA [160001] — HB NWH TRICARE: $93.10 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $51.94 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $71.54 TRICARE [160005] — HB NWH TRICARE: $93.10 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $43.56 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $43.56
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel	$98	$73.50	$8.73 – $76.88
Basic metabolic panel (blood test): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $58.11 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $58.11 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $76.88 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $76.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Basic Metabolic Panel	$98	$73.50	$54.88 – $69.19
Basic metabolic panel (blood test): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $54.88 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $69.19
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$120	$90	$10.35 – $114
Comprehensive metabolic panel (blood test): rates for 8 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $69.96 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $87.60 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $69.96 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $63.60 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $87.60 TRICARE [160005] — HB NWH TRICARE: $114 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $53.34 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $53.34
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$120	$90	$10.89 – $94.14
Comprehensive metabolic panel (blood test): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $71.16 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $71.16 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $94.14 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $94.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Comprehensive Metabolic Panel	$120	$90	$67.20 – $84.72
Comprehensive metabolic panel (blood test): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $67.20 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $84.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$109	$81.75	$13.12 – $103.55
Cholesterol panel (lipid panel): rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $63.55 CHAMPVA [160001] — HB NWH TRICARE: $103.55 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $79.57 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $63.55 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $79.57 TRICARE [160005] — HB NWH TRICARE: $103.55 TUFTS HEALTH PLAN [170001] — HB NWH TRICARE: $103.55 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $48.45 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $48.45
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel	$109	$81.75	$13.81 – $85.51
Cholesterol panel (lipid panel): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $64.64 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $64.64 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $85.51 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $85.51
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel	$109	$81.75	$61.04 – $76.95
Cholesterol panel (lipid panel): rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $76.95
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$109	$81.75	$8.51 – $103.55
Kidney function panel: rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $63.55 TRICARE [160005] — HB NWH TRICARE: $103.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$109	$81.75	$8.96 – $85.51
Kidney function panel: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $64.64 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $85.51
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$126	$94.50	$8.01 – $119.70
Liver function panel: rates for 4 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $73.46 TRICARE [160005] — HB NWH TRICARE: $119.70 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $56.01 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $56.01
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$126	$94.50	$8.43 – $98.85
Liver function panel: rates for 3 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $74.72 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $98.85 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $98.85
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hepatic Function Panel	$126	$94.50	$70.56 – $88.96
Liver function panel: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $70.56 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $88.96
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto W/Micro	$37	$27.75	$3.11 – $35.15
Urine test (automated, with microscope): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $21.57 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $27.01 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $27.01 TRICARE [160005] — HB NWH TRICARE: $35.15 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $16.45 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $16.45
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis Auto W/Micro	$37	$27.75	$3.27 – $29.03
Urine test (automated, with microscope): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $21.94 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $21.94 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $29.03 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $29.03
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Urinalysis Auto W/Micro	$37	$27.75	$20.72 – $26.12
Urine test (automated, with microscope): rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $26.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis Nonauto W/O Micro	$33	$24.75	$2.64 – $25.89
Urine test (manual, without microscope): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $19.57 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $25.89
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Auto W/O Micro	$31	$23.25	$2.21 – $29.45
Urine test (automated, without microscope): rates for 5 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $18.07 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $22.63 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $22.63 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $13.78 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $13.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Auto W/O Micro	$31	$23.25	$2.31 – $24.32
Urine test (automated, without microscope): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $18.38 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $24.32
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostatic Specific Antigen Total	$152	$114	$18.02 – $144.40
PSA (prostate specific antigen) blood test: rates for 5 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $88.62 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $110.96 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $110.96 TRICARE [160005] — HB NWH TRICARE: $144.40 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $67.56
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostatic Specific Antigen Total	$152	$114	$18.96 – $119.24
PSA (prostate specific antigen) blood test: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $90.14 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $119.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone (Tsh)	$197	$147.75	$16.46 – $187.15
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $114.85 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $143.81 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $114.85 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $143.81 TRICARE [160005] — HB NWH TRICARE: $187.15 TUFTS HEALTH PLAN [170001] — HB NWH TRICARE: $187.15 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $87.57 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $87.57
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone (Tsh)	$197	$147.75	$17.33 – $154.55
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $116.82 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $116.82 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $154.55 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $154.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Thyroid Stimulating Hormone (Tsh)	$197	$147.75	$110.32 – $139.08
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $139.08
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Blood Count Cbc Auto W/Auto Diff	$93	$69.75	$7.61 – $88.35
Complete blood count (CBC) with differential: rates for 7 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $54.22 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $67.89 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $49.29 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $67.89 TRICARE [160005] — HB NWH TRICARE: $88.35 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $41.34 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $41.34
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood Count Cbc Auto W/Auto Diff	$93	$69.75	$8.01 – $72.96
Complete blood count (CBC) with differential: rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $55.15 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $55.15 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $72.96 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $72.96
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Blood Count Cbc Auto W/Auto Diff	$93	$69.75	$52.08 – $65.66
Complete blood count (CBC) with differential: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $52.08 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $65.66
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Blood Count Cbc Auto W/O Diff	$75	$56.25	$6.34 – $71.25
Complete blood count (CBC), automated: rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $43.73 CHAMPVA [160001] — HB NWH TRICARE: $71.25 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $54.75 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $43.73 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $54.75 TRICARE [160005] — HB NWH TRICARE: $71.25 TUFTS HEALTH PLAN [170001] — HB NWH TRICARE: $71.25 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $33.34 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $33.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood Count Cbc Auto W/O Diff	$75	$56.25	$6.67 – $58.84
Complete blood count (CBC), automated: rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $44.48 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $44.48 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $58.84 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $58.84
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: Blood Count Cbc Auto W/O Diff	$75	$56.25	$42 – $52.95
Complete blood count (CBC), automated: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $42 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $52.95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time (Pt)	$35	$26.25	$4.20 – $33.25
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $20.41 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $25.55 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $18.55 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $25.55 TRICARE [160005] — HB NWH TRICARE: $33.25 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $15.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time (Pt)	$35	$26.25	$4.06 – $27.46
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $20.76 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $20.76 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $27.46 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $27.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Prothrombin Time (Pt)	$35	$26.25	$19.60 – $24.71
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $19.60 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $24.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Partial Thromboplastin Time (Ptt)	$61	$45.75	$6.20 – $47.85
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $36.17 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $36.17 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $47.85 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $47.85
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time (Ptt)	$61	$45.75	$5.89 – $57.95
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $35.56 TRICARE [160005] — HB NWH TRICARE: $57.95
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Partial Thromboplastin Time (Ptt)	$61	$45.75	$34.16 – $43.07
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $43.07

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head W/O Contrast	$1,475	$1,106.25	$112.51 – $1,076.75
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $126.27 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $112.51 MEDICARE [2001] — HB NWH MEDICARE: $126.27 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL GIC: $112.73 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $112.73 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $112.73 MOLINA [1014] — HB NWH MEDICARE: $126.27 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $1,076.75 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $123.75 TUFTS HEALTH PUBLIC PLANS [1013] — HB NWH TUFTS MEDICARE REPLACEMENT: $123.75
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head W/O Contrast	$1,475	$1,106.25	$112.51 – $737.50
CT scan of the head or brain, without contrast: rates for 5 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $340.56 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $340.56 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $112.51 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $112.51 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $524.22
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain W&W/O Cont	$5,488	$4,116	$385.88 – $4,006.24
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $424.07 FALLON HEALTH [1008] — HB NWH MEDICARE: $424.07 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $385.88 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $385.88 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $4,006.24 MEDICARE [2001] — HB NWH MEDICARE: $424.07 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL GIC: $426.52 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $426.52 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL PPO: $426.52 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $426.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W&W/O Cont	$5,488	$4,116	$385.88 – $2,744
MRI of the brain, before and after contrast: rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $1,168.07 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS INDEMNITY: $1,168.07 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $1,168.07 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $385.88 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $385.88 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $385.88 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,950.44
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Radiologic Exam Chest 2 Views	$392	$294	$99.34 – $305.41
Chest X-ray, 2 views: 10 of 16 insurance plan rates AETNA [1001] — HB CH AETNA HMO / PPO: $228.54 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $104.55 ELDER SERVICES [1037] — HB NWH MEDICARE: $104.55 FALLON HEALTH [1008] — HB NWH MEDICARE: $104.55 GENERIC MEDICARE REPLACEMENT [1010] — HB NWH MEDICARE: $104.55 HUMANA [1012] — HB NWH MEDICARE: $104.55 MEDICARE [2001] — HB NWH MEDICARE: $104.55 MOLINA [1014] — HB NWH MEDICARE: $104.55 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $286.16 TRICARE [160005] — HB NWH TRICARE: $99.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic Exam Chest 2 Views	$392	$294	$110.42 – $307.52
Chest X-ray, 2 views: rates for 3 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $232.46 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $307.52 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $307.52
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: Radiologic Exam Chest 2 Views	$392	$294	$219.52 – $276.75
Chest X-ray, 2 views: rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $276.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr L-Spine 4+ Views	$725	$543.75	$119.97 – $529.25
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $126.27 MEDICARE [2001] — HB NWH MEDICARE: $126.27 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $123.75 TUFTS HEALTH PUBLIC PLANS [1013] — HB NWH TUFTS MEDICARE REPLACEMENT: $123.75 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $123.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr L-Spine 4+ Views	$725	$543.75	$199.42 – $568.76
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $429.93 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $568.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-Spine W/O Cont	$3,723	$2,792.25	$225.91 – $2,717.79
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $287.03 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $230.56 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $230.56 MEDICARE [2001] — HB NWH MEDICARE: $287.03 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $225.91 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL PPO: $225.91 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $225.91 TRICARE [160005] — HB NWH TRICARE: $272.70 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $281.29 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $281.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-Spine W/O Cont	$3,723	$2,792.25	$230.56 – $1,861.50
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $697.91 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $697.91 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $230.56 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $230.56 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $230.56 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,323.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: MRI L-Spine W/O Cont\|REDUCED SERVICES	$3,723	$2,792.25	$272.70 – $1,168.28
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan MEDICARE [2001] — HB NWH MEDICARE: $307.41
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W/Contrast	$2,199	$1,649.25	$200.84 – $1,605.27
CT scan of the pelvis, with contrast: rates for 7 insurance plans HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $201.74 MEDICARE [2001] — HB NWH MEDICARE: $211.39 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $265.02 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $265.02 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $207.16 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $781.52 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $207.16
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W/Contrast	$2,199	$1,649.25	$201.74 – $1,099.50
CT scan of the pelvis, with contrast: rates for 4 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $610.66 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $610.66 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $201.74 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $781.52
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lwr Ext Joint W/O Cont	$4,049	$3,036.75	$230.56 – $2,024.50
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $697.91 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $230.56 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,439.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Lwr Ext Joint W/O Cont	$4,049	$3,036.75	$225.91 – $2,955.77
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $230.56 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $281.29
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen & Pevis With Contrast	$2,339	$1,754.25	$265.02 – $1,730.92
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $424.07 FALLON HEALTH [1008] — HB NWH MEDICARE: $424.07 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $385.88 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $385.88 HUMANA [1012] — HB NWH MEDICARE: $424.07 MEDICARE [2001] — HB NWH MEDICARE: $424.07 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL GIC: $265.02 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL HMO: $265.02 MGB HEALTH PLAN [150001] — HB NWH MGBHP COMMERCIAL PPO: $265.02 MGB HEALTH PLAN [150001] — HB NWH MGBHP EMPLOYEE PPO: $265.02
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abdomen & Pevis With Contrast	$2,339	$1,754.25	$385.88 – $1,604.27
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $385.88 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $385.88 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $385.88 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $831.28 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $831.28 UNITED HEALTHCARE ALTERNATE [1020] — HB CH HPHC PPO / PREFERRED A: $385.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT Abdomen & Pevis With Contrast	$2,339	$1,754.25	$1,309.84 – $1,651.33
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,363.64 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,651.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Cmpl	$826	$619.50	$112.51 – $602.98
Ultrasound of the abdomen, complete: rates for 9 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $126.27 FALLON HEALTH [1008] — HB NWH MEDICARE: $126.27 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $112.51 HUMANA [1012] — HB NWH MEDICARE: $126.27 MEDICARE [2001] — HB NWH MEDICARE: $126.27 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $123.75 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $123.75 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $367.16
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Cmpl	$826	$619.50	$112.51 – $648
Ultrasound of the abdomen, complete: rates for 8 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $199.42 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $199.42 CIGNA [1006] — HB CH CIGNA HMO / PPO: $489.82 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $112.51 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $112.51 UNITED HEALTHCARE [1016] — HB CH HPHC PPO / PREFERRED A: $112.51 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $648
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Pregnancy >14 Weeks Single	$877	$657.75	$112.51 – $688.01
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $199.42 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $199.42 CIGNA [1006] — HB CH CIGNA HMO / PPO: $520.06 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $112.51 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $112.51 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $688.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Pregnancy >14 Weeks Single	$877	$657.75	$112.51 – $640.21
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $511.29 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $112.51
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal	$574	$430.50	$112.51 – $419.02
Transvaginal ultrasound: 10 of 15 insurance plan rates AETNA [1001] — HB CH AETNA HMO / PPO: $334.64 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $126.27 CHAMPVA [160001] — HB NWH TRICARE: $119.97 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED A: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $112.51 MEDICARE [2001] — HB NWH MEDICARE: $126.27 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $419.02 TRICARE [160005] — HB NWH TRICARE: $119.97 TUFTS HEALTH PLAN [170001] — HB NWH TRICARE: $119.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal	$574	$430.50	$112.51 – $450.30
Transvaginal ultrasound: rates for 9 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $199.42 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $199.42 CIGNA [1006] — HB CH CIGNA HMO / PPO: $340.38 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $112.51 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $112.51 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $112.51 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $450.30 UNITED HEALTHCARE [1016] — HB CH HPHC PPO / PREFERRED A: $112.51 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $450.30
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic Mammography 2d Digital (Incl. Cad)	$550	$412.50	$214.46 – $463.87
Diagnostic mammogram, one breast: rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $326.15 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $431.48
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Diagnostic Mammography 2d Digital (Incl. Cad)	$550	$412.50	$99.60 – $522.50
Diagnostic mammogram, one breast: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $320.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic Mammo Bilat 2d Digital (Incl. Cad)	$678	$508.50	$274.44 – $581.21
Diagnostic mammogram, both breasts: rates for 5 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $402.05 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $531.89 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $301.37 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $531.89 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $301.37
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Diagnostic Mammo Bilat 2d Digital (Incl. Cad)	$678	$508.50	$126.92 – $644.10
Diagnostic mammogram, both breasts: rates for 3 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $395.27 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $494.94 TRICARE [160005] — HB NWH TRICARE: $644.10
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Screen Bilat Digital (Incl. Cad)	$575	$431.25	$105.01 – $546.25
Screening mammogram, both breasts: rates for 8 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $335.23 HEALTH NEW ENGLAND [1034] — HB CH CLARITEV (PRIMARY PPO): $419.75 INTERNATIONAL COMMERCIAL [140001] — HB CH GMMI INTERNATIONAL: $304.75 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $419.75 TRICARE [160005] — HB NWH TRICARE: $546.25 TUFTS HEALTH PLAN [170001] — HB NWH TRICARE: $546.25 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $255.59 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $255.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammogram Screen Bilat Digital (Incl. Cad)	$575	$431.25	$226.79 – $524.54
Screening mammogram, both breasts: rates for 5 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $274.55 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS INDEMNITY: $274.55 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $274.55 CIGNA [1006] — HB CH CIGNA HMO / PPO: $340.98 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $451.09

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Ot Exercise Therapeutic 15 Min	$173	$129.75	$31.47 – $364.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $100.86 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $100.86 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $91.69 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $126.29 TRICARE [160005] — HB NWH TRICARE: $164.35 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $31.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Pt Exercise Therapeutic 15 Min	$173	$129.75	$31.47 – $364.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $100.86 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $100.86 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $91.69 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $126.29 TRICARE [160005] — HB NWH TRICARE: $164.35 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $31.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Ot Exercise Therapeutic 15 Min	$173	$129.75	$86.50 – $232
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $102.59 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $135.72
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Physical Therapy Evaluation, Low Complexity	$452	$339	$107.02 – $429.40
Physical therapy evaluation (low complexity): rates for 6 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $263.52 INTERNATIONAL COMMERCIAL [140001] — HB CH ONE TEAM HEALTH INTERNATIONAL: $239.56 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $329.96 TRICARE [160005] — HB NWH TRICARE: $429.40 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $107.02 WELLPOINT [1015] — HB CH WELLPOINT: $352.15
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical Therapy Evaluation, Low Complexity	$452	$339	$208.25 – $408.37
Physical therapy evaluation (low complexity): rates for 3 insurance plans CIGNA [1006] — HB CH CIGNA HMO / PPO: $268.04 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $268.04 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $354.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Physical Therapy Evaluation, Moderate Complexity	$452	$339	$107.02 – $429.40
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $263.52 TRICARE [160005] — HB NWH TRICARE: $429.40 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $107.02 WELLPOINT [1015] — HB CH WELLPOINT: $352.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical Therapy Evaluation, Moderate Complexity	$452	$339	$208.25 – $408.37
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA [1006] — HB CH CIGNA HMO / PPO: $268.04
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Physical Therapy Evaluation, High Complexity	$452	$339	$107.02 – $429.40
Physical therapy evaluation (high complexity): rates for 3 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $263.52 TRICARE [160005] — HB NWH TRICARE: $429.40 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $107.02
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical Therapy Evaluation, High Complexity	$452	$339	$208.25 – $408.37
Physical therapy evaluation (high complexity): rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $354.59
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC Psych W/Patient 45 Minutes	$386	$289.50	$204.58 – $422.13
Psychotherapy, 45 minutes: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $225.04
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Hcpr Psych W/Patient 45 Minutes	$401	$300.75	$212.53 – $422.13
Psychotherapy, 45 minutes: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $233.78
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Psych W/Patient 60 Minutes	$454	$340.50	$240.62 – $431.75
Psychotherapy, 60 minutes: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $264.68
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC Psych W/Patient 60 Minutes	$454	$340.50	$122.71 – $380.60
Psychotherapy, 60 minutes: rates for 1 insurance plan HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $274.67
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Hcpr Psych W/Patient 60 Minutes	$593	$444.75	$314.29 – $563.35
Psychotherapy, 60 minutes: rates for 1 insurance plan AETNA [1001] — HB CH AETNA HMO / PPO: $345.72

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Egd Flex Dx W/Brushing/Washing	$2,108	$1,581	$761.55 – $1,538.84
Upper GI endoscopy (diagnostic): rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,228.96 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,146.70 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,113.30 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $761.55 HUMANA [1012] — HB NWH MEDICARE: $1,113.30 MEDICARE [2001] — HB NWH MEDICARE: $1,113.30 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,091.03 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,091.03 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $937.01
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd Flex Dx W/Brushing/Washing	$2,108	$1,581	$761.55 – $1,873.90
Upper GI endoscopy (diagnostic): rates for 6 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $870.88 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $870.88 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,250.04 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $761.55 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $761.55 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,653.73
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Egd Flex Transoral W/Biopsy	$2,248	$1,686	$761.55 – $1,641.04
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates AETNA [1001] — HB CH AETNA HMO / PPO: $1,310.58 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,146.70 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,113.30 FALLON HEALTH [1008] — HB NWH MEDICARE: $1,113.30 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $761.55 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $761.55 INTERNATIONAL COMMERCIAL [140001] — HB CH AETNA HMO / PPO: $1,310.58 MEDICARE [2001] — HB NWH MEDICARE: $1,113.30 MOLINA [1014] — HB NWH MEDICARE: $1,113.30 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,091.03
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Flex Transoral W/Biopsy	$2,248	$1,686	$761.55 – $1,873.90
Upper GI endoscopy with biopsy: rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $870.88 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $870.88 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,333.06 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $761.55 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $761.55 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $761.55 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,763.56
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Colonoscopy Flexible	$3,629	$2,721.75	$744.89 – $2,649.17
Colonoscopy (diagnostic): rates for 10 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $2,115.71 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,115.08 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,082.60 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $744.89 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $744.89 MEDICARE [2001] — HB NWH MEDICARE: $1,082.60 TRICARE [160005] — HB NWH TRICARE: $1,028.57 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,060.95 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,060.95 UNITED HEALTHCARE ALTERNATE [1020] — HB CH HPHC ALLIANCE PPO PREFERRED B: $744.89
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,629	$2,721.75	$744.89 – $2,649.17
Colonoscopy (diagnostic): rates for 10 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $2,115.71 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,115.08 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,082.60 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $744.89 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $744.89 MEDICARE [2001] — HB NWH MEDICARE: $1,082.60 TRICARE [160005] — HB NWH TRICARE: $1,028.57 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,060.95 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,060.95 UNITED HEALTHCARE ALTERNATE [1020] — HB CH HPHC ALLIANCE PPO PREFERRED B: $744.89
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flexible	$3,629	$2,721.75	$744.89 – $2,846.95
Colonoscopy (diagnostic): rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $851.82 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $851.82 CIGNA [1006] — HB CH CIGNA HMO / PPO: $2,152 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $744.89 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $744.89 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC PPO / PREFERRED A: $744.89 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $2,846.95
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Colonoscopy W/Biopsy Single/Multiple	$2,353	$1,764.75	$979.79 – $1,919.74
Colonoscopy with biopsy: 10 of 11 insurance plan rates AETNA [1001] — HB CH AETNA HMO / PPO: $1,371.80 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,442.09 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,400.09 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $979.79 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $979.79 HUMANA [1012] — HB NWH MEDICARE: $1,400.09 MEDICARE [2001] — HB NWH MEDICARE: $1,400.09 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $1,717.69 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,372.09 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $1,045.91
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple	$2,353	$1,764.75	$979.79 – $1,873.90
Colonoscopy with biopsy: rates for 8 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $1,120.45 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $1,120.45 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,395.33 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $979.79 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $979.79 INTERNATIONAL COMMERCIAL [140001] — HB CH CIGNA HMO / PPO: $1,395.33 UNITED HEALTHCARE [1016] — HB CH HPHC PPO / PREFERRED A: $979.79 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,845.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Colonoscopy Flex W/Rem Tumor Snare	$2,538	$1,903.50	$979.79 – $1,919.74
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,479.65 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,442.09 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,400.09 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $979.79 MEDICARE [2001] — HB NWH MEDICARE: $1,400.09 MOLINA [1014] — HB NWH MEDICARE: $1,400.09 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $1,852.74 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,372.09 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,372.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,538	$1,903.50	$979.79 – $1,919.74
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,479.65 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,442.09 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,400.09 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $979.79 MEDICARE [2001] — HB NWH MEDICARE: $1,400.09 MOLINA [1014] — HB NWH MEDICARE: $1,400.09 PHCS MULTIPLAN [1022] — HB CH CLARITEV (PRIMARY PPO): $1,852.74 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,372.09 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,372.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy Flex W/Rem Tumor Snare	$2,538	$1,903.50	$979.79 – $1,991.06
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $1,120.45 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS INDEMNITY: $1,120.45 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $1,120.45 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,505.03 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $979.79 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $979.79 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,991.06
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon Cancer Scr Non-Hr	$2,477	$1,857.75	$744.89 – $1,808.21
Screening colonoscopy (not high risk): rates for 7 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,444.09 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $1,115.08 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $1,082.60 HUMANA [1012] — HB NWH MEDICARE: $1,082.60 MEDICARE [2001] — HB NWH MEDICARE: $1,082.60 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $1,060.95 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,060.95
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Cancer Scr Non-Hr	$2,477	$1,857.75	$744.89 – $1,943.21
Screening colonoscopy (not high risk): rates for 7 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $851.82 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS INDEMNITY: $851.82 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $851.82 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,468.86 INTERNATIONAL COMMERCIAL [140001] — HB CH UNITED HMO / PPO / INDEMNITY: $1,943.21 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $1,101.03 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,943.21
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy Biopsy Endometrium	$5,930	$4,447.50	$2,125.14 – $4,626.56
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $3,457.19 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $3,888.77 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $3,775.50 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED B: $2,125.14 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $2,125.14 MEDICARE [2001] — HB NWH MEDICARE: $3,775.50 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $3,699.99 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $3,699.99 UNITED HEALTHCARE ALTERNATE [1020] — HB CH HPHC ALLIANCE PPO PREFERRED B: $2,125.14
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy Endometrium	$5,930	$4,447.50	$2,125.14 – $4,652.09
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $2,700.25 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $2,700.25 CIGNA [1006] — HB CH CIGNA HMO / PPO: $3,516.49 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $2,125.14 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $2,125.14 UNITED HEALTHCARE [1016] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $2,635.89 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $4,652.09 UNITED HEALTHCARE ALTERNATE [1020] — HB AMC CH UNITED NEW BUSINESS DISCOUNT: $2,635.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,833	$1,374.75	$598.81 – $1,627.62
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,068.64 AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $847 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $822.33 ELDER SERVICES [1037] — HB NWH MEDICARE: $822.33 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO NON PREFERRED A: $598.81 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $598.81 MEDICARE [2001] — HB NWH MEDICARE: $822.33 MOLINA [1014] — HB NWH MEDICARE: $822.33 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $805.88 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $805.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,833	$1,374.75	$598.81 – $1,873.90
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $684.77 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $684.77 CIGNA [1006] — HB CH CIGNA HMO / PPO: $1,086.97 HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $598.81 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $598.81 UNITED HEALTHCARE [1016] — HB CH UNITED HMO / PPO / INDEMNITY: $1,437.99
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,760	$1,320	$764.84 – $1,627.62
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans AETNA [1001] — HB CH AETNA HMO / PPO: $1,026.08 HARVARD PILGRIM ALTERNATE [120002] — HB CH HPHC ALLIANCE PPO PREFERRED B: $764.84 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $1,036.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,760	$1,320	$764.84 – $1,873.90
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans HARVARD PILGRIM [120001] — HB CH HPHC HMO / POS: $764.84 HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $764.84
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level\|BILATERAL PROCEDURE	$1,760	$1,320	$1,311.96 – $3,485.45
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS HMO: $1,311.96 BLUE CROSS BLUE SHIELD [110001] — HB CH BLUE CROSS PPO: $1,311.96
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$4,905	$3,678.75	$1,468.33 – $3,821.49
Carpal tunnel release: rates for 1 insurance plan UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $2,272.42
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$4,905	$3,678.75	$1,468.33 – $4,472.66
Carpal tunnel release: rates for 1 insurance plan HARVARD PILGRIM [120001] — HB CH HPHC PPO / PREFERRED A: $1,468.33

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$46,890.49	$35,167.87	$16,377.61 – $18,645.71
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans AETNA [1001] — HB NWH AETNA MEDICARE REPLACEMENT: $17,213.21 BLUE CROSS BLUE SHIELD [110001] — HB NWH MEDICARE: $18,375.10 ELDER SERVICES [1037] — HB NWH MEDICARE: $18,375.10 FALLON HEALTH [1008] — HB NWH MEDICARE: $18,375.10 MEDICARE [2001] — HB NWH MEDICARE: $18,375.10 TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $16,377.61 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $16,377.61
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion Without Cc/McC	$47,829.22	$35,871.91	$20,728.21 – $23,411.22
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans MEDICARE [2001] — HB NWH MEDICARE: $23,256.31 UNITED HEALTHCARE [1016] — HB NWH UNITED MEDICARE REPLACEMENT: $20,728.21
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	$56,351.84	$42,263.88	$10,534.35 – $11,853.94
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan TUFTS HEALTH PLAN [170001] — HB NWH TUFTS MEDICARE REPLACEMENT: $10,534.35

Source: Newton-Wellesley Hospital’s standard charges file (massgeneralbrigham.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 27, 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	2014 Washington Street, Newton, MA 02462
County	Middlesex County
State	Massachusetts
Phone	(617) 243‑6000
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	220101
Name in Medicare records	NEWTON-WELLESLEY HOSPITAL
Profile level	Medicare data + hospital website
Official website	massgeneralbrigham.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 Geocoder — map position used for distances

From the hospital’s website

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

Newton-Wellesley Hospital | Mass General Brigham — massgeneralbrigham.org
About Newton-Wellesley Hospital | Mass General Brigham — massgeneralbrigham.org
Language Access Services at Mass General Brigham — massgeneralbrigham.org
Newton-Wellesley Hospital Emergency Department | Mass General Brigham — massgeneralbrigham.org
Mass General Brigham Neuroscience Institute at Newton-Wellesley Hospital | Mass General Brigham — massgeneralbrigham.org
Newton-Wellesley Hospital Nursing | Mass General Brigham — massgeneralbrigham.org
Getting Here and Parking | Mass General Brigham — massgeneralbrigham.org

Newton-Wellesley Hospital

Summary

Profile from official sources

At a glance