Does Saint Anne's Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Saint Anne's Hospital. In a medical emergency, call 911.

Where is Saint Anne's Hospital?

795 Middle Street, Fall River, MA 02721, in Bristol County, Massachusetts.

What is the phone number of Saint Anne's Hospital?

(508) 674-5600, as listed by Medicare (CMS).

What is the Medicare star rating of Saint Anne's Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Saint Anne's Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Saint Anne's Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2349; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Saint Anne's Hospital — Phone, Address & ER

Quick answers

Does Saint Anne's Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Saint Anne's Hospital. In a medical emergency, call 911.
Where is Saint Anne's Hospital?: 795 Middle Street, Fall River, MA 02721, in Bristol County, Massachusetts.
What is the phone number of Saint Anne's Hospital?: (508) 674-5600, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Anne's Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Saint Anne's Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Saint Anne's Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2349; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

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

Medical oncology
Hematology
Radiation oncology
Orthopedics
Cardiology
Geriatric psychiatry
Pain management
Pulmonology

Conditions treated^[4]

Cancer
Heart conditions
Cardiovascular disease
Circulatory problems

Treatments^[4][7]

Knee replacement
Hip replacement
Spine surgery
Bariatric surgery
Robotic surgery
Radiation therapy

Procedures^[4][8]

Spine surgery
Bariatric surgery
Day surgery
X-ray
CT scan
MRI
PET/CT
Nuclear medicine
Ultrasound
Cardiology testing

Programs and centers^{[5][6][7][8][9][11][12]}

Regional Cancer Center
Robert F. Stoico/FIRSTFED Center for Breast Care
Wound Care Center
Pain management center
Multidisciplinary spine center
Inpatient geriatric psychiatry
Behavioral health units
Hospitalist program
Telehealth ICU monitoring (Hicuity)
Interpreter Services
Health Insurance Enrollment and Outreach Program

Emergency care (hospital website)^[7][8]

Emergency room	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	No set visiting hours; quiet hours begin at 8 p.m. Visitors should be respectful of patients and staff^[9][11]
Parking	Free weekday valet at main entrance; limited patient lot and metered street parking; reserved ER parking in Medical Office Building lot^[8][10]
Interpreters and languages	Interpreter services offered^[4]

Recognition^[7]

Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Comprehensive Center 2026
The Joint Commission Advanced Certification for Knee and Hip Replacement
The Joint Commission Certification for Spine Surgery
The Joint Commission Gold Seal of Approval for Health Care Equity
Commission on Cancer accreditation (Regional Cancer Center)
Get With The Guidelines-Stroke Gold Plus with Target: Type 2 Diabetes Honor Roll 2026
U.S. News high performing, Hip Replacement 2026
U.S. News high performing, Back Surgery Spinal Fusion, COPD, Diabetes, Kidney Failure 2026
Newsweek one of the world's best hospitals 2026

Doctors and clinicians (589)

589 doctors and other clinicians list Saint Anne's 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

Doctors with a page on this site (589)

Aamir Ahmad, MDDiagnostic Radiology
Abdessamad El Adnani, NPNurse Practitioner
Abigail Lawrence, CNACertified Registered Nurse Anesthetist (CRNA)
Achilles R. Alcaraz, MDFamily Practice
Adam AbboudPodiatry
Adam Klipfel, MDColorectal Surgery (Proctology)
Adeel Abbasi, MDEmergency Medicine
Aileen Souza, MDFamily Practice
Ajay K. Singh, MDDiagnostic Radiology
Ajit Mirani, MDPhysical Medicine and Rehabilitation
Aju Daniel, MDInfectious Disease
Alaa KubbarEndocrinology
Albert Lin, MDCardiovascular Disease (Cardiology)
Alejandro Lorenzana, MDPulmonary Disease
Alexandra K. Retana, MDGastroenterology
Alfredo F. Xavier, MDGeneral Surgery
Ali Amin, MDPathology
Alice H. Shen, MDObstetrics/Gynecology
Alison S. Bean, PAPhysician Assistant
Allan Parrelli, PAPhysician Assistant
Almuhannad IdrisInternal Medicine
Alvin Marcovici, MDNeurosurgery
Alyson L. Mandel, NPNurse Practitioner
Amanda R. Howland, MDDermatology

And 565 more: the button below opens the full list.

Other emergency rooms nearby

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

Southcoast Hospitals Group1.5 mi · Fall River, MA · Acute Care Hospital
Emma Pendleton Bradley Hospital12 mi · East Providence, RI · Psychiatric Hospital
Brown University Health Morton Hospital15 mi · Taunton, MA · Acute Care Hospital
Women & Infants Hospital of Rhode Island15 mi · Providence, RI · Acute Care Hospital
Newport Hospital15 mi · Newport, RI · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Fall River

Dr John C Corrigan Mental Health Center1.4 mi · Fall River, MA · Psychiatric Hospital
Southcoast Behavioral Health9.1 mi · Dartmouth, MA · Psychiatric Hospital
Vibra Hospital of Southeastern Massachusetts12 mi · New Bedford, MA · Long-Term Acute Care Hospital
Taunton State Hospital15 mi · Taunton, MA · Psychiatric Hospital

All hospitals in Fall River · Hospitals in Bristol County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Mill Brook Rehabilitation and Healthcare Center1.4 mi · Fall River, MA · 3 of 5 stars
Fall River Jewish Home1.4 mi · Fall River, MA · 3 of 5 stars
The Grove at Carvalho1.7 mi · Fall River, MA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Accentcare Hospice of Massachusetts1.6 mi · Fall River, MA
Bristol Hospice LLC1.6 mi · Fall River, MA
Continuum Care of Mass, LLC1.6 mi · Fall River, MA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Accentcare Home Health of Massachusetts1.6 mi · Fall River, MA · 3.5 of 5 stars
Centerwell Home Health1.6 mi · Fall River, MA · 4.5 of 5 stars
Fall River Home Health Services3.6 mi · Fall River, MA

All home health agencies in the state →

Dialysis facilities

Fall River Kidney Center LLC3.6 mi · Fall River, MA · 5 of 5 stars
Dialysis Center of Tiverton6.0 mi · Tiverton, RI · 4 of 5 stars
DaVita New Bedford Dialysis8.1 mi · North Dartmouth, MA · 4 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.

Same Day Surgiclinic3.6 mi · Fall River, MA
East Bay Surgery Center5.2 mi · Swansea, MA
Advanced Eye Surgery Center, LLC8.1 mi · North Dartmouth, 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

SSTAR's South End Services0.2 mi · Fall River, MA · Community health center
HealthFirst Family Care Center Inc.1.2 mi · Fall River, MA · Community health center
HealthFirst Family Care Center-School-Based Health Center2.0 mi · Fall River, MA · Community health center

Clinics and urgent care

Lifespan Physician Group, Inc.11 mi · Warwick, RI · Urgent care center
AFC Physicians of Massachusetts, PC11 mi · New Bedford, MA · Urgent care center
Patriot Urgent Care Professionals PC11 mi · New Bedford, MA · Urgent care center

Pharmacies

Walgreen Co1.0 mi · Fall River, MA · Pharmacy
Devillers Pharmacy Inc.1.5 mi · Fall River, MA · Community/retail pharmacy
The Stop & Shop Supermarket Company, LLC1.5 mi · Fall River, 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 Saint Anne's Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	76%National average: 80%
“Always” got help as soon as they wanted	60%National average: 64%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	78%National average: 73%
Completed surveys	622Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.424No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.59No different from the national benchmark
Not reported to Medicare	Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	10.5%
Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	13.3%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	10.6%
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	5.7%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	18.4%
Readmitted within 30 days: heart attack	15.3%
Readmitted within 30 days: heart failure	25.2%
Readmitted within 30 days: pneumonia	18%
Readmitted within 30 days: COPD	21.2%
Readmitted within 30 days: hip or knee replacement	5.8%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	200 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	77%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Saint Anne's Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.2349Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	1.0545More readmissions than expected
Heart failure	1.0479More readmissions than expected
Pneumonia	0.9783Fewer readmissions than expected
COPD (chronic lung disease)	1.0421More readmissions than expected
Hip or knee replacement	0.9769Fewer readmissions than expected
No result published	Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	40.67 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	24.00 out of 100
Person and community engagement (patient survey)	72.00 out of 100
Safety (infections and sepsis care)	56.67 out of 100
Efficiency and cost reduction (Medicare spending)	10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.98Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

ER wait times in Fall River Best hospitals in Massachusetts

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Saint Anne's Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 85 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$32.55 – $226.64
New patient office visit (about 30–44 minutes): rates for 4 insurance plans Bcbs — Hmo Blue: $226.64 Bcbs — Indemnity Traditional: $226.64 Bcbs — Ppa Plan Ppo: $226.64 Tufts Health Plan — Hmo/Ppo: $32.55
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL III	$206.67	$206.67	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$32.55 – $383.65
New patient office visit (about 45–59 minutes): rates for 4 insurance plans Bcbs — Hmo Blue: $383.65 Bcbs — Indemnity Traditional: $383.65 Bcbs — Ppa Plan Ppo: $383.65 Tufts Health Plan — Hmo/Ppo: $32.55
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL IV	$353.28	$353.28	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$32.55 – $500.71
New patient office visit (about 60–74 minutes): rates for 4 insurance plans Bcbs — Hmo Blue: $500.71 Bcbs — Indemnity Traditional: $500.71 Bcbs — Ppa Plan Ppo: $500.71 Tufts Health Plan — Hmo/Ppo: $32.55
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL V	$456.61	$456.61	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$32.55 – $151.81
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans Bcbs — Hmo Blue: $151.81 Bcbs — Indemnity Traditional: $151.81 Bcbs — Ppa Plan Ppo: $151.81 Tufts Health Plan — Hmo/Ppo: $32.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD ESTAB PT LEVEL III	$139.39	$139.39	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$32.55 – $234.06
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans Bcbs — Hmo Blue: $234.06 Bcbs — Indemnity Traditional: $234.06 Bcbs — Ppa Plan Ppo: $234.06 Tufts Health Plan — Hmo/Ppo: $32.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD ESTAB PT LEVEL IV	$213.89	$213.89	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$32.55
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Tufts Health Plan — Hmo/Ppo: $32.55
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$32.55
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Tufts Health Plan — Hmo/Ppo: $32.55
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$327.15 – $1,075.32
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $960.15 Aetna — Medicare Managed Care Plan: $327.15 Bcbs — Hmo Blue: $459.26 Bcbs — Indemnity Traditional: $459.26 Bcbs — Ppa Plan Ppo: $459.26 Commonwealth Care Alliance — Medicare Managed Care Plan: $343.51 Fallon Health Community Care — Hmo/Ppo: $474.37 Fallon Health Community Care — Medicare Managed Care Plan: $392.58 Senior Whole Health — Medicare Managed Care Plan: $490.72 Tufts Health Plan — Hmo/Ppo: $1,075.32
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL III	$1,103.46	$1,103.46	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$500.07 – $1,467.65
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $1,467.65 Aetna — Medicare Managed Care Plan: $500.07 Bcbs — Hmo Blue: $742.19 Bcbs — Indemnity Traditional: $742.19 Bcbs — Ppa Plan Ppo: $742.19 Commonwealth Care Alliance — Medicare Managed Care Plan: $525.07 Fallon Health Community Care — Hmo/Ppo: $725.10 Fallon Health Community Care — Medicare Managed Care Plan: $600.08 Senior Whole Health — Medicare Managed Care Plan: $750.10 Tufts Health Plan — Hmo/Ppo: $1,374.74
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL IV	$1,600.86	$1,600.86	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$713.71 – $2,094.68
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $2,094.68 Aetna — Medicare Managed Care Plan: $713.71 Bcbs — Hmo Blue: $1,081.88 Bcbs — Indemnity Traditional: $1,081.88 Bcbs — Ppa Plan Ppo: $1,081.88 Commonwealth Care Alliance — Medicare Managed Care Plan: $749.40 Fallon Health Community Care — Hmo/Ppo: $1,034.88 Fallon Health Community Care — Medicare Managed Care Plan: $856.46 Senior Whole Health — Medicare Managed Care Plan: $1,070.57 Tufts Health Plan — Hmo/Ppo: $1,741.68
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL V	$2,135.65	$2,135.65	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $57.37
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $24.83 Bcbs — Hmo Blue: $20.76 Bcbs — Indemnity Traditional: $20.76 Bcbs — Ppa Plan Ppo: $20.76 Commonwealth Care Alliance — Medicare Managed Care Plan: $8.88 Fallon Health Community Care — Hmo/Ppo: $8.46 Fallon Health Community Care — Medicare Managed Care Plan: $10.15 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $57.37 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $57.37 Senior Whole Health — Medicare Managed Care Plan: $12.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $71.66
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $30.99 Bcbs — Hmo Blue: $25.78 Bcbs — Indemnity Traditional: $25.78 Bcbs — Ppa Plan Ppo: $25.78 Commonwealth Care Alliance — Medicare Managed Care Plan: $11.09 Fallon Health Community Care — Hmo/Ppo: $10.56 Fallon Health Community Care — Medicare Managed Care Plan: $12.67 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $71.66 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $71.66 Senior Whole Health — Medicare Managed Care Plan: $15.84
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $324.30
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $140.32 Bcbs — Hmo Blue: $117.43 Bcbs — Indemnity Traditional: $117.43 Bcbs — Ppa Plan Ppo: $117.43 Commonwealth Care Alliance — Medicare Managed Care Plan: $50.20 Fallon Health Community Care — Hmo/Ppo: $47.81 Fallon Health Community Care — Medicare Managed Care Plan: $57.37 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $324.30 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $324.30 Senior Whole Health — Medicare Managed Care Plan: $71.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $90.84
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $39.30 Bcbs — Hmo Blue: $32.94 Bcbs — Indemnity Traditional: $32.94 Bcbs — Ppa Plan Ppo: $32.94 Commonwealth Care Alliance — Medicare Managed Care Plan: $14.06 Fallon Health Community Care — Hmo/Ppo: $13.39 Fallon Health Community Care — Medicare Managed Care Plan: $16.07 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $90.84 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $90.84 Senior Whole Health — Medicare Managed Care Plan: $20.08
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LDL LIPID PANEL SO	$64.79	$64.79	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $58.91
Kidney function panel: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $25.47 Bcbs — Hmo Blue: $21.48 Bcbs — Indemnity Traditional: $21.48 Bcbs — Ppa Plan Ppo: $21.48 Commonwealth Care Alliance — Medicare Managed Care Plan: $9.11 Fallon Health Community Care — Hmo/Ppo: $8.68 Fallon Health Community Care — Medicare Managed Care Plan: $10.42 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $58.91 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $58.91 Senior Whole Health — Medicare Managed Care Plan: $13.02
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $55.43
Liver function panel: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $23.98 Bcbs — Hmo Blue: $20.05 Bcbs — Indemnity Traditional: $20.05 Bcbs — Ppa Plan Ppo: $20.05 Commonwealth Care Alliance — Medicare Managed Care Plan: $8.58 Fallon Health Community Care — Hmo/Ppo: $8.17 Fallon Health Community Care — Medicare Managed Care Plan: $9.80 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $55.43 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $55.43 Senior Whole Health — Medicare Managed Care Plan: $12.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $21.51
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $9.30 Bcbs — Hmo Blue: $7.88 Bcbs — Indemnity Traditional: $7.88 Bcbs — Ppa Plan Ppo: $7.88 Commonwealth Care Alliance — Medicare Managed Care Plan: $3.33 Fallon Health Community Care — Hmo/Ppo: $3.17 Fallon Health Community Care — Medicare Managed Care Plan: $3.80 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $21.51 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $21.51 Senior Whole Health — Medicare Managed Care Plan: $4.76
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO	$15.37	$15.37	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $17.33
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $10.21 Bcbs — Hmo Blue: $7.16 Bcbs — Indemnity Traditional: $7.16 Bcbs — Ppa Plan Ppo: $7.16 Commonwealth Care Alliance — Medicare Managed Care Plan: $3.65 Fallon Health Community Care — Hmo/Ppo: $3.48 Fallon Health Community Care — Medicare Managed Care Plan: $4.18 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $17.33 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $17.33 Senior Whole Health — Medicare Managed Care Plan: $5.22
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS BY DIPSTICK	$12.80	$12.80	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $15.24
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $6.60 Bcbs — Hmo Blue: $5.73 Bcbs — Indemnity Traditional: $5.73 Bcbs — Ppa Plan Ppo: $5.73 Commonwealth Care Alliance — Medicare Managed Care Plan: $2.36 Fallon Health Community Care — Hmo/Ppo: $2.25 Fallon Health Community Care — Medicare Managed Care Plan: $2.70 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $15.24 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $15.24 Senior Whole Health — Medicare Managed Care Plan: $3.38
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ROUTINE URINALYSIS	$10.87	$10.87	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $124.80
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $53.97 Bcbs — Hmo Blue: $45.11 Bcbs — Indemnity Traditional: $45.11 Bcbs — Ppa Plan Ppo: $45.11 Commonwealth Care Alliance — Medicare Managed Care Plan: $19.31 Fallon Health Community Care — Hmo/Ppo: $18.39 Fallon Health Community Care — Medicare Managed Care Plan: $22.07 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $124.80 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $124.80 Senior Whole Health — Medicare Managed Care Plan: $27.58
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN	$89.01	$89.01	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $113.99
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $49.31 Bcbs — Hmo Blue: $41.53 Bcbs — Indemnity Traditional: $41.53 Bcbs — Ppa Plan Ppo: $41.53 Commonwealth Care Alliance — Medicare Managed Care Plan: $17.64 Fallon Health Community Care — Hmo/Ppo: $16.80 Fallon Health Community Care — Medicare Managed Care Plan: $20.16 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $113.99 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $113.99 Senior Whole Health — Medicare Managed Care Plan: $25.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH 3RD GENERATION	$81.34	$81.34	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $52.74
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $22.80 Bcbs — Hmo Blue: $19.34 Bcbs — Indemnity Traditional: $19.34 Bcbs — Ppa Plan Ppo: $19.34 Commonwealth Care Alliance — Medicare Managed Care Plan: $8.16 Fallon Health Community Care — Hmo/Ppo: $7.77 Fallon Health Community Care — Medicare Managed Care Plan: $9.32 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $52.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $52.74 Senior Whole Health — Medicare Managed Care Plan: $11.66
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AUTO CBC WITH DIFF	$37.59	$37.59	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $43.87
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $18.99 Bcbs — Hmo Blue: $15.75 Bcbs — Indemnity Traditional: $15.75 Bcbs — Ppa Plan Ppo: $15.75 Commonwealth Care Alliance — Medicare Managed Care Plan: $6.79 Fallon Health Community Care — Hmo/Ppo: $6.47 Fallon Health Community Care — Medicare Managed Care Plan: $7.76 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $43.87 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $43.87 Senior Whole Health — Medicare Managed Care Plan: $9.70
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AUTO CBC NO DIFF	$31.26	$31.26	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $26.69
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $12.59 Bcbs — Hmo Blue: $9.31 Bcbs — Indemnity Traditional: $9.31 Bcbs — Ppa Plan Ppo: $9.31 Commonwealth Care Alliance — Medicare Managed Care Plan: $4.50 Fallon Health Community Care — Hmo/Ppo: $4.29 Fallon Health Community Care — Medicare Managed Care Plan: $5.15 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $26.69 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $26.69 Senior Whole Health — Medicare Managed Care Plan: $6.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$19	$19	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $40.74
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $17.64 Bcbs — Hmo Blue: $15.04 Bcbs — Indemnity Traditional: $15.04 Bcbs — Ppa Plan Ppo: $15.04 Commonwealth Care Alliance — Medicare Managed Care Plan: $6.31 Fallon Health Community Care — Hmo/Ppo: $6.01 Fallon Health Community Care — Medicare Managed Care Plan: $7.21 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $40.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $40.74 Senior Whole Health — Medicare Managed Care Plan: $9.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SILICA CLOTTING TIME RATIO	$29.09	$29.09	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC APTT	$29.09	$29.09	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$125.29 – $384.81
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $367.72 Aetna — Medicare Managed Care Plan: $125.29 Bcbs — Hmo Blue: $240.59 Bcbs — Indemnity Traditional: $240.59 Bcbs — Ppa Plan Ppo: $240.59 Commonwealth Care Alliance — Medicare Managed Care Plan: $131.56 Fallon Health Community Care — Hmo/Ppo: $181.67 Fallon Health Community Care — Medicare Managed Care Plan: $150.35 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $228.35 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $228.35
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT BRAIN W/O CONTRAST	$515.17	$515.17	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$418.11 – $1,323.93
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $1,227.10 Aetna — Medicare Managed Care Plan: $418.11 Bcbs — Hmo Blue: $825.19 Bcbs — Indemnity Traditional: $825.19 Bcbs — Ppa Plan Ppo: $825.19 Commonwealth Care Alliance — Medicare Managed Care Plan: $439.01 Fallon Health Community Care — Hmo/Ppo: $606.25 Fallon Health Community Care — Medicare Managed Care Plan: $501.73 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $922.27 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $922.27
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI BRAIN W/W/O CONTRAST	$2,021.36	$2,021.36	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$89.05 – $306.10
Chest X-ray, 2 views: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $306.10 Aetna — Medicare Managed Care Plan: $104.29 Bcbs — Hmo Blue: $89.05 Bcbs — Indemnity Traditional: $89.05 Bcbs — Ppa Plan Ppo: $89.05 Commonwealth Care Alliance — Medicare Managed Care Plan: $109.51 Fallon Health Community Care — Hmo/Ppo: $151.23 Fallon Health Community Care — Medicare Managed Care Plan: $125.15 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $123.42 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $123.42
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$285.74	$285.74	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$125.29 – $384.81
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $367.72 Aetna — Medicare Managed Care Plan: $125.29 Bcbs — Hmo Blue: $160.83 Bcbs — Indemnity Traditional: $160.83 Bcbs — Ppa Plan Ppo: $160.83 Commonwealth Care Alliance — Medicare Managed Care Plan: $131.56 Fallon Health Community Care — Hmo/Ppo: $181.67 Fallon Health Community Care — Medicare Managed Care Plan: $150.35 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $204.40 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $204.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC L SPINE MIN 4 VIEW	$548.27	$548.27	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$285.95 – $840.84
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $839.24 Aetna — Medicare Managed Care Plan: $285.95 Bcbs — Hmo Blue: $493.04 Bcbs — Indemnity Traditional: $493.04 Bcbs — Ppa Plan Ppo: $493.04 Commonwealth Care Alliance — Medicare Managed Care Plan: $300.25 Fallon Health Community Care — Hmo/Ppo: $414.63 Fallon Health Community Care — Medicare Managed Care Plan: $343.14 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $555.29 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $555.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI L SPINE W/O CONTRAST	$1,075.42	$1,075.42	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$210.21 – $648.04
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $616.94 Aetna — Medicare Managed Care Plan: $210.21 Bcbs — Hmo Blue: $431.41 Bcbs — Indemnity Traditional: $431.41 Bcbs — Ppa Plan Ppo: $431.41 Commonwealth Care Alliance — Medicare Managed Care Plan: $220.72 Fallon Health Community Care — Hmo/Ppo: $304.80 Fallon Health Community Care — Medicare Managed Care Plan: $252.25 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $480.83 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $480.83
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT PELVIS W/CYSTOGRAM	$1,058.55	$1,058.55	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$285.95 – $840.84
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $839.24 Aetna — Medicare Managed Care Plan: $285.95 Bcbs — Hmo Blue: $493.04 Bcbs — Indemnity Traditional: $493.04 Bcbs — Ppa Plan Ppo: $493.04 Commonwealth Care Alliance — Medicare Managed Care Plan: $300.25 Fallon Health Community Care — Hmo/Ppo: $414.63 Fallon Health Community Care — Medicare Managed Care Plan: $343.14 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $555.29 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $555.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI LOWER EXTREMITY JOINT WO CONT	$1,613.12	$1,613.12	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$418.11 – $1,323.93
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $1,227.10 Aetna — Medicare Managed Care Plan: $418.11 Bcbs — Hmo Blue: $825.19 Bcbs — Indemnity Traditional: $825.19 Bcbs — Ppa Plan Ppo: $825.19 Commonwealth Care Alliance — Medicare Managed Care Plan: $439.01 Fallon Health Community Care — Hmo/Ppo: $606.25 Fallon Health Community Care — Medicare Managed Care Plan: $501.73 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $705.87 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $705.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT ABD PELVIS W CONTRAST	$1,531.37	$1,531.37	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$125.29 – $385.65
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $367.72 Aetna — Medicare Managed Care Plan: $125.29 Bcbs — Hmo Blue: $160.83 Bcbs — Indemnity Traditional: $160.83 Bcbs — Ppa Plan Ppo: $160.83 Commonwealth Care Alliance — Medicare Managed Care Plan: $131.56 Fallon Health Community Care — Hmo/Ppo: $181.67 Fallon Health Community Care — Medicare Managed Care Plan: $150.35 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $311.77 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $311.77
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US ABDOMEN REAL TIME COMPLETE	$668.99	$668.99	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$125.29 – $384.81
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $367.72 Aetna — Medicare Managed Care Plan: $125.29 Bcbs — Hmo Blue: $160.83 Bcbs — Indemnity Traditional: $160.83 Bcbs — Ppa Plan Ppo: $160.83 Commonwealth Care Alliance — Medicare Managed Care Plan: $131.56 Fallon Health Community Care — Hmo/Ppo: $181.67 Fallon Health Community Care — Medicare Managed Care Plan: $150.35 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $311.77 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $311.77
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US PREG > OR EQUAL TO 14 WKS	$579.83	$579.83	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$125.29 – $384.81
Transvaginal ultrasound: 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $367.72 Aetna — Medicare Managed Care Plan: $125.29 Bcbs — Hmo Blue: $160.83 Bcbs — Indemnity Traditional: $160.83 Bcbs — Ppa Plan Ppo: $160.83 Commonwealth Care Alliance — Medicare Managed Care Plan: $131.56 Fallon Health Community Care — Hmo/Ppo: $181.67 Fallon Health Community Care — Medicare Managed Care Plan: $150.35 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $311.77 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $311.77
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US TRANSVAGINAL	$517.30	$517.30	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$191.17 – $388.43
Diagnostic mammogram, one breast: rates for 6 insurance plans Bcbs — Hmo Blue: $209.38 Bcbs — Indemnity Traditional: $209.38 Bcbs — Ppa Plan Ppo: $209.38 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $191.17 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $191.17 Tufts Health Plan — Hmo/Ppo: $388.43
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$90.66 – $266.08
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna — Hmo/Ppo: $266.08 Commonwealth Care Alliance — Medicare Managed Care Plan: $95.19 Fallon Health Community Care — Hmo/Ppo: $131.46 Fallon Health Community Care — Medicare Managed Care Plan: $108.79 Senior Whole Health — Medicare Managed Care Plan: $135.99 Unitedhealthcare — All Commercial Plans: $90.66 Unitedhealthcare — Medicare Managed Care Plan: $91.79
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC DIAG MAMMO W WO CAD UNILAT	$478.87	$478.87	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$244.94 – $495.32
Diagnostic mammogram, both breasts: rates for 6 insurance plans Bcbs — Hmo Blue: $267.96 Bcbs — Indemnity Traditional: $267.96 Bcbs — Ppa Plan Ppo: $267.96 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $244.94 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $244.94 Tufts Health Plan — Hmo/Ppo: $495.32
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$131.80 – $386.82
Diagnostic mammogram, both breasts: rates for 7 insurance plans Aetna — Hmo/Ppo: $386.82 Commonwealth Care Alliance — Medicare Managed Care Plan: $138.39 Fallon Health Community Care — Hmo/Ppo: $191.11 Fallon Health Community Care — Medicare Managed Care Plan: $158.16 Senior Whole Health — Medicare Managed Care Plan: $197.70 Unitedhealthcare — All Commercial Plans: $131.80 Unitedhealthcare — Medicare Managed Care Plan: $133.45
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC DIAG MAMMO W WO CAD BILAT	$611.64	$611.64	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$202.07 – $409.21
Screening mammogram, both breasts: rates for 6 insurance plans Bcbs — Hmo Blue: $221.41 Bcbs — Indemnity Traditional: $221.41 Bcbs — Ppa Plan Ppo: $221.41 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $202.07 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $202.07 Tufts Health Plan — Hmo/Ppo: $409.21
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$95.93 – $281.54
Screening mammogram, both breasts: rates for 7 insurance plans Aetna — Hmo/Ppo: $281.54 Commonwealth Care Alliance — Medicare Managed Care Plan: $100.73 Fallon Health Community Care — Hmo/Ppo: $139.10 Fallon Health Community Care — Medicare Managed Care Plan: $115.12 Senior Whole Health — Medicare Managed Care Plan: $143.90 Unitedhealthcare — All Commercial Plans: $95.93 Unitedhealthcare — Medicare Managed Care Plan: $97.13
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC SCREEN MAMMO BILAT W WO CAD	$505.79	$505.79	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$52.84 – $278.58
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Bcbs — Hmo Blue: $52.84 Bcbs — Indemnity Traditional: $52.84 Bcbs — Ppa Plan Ppo: $52.84 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $278.58 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $278.58 Tufts Health Plan — Hmo/Ppo: $101.33
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$825 – $12,694.62
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $11,402.92 Aetna — Medicare Managed Care Plan: $3,885.28 Bcbs — Hmo Blue: $5,788.16 Bcbs — Indemnity Traditional: $5,788.16 Bcbs — Ppa Plan Ppo: $5,788.16 Commonwealth Care Alliance — Medicare Managed Care Plan: $4,079.55 Fallon Health Community Care — Hmo/Ppo: $5,633.66 Fallon Health Community Care — Medicare Managed Care Plan: $4,662.34 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $12,694.62 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $12,694.62
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$825 – $27,433.94
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $27,433.94 Aetna — Medicare Managed Care Plan: $9,347.49 Bcbs — Hmo Blue: $10,498.32 Bcbs — Indemnity Traditional: $10,498.32 Bcbs — Ppa Plan Ppo: $10,498.32 Commonwealth Care Alliance — Medicare Managed Care Plan: $9,814.86 Fallon Health Community Care — Hmo/Ppo: $13,553.86 Fallon Health Community Care — Medicare Managed Care Plan: $11,216.98 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $23,395.89 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $23,395.89
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$900 – $91,935.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $91,935.30 Aetna — Medicare Managed Care Plan: $31,324.85 Bcbs — Hmo Blue: $39,571.59 Bcbs — Indemnity Traditional: $39,571.59 Bcbs — Ppa Plan Ppo: $39,571.59 Commonwealth Care Alliance — Medicare Managed Care Plan: $32,891.09 Fallon Health Community Care — Hmo/Ppo: $45,421.03 Fallon Health Community Care — Medicare Managed Care Plan: $37,589.82 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $77,494.33 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $77,494.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,029.15 – $4,265.07
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Aetna — Hmo/Ppo: $3,020.47 Aetna — Medicare Managed Care Plan: $1,029.15 Bcbs — Hmo Blue: $1,879.94 Bcbs — Indemnity Traditional: $1,879.94 Bcbs — Ppa Plan Ppo: $1,879.94 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,080.61 Fallon Health Community Care — Hmo/Ppo: $1,492.27 Fallon Health Community Care — Medicare Managed Care Plan: $1,234.99 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $4,265.07 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $4,265.07

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$32.29 – $119.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Hmo/Ppo: $94.77 Bcbs — Hmo Blue: $93.92 Bcbs — Indemnity Traditional: $93.92 Bcbs — Ppa Plan Ppo: $93.92 Commonwealth Care Alliance — Medicare Managed Care Plan: $33.90 Fallon Health Community Care — Hmo/Ppo: $46.82 Fallon Health Community Care — Medicare Managed Care Plan: $38.75 Senior Whole Health — Medicare Managed Care Plan: $48.44 Tufts Health Plan — Hmo/Ppo: $119.70 Unitedhealthcare — All Commercial Plans: $32.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC THER EX EA 15 MIN	$159.99	$159.99	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: HC OT THER EX EA 15 MIN	$159.99	$159.99	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$101.06 – $307.02
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Hmo/Ppo: $296.60 Bcbs — Hmo Blue: $259.74 Bcbs — Indemnity Traditional: $259.74 Bcbs — Ppa Plan Ppo: $259.74 Commonwealth Care Alliance — Medicare Managed Care Plan: $106.11 Fallon Health Community Care — Hmo/Ppo: $146.54 Fallon Health Community Care — Medicare Managed Care Plan: $121.27 Senior Whole Health — Medicare Managed Care Plan: $151.59 Tufts Health Plan — Hmo/Ppo: $307.02 Unitedhealthcare — All Commercial Plans: $101.06
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MINS W/PT AND/OR FAM	$405.52	$405.52	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$108.88 – $319.55
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Hmo/Ppo: $319.55 Bcbs — Hmo Blue: $259.74 Bcbs — Indemnity Traditional: $259.74 Bcbs — Ppa Plan Ppo: $259.74 Commonwealth Care Alliance — Medicare Managed Care Plan: $114.32 Fallon Health Community Care — Hmo/Ppo: $157.88 Fallon Health Community Care — Medicare Managed Care Plan: $130.66 Senior Whole Health — Medicare Managed Care Plan: $163.32 Tufts Health Plan — Hmo/Ppo: $307.02 Unitedhealthcare — All Commercial Plans: $108.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MINS W/PT AND/OR FAM	$405.52	$405.52	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$101.06 – $307.02
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Hmo/Ppo: $296.60 Bcbs — Hmo Blue: $259.74 Bcbs — Indemnity Traditional: $259.74 Bcbs — Ppa Plan Ppo: $259.74 Commonwealth Care Alliance — Medicare Managed Care Plan: $106.11 Fallon Health Community Care — Hmo/Ppo: $146.54 Fallon Health Community Care — Medicare Managed Care Plan: $121.27 Senior Whole Health — Medicare Managed Care Plan: $151.59 Tufts Health Plan — Hmo/Ppo: $307.02 Unitedhealthcare — All Commercial Plans: $101.06
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MINS W/PT AND/OR FAM	$405.52	$405.52	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$30.74 – $624.31
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $624.31 Aetna — Medicare Managed Care Plan: $212.72 Bcbs — Hmo Blue: $262.69 Bcbs — Indemnity Traditional: $262.69 Bcbs — Ppa Plan Ppo: $262.69 Commonwealth Care Alliance — Medicare Managed Care Plan: $223.36 Fallon Health Community Care — Hmo/Ppo: $308.44 Fallon Health Community Care — Medicare Managed Care Plan: $255.26 Senior Whole Health — Medicare Managed Care Plan: $319.08 Tufts Health Plan — Hmo/Ppo: $30.74
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$38.95 – $624.31
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $624.31 Aetna — Medicare Managed Care Plan: $212.72 Bcbs — Hmo Blue: $262.69 Bcbs — Indemnity Traditional: $262.69 Bcbs — Ppa Plan Ppo: $262.69 Commonwealth Care Alliance — Medicare Managed Care Plan: $223.36 Fallon Health Community Care — Hmo/Ppo: $308.44 Fallon Health Community Care — Medicare Managed Care Plan: $255.26 Senior Whole Health — Medicare Managed Care Plan: $319.08 Tufts Health Plan — Hmo/Ppo: $38.95
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHER 45 MIN W PT	$169	$169	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$38.95 – $624.31
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $624.31 Aetna — Medicare Managed Care Plan: $212.72 Bcbs — Hmo Blue: $262.69 Bcbs — Indemnity Traditional: $262.69 Bcbs — Ppa Plan Ppo: $262.69 Commonwealth Care Alliance — Medicare Managed Care Plan: $223.36 Fallon Health Community Care — Hmo/Ppo: $308.44 Fallon Health Community Care — Medicare Managed Care Plan: $255.26 Senior Whole Health — Medicare Managed Care Plan: $319.08 Tufts Health Plan — Hmo/Ppo: $38.95
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 60 MIN	$400	$400	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$43.23 – $624.31
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $624.31 Aetna — Medicare Managed Care Plan: $212.72 Bcbs — Hmo Blue: $262.69 Bcbs — Indemnity Traditional: $262.69 Bcbs — Ppa Plan Ppo: $262.69 Commonwealth Care Alliance — Medicare Managed Care Plan: $223.36 Fallon Health Community Care — Hmo/Ppo: $308.44 Fallon Health Community Care — Medicare Managed Care Plan: $255.26 Senior Whole Health — Medicare Managed Care Plan: $319.08 Tufts Health Plan — Hmo/Ppo: $43.23
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$43.23 – $624.31
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $624.31 Aetna — Medicare Managed Care Plan: $212.72 Bcbs — Hmo Blue: $262.69 Bcbs — Indemnity Traditional: $262.69 Bcbs — Ppa Plan Ppo: $262.69 Commonwealth Care Alliance — Medicare Managed Care Plan: $223.36 Fallon Health Community Care — Hmo/Ppo: $308.44 Fallon Health Community Care — Medicare Managed Care Plan: $255.26 Senior Whole Health — Medicare Managed Care Plan: $319.08 Tufts Health Plan — Hmo/Ppo: $43.23
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$21.87 – $357.32
Group psychotherapy: 10 of 12 insurance plan rates Aetna — Hmo/Ppo: $357.32 Aetna — Medicare Managed Care Plan: $121.75 Bcbs — Hmo Blue: $157.34 Bcbs — Indemnity Traditional: $157.34 Bcbs — Ppa Plan Ppo: $157.34 Commonwealth Care Alliance — Medicare Managed Care Plan: $127.84 Fallon Health Community Care — Hmo/Ppo: $176.54 Fallon Health Community Care — Medicare Managed Care Plan: $146.10 Senior Whole Health — Medicare Managed Care Plan: $182.62 Tufts Health Plan — Hmo/Ppo: $21.87

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$775 – $13,771.85
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $13,771.85 Aetna — Medicare Managed Care Plan: $4,692.44 Bcbs — Hmo Blue: $5,799.71 Bcbs — Indemnity Traditional: $5,799.71 Bcbs — Ppa Plan Ppo: $5,799.71 Commonwealth Care Alliance — Medicare Managed Care Plan: $4,927.06 Fallon Health Community Care — Hmo/Ppo: $6,804.04 Fallon Health Community Care — Medicare Managed Care Plan: $5,630.93 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $10,895.94 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $10,895.94
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LESION	$8,535.74	$8,535.74	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$900 – $45,157.79
Total hip replacement: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $45,157.79 Aetna — Medicare Managed Care Plan: $15,386.48 Bcbs — Hmo Blue: $18,288.07 Bcbs — Indemnity Traditional: $18,288.07 Bcbs — Ppa Plan Ppo: $18,288.07 Commonwealth Care Alliance — Medicare Managed Care Plan: $16,155.81 Fallon Health Community Care — Hmo/Ppo: $22,310.40 Fallon Health Community Care — Medicare Managed Care Plan: $18,463.78 Senior Whole Health — Medicare Managed Care Plan: $23,079.73 Tufts Health Plan — Hmo/Ppo: $20,848.44
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$900 – $45,157.79
Total knee replacement: 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $45,157.79 Aetna — Medicare Managed Care Plan: $15,386.48 Bcbs — Hmo Blue: $22,065.73 Bcbs — Indemnity Traditional: $22,065.73 Bcbs — Ppa Plan Ppo: $22,065.73 Commonwealth Care Alliance — Medicare Managed Care Plan: $16,155.81 Fallon Health Community Care — Hmo/Ppo: $22,310.40 Fallon Health Community Care — Medicare Managed Care Plan: $18,463.78 Senior Whole Health — Medicare Managed Care Plan: $23,079.73 Tufts Health Plan — Hmo/Ppo: $20,848.44
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$300 – $536.55
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Bcbs — Hmo Blue: $536.55 Bcbs — Indemnity Traditional: $536.55 Bcbs — Ppa Plan Ppo: $536.55 Unitedhealthcare — Medicaid Managed Care Plan: $300
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$825 – $11,930.04
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $11,508.68 Aetna — Medicare Managed Care Plan: $3,921.32 Bcbs — Hmo Blue: $5,402.89 Bcbs — Indemnity Traditional: $5,402.89 Bcbs — Ppa Plan Ppo: $5,402.89 Commonwealth Care Alliance — Medicare Managed Care Plan: $4,117.39 Fallon Health Community Care — Hmo/Ppo: $5,685.91 Fallon Health Community Care — Medicare Managed Care Plan: $4,705.58 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $11,930.04 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $11,930.04
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$775 – $20,821.95
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $20,821.95 Aetna — Medicare Managed Care Plan: $7,094.60 Bcbs — Hmo Blue: $9,111.91 Bcbs — Indemnity Traditional: $9,111.91 Bcbs — Ppa Plan Ppo: $9,111.91 Commonwealth Care Alliance — Medicare Managed Care Plan: $7,449.33 Fallon Health Community Care — Hmo/Ppo: $10,287.18 Fallon Health Community Care — Medicare Managed Care Plan: $8,513.53 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $8,052.16 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $8,052.16
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$750 – $3,711.89
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $3,190.16 Aetna — Medicare Managed Care Plan: $1,086.97 Bcbs — Hmo Blue: $1,568.45 Bcbs — Indemnity Traditional: $1,568.45 Bcbs — Ppa Plan Ppo: $1,568.45 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,141.32 Fallon Health Community Care — Hmo/Ppo: $1,576.11 Fallon Health Community Care — Medicare Managed Care Plan: $1,304.37 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,711.89 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,711.89
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD TRANSORAL DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF	$2,299.99	$2,299.99	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF	$2,299.99	$2,299.99	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$750 – $3,711.89
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $3,190.16 Aetna — Medicare Managed Care Plan: $1,086.97 Bcbs — Hmo Blue: $1,568.45 Bcbs — Indemnity Traditional: $1,568.45 Bcbs — Ppa Plan Ppo: $1,568.45 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,141.32 Fallon Health Community Care — Hmo/Ppo: $1,576.11 Fallon Health Community Care — Medicare Managed Care Plan: $1,304.37 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,711.89 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,711.89
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD FLEX TRANSORAL BIOPSY SINGLE/MULTIPLE	$2,299.99	$2,299.99	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD W BIOPSY SINGL/MULTI	$7,087.92	$7,087.92	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$750 – $3,748.74
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $3,270.96 Aetna — Medicare Managed Care Plan: $1,114.51 Bcbs — Hmo Blue: $1,534.13 Bcbs — Indemnity Traditional: $1,534.13 Bcbs — Ppa Plan Ppo: $1,534.13 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,170.23 Fallon Health Community Care — Hmo/Ppo: $1,616.03 Fallon Health Community Care — Medicare Managed Care Plan: $1,337.41 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,748.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,748.74
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF	$1,850.58	$1,850.58	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$750 – $4,208.97
Colonoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $4,208.97 Aetna — Medicare Managed Care Plan: $1,434.11 Bcbs — Hmo Blue: $2,017.93 Bcbs — Indemnity Traditional: $2,017.93 Bcbs — Ppa Plan Ppo: $2,017.93 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,505.82 Fallon Health Community Care — Hmo/Ppo: $2,079.46 Fallon Health Community Care — Medicare Managed Care Plan: $1,720.93 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,748.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,748.74
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE	$1,851.76	$1,851.76	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$750 – $4,208.97
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $4,208.97 Aetna — Medicare Managed Care Plan: $1,434.11 Bcbs — Hmo Blue: $2,017.93 Bcbs — Indemnity Traditional: $2,017.93 Bcbs — Ppa Plan Ppo: $2,017.93 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,505.82 Fallon Health Community Care — Hmo/Ppo: $2,079.46 Fallon Health Community Care — Medicare Managed Care Plan: $1,720.93 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,748.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,748.74
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE	$1,851.76	$1,851.76	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$750 – $4,208.97
Ultrasound of the lower bowel by endoscope: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $4,208.97 Aetna — Medicare Managed Care Plan: $1,434.11 Bcbs — Hmo Blue: $2,017.93 Bcbs — Indemnity Traditional: $2,017.93 Bcbs — Ppa Plan Ppo: $2,017.93 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,505.82 Fallon Health Community Care — Hmo/Ppo: $2,079.46 Fallon Health Community Care — Medicare Managed Care Plan: $1,720.93 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,748.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,748.74
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$725 – $3,748.74
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $3,270.96 Aetna — Medicare Managed Care Plan: $1,114.51 Bcbs — Hmo Blue: $1,534.13 Bcbs — Indemnity Traditional: $1,534.13 Bcbs — Ppa Plan Ppo: $1,534.13 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,170.23 Fallon Health Community Care — Hmo/Ppo: $1,616.03 Fallon Health Community Care — Medicare Managed Care Plan: $1,337.41 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $3,748.74 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $3,748.74
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLORECTAL CANCER SCREEN COLONOSCOPY NOT HIGH RISK	$1,850.58	$1,850.58	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$825 – $21,264.07
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $21,264.07 Aetna — Medicare Managed Care Plan: $7,245.25 Bcbs — Hmo Blue: $9,465.37 Bcbs — Indemnity Traditional: $9,465.37 Bcbs — Ppa Plan Ppo: $9,465.37 Commonwealth Care Alliance — Medicare Managed Care Plan: $7,607.51 Fallon Health Community Care — Hmo/Ppo: $10,505.61 Fallon Health Community Care — Medicare Managed Care Plan: $8,694.30 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $19,925.73 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $19,925.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$825 – $13,010.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $12,593.43 Aetna — Medicare Managed Care Plan: $4,290.92 Bcbs — Hmo Blue: $6,070.14 Bcbs — Indemnity Traditional: $6,070.14 Bcbs — Ppa Plan Ppo: $6,070.14 Commonwealth Care Alliance — Medicare Managed Care Plan: $4,505.47 Fallon Health Community Care — Hmo/Ppo: $6,221.84 Fallon Health Community Care — Medicare Managed Care Plan: $5,149.11 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $13,010.60 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $13,010.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$750 – $7,501.97
Prostate biopsy: rates for 7 insurance plans Bcbs — Hmo Blue: $3,583.09 Bcbs — Indemnity Traditional: $3,583.09 Bcbs — Ppa Plan Ppo: $3,583.09 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $7,501.97 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $7,501.97 Tufts Health Plan — Hmo/Ppo: $1,951.11 Unitedhealthcare — Medicaid Managed Care Plan: $750
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$900 – $37,388.56
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Aetna — Hmo/Ppo: $37,388.56 Aetna — Medicare Managed Care Plan: $12,739.30 Bcbs — Hmo Blue: $15,944.25 Bcbs — Indemnity Traditional: $15,944.25 Bcbs — Ppa Plan Ppo: $15,944.25 Commonwealth Care Alliance — Medicare Managed Care Plan: $13,376.26 Fallon Health Community Care — Hmo/Ppo: $18,471.98 Fallon Health Community Care — Medicare Managed Care Plan: $15,287.16 Senior Whole Health — Medicare Managed Care Plan: $19,108.94 Tufts Health Plan — Hmo/Ppo: $9,634.68
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$775 – $11,386.02
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $11,386.02 Aetna — Medicare Managed Care Plan: $3,879.52 Bcbs — Hmo Blue: $4,863.15 Bcbs — Indemnity Traditional: $4,863.15 Bcbs — Ppa Plan Ppo: $4,863.15 Commonwealth Care Alliance — Medicare Managed Care Plan: $4,073.50 Fallon Health Community Care — Hmo/Ppo: $5,625.31 Fallon Health Community Care — Medicare Managed Care Plan: $4,655.43 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $9,268.68 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $9,268.68
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$725 – $2,914.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $2,482.81 Aetna — Medicare Managed Care Plan: $845.96 Bcbs — Hmo Blue: $1,233.27 Bcbs — Indemnity Traditional: $1,233.27 Bcbs — Ppa Plan Ppo: $1,233.27 Commonwealth Care Alliance — Medicare Managed Care Plan: $888.26 Fallon Health Community Care — Hmo/Ppo: $1,226.64 Fallon Health Community Care — Medicare Managed Care Plan: $1,015.15 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $2,914.15 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $2,914.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID	$2,299.99	$2,299.99	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$725 – $3,110.98
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $3,110.98 Aetna — Medicare Managed Care Plan: $1,059.99 Bcbs — Hmo Blue: $1,575.23 Bcbs — Indemnity Traditional: $1,575.23 Bcbs — Ppa Plan Ppo: $1,575.23 Commonwealth Care Alliance — Medicare Managed Care Plan: $1,112.99 Fallon Health Community Care — Hmo/Ppo: $1,536.99 Fallon Health Community Care — Medicare Managed Care Plan: $1,271.99 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $2,914.15 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $2,914.15
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ PARAVERT LS SNGL LEVEL	$2,299.99	$2,299.99	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ PARAVERT NRV LUMBAR/SAC	$3,449.98	$3,449.98	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$775 – $6,934.95
Carpal tunnel release: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $6,868.37 Aetna — Medicare Managed Care Plan: $2,340.24 Bcbs — Hmo Blue: $3,360.11 Bcbs — Indemnity Traditional: $3,360.11 Bcbs — Ppa Plan Ppo: $3,360.11 Commonwealth Care Alliance — Medicare Managed Care Plan: $2,457.25 Fallon Health Community Care — Hmo/Ppo: $3,393.35 Fallon Health Community Care — Medicare Managed Care Plan: $2,808.29 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $6,934.95 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $6,934.95
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$659.14 – $2,193.09
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $1,934.52 Aetna — Medicare Managed Care Plan: $659.14 Bcbs — Hmo Blue: $1,021.91 Bcbs — Indemnity Traditional: $1,021.91 Bcbs — Ppa Plan Ppo: $1,021.91 Commonwealth Care Alliance — Medicare Managed Care Plan: $692.10 Fallon Health Community Care — Hmo/Ppo: $955.76 Fallon Health Community Care — Medicare Managed Care Plan: $790.97 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $2,193.09 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $2,193.09
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$775 – $8,693.59
Cataract removal with lens implant: 10 of 15 insurance plan rates Aetna — Hmo/Ppo: $8,117.36 Aetna — Medicare Managed Care Plan: $2,765.81 Bcbs — Hmo Blue: $3,948.48 Bcbs — Indemnity Traditional: $3,948.48 Bcbs — Ppa Plan Ppo: $3,948.48 Commonwealth Care Alliance — Medicare Managed Care Plan: $2,904.10 Fallon Health Community Care — Hmo/Ppo: $4,010.42 Fallon Health Community Care — Medicare Managed Care Plan: $3,318.97 Harvard Pilgrim Health Care — Fully Insured Other Commercial Plan: $8,693.59 Harvard Pilgrim Health Care — Gic Other Commercial Plan: $8,693.59

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$5,955.41 – $6,438.02
Vaginal delivery, with care before and after: rates for 4 insurance plans Bcbs — Hmo Blue: $6,438.02 Bcbs — Indemnity Traditional: $6,438.02 Bcbs — Ppa Plan Ppo: $6,438.02 Tufts Health Plan — Hmo/Ppo: $5,955.41
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ROUTINE OB CARE INCL ANTEPARTUM VAG DLVR & POSTPARTUM	$7,014.40	$7,014.40	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$7,278.47
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Tufts Health Plan — Hmo/Ppo: $7,278.47
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$7,278.47
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Tufts Health Plan — Hmo/Ppo: $7,278.47

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$88,204.12 – $161,768.38
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Aetna — Hmo/Ppo: $161,768.38 Aetna — Medicare Managed Care Plan: $88,204.12 Bcbs — Medicare Managed Care Plan: $88,204.12 Commonwealth Care Alliance — Medicare Managed Care Plan: $92,614.33 Eternal Health — Medicare Managed Care Plan: $88,204.12 Fallon Health Community Care — Hmo/Ppo: $119,075.56 Fallon Health Community Care — Medicare Managed Care Plan: $97,024.53 Fallon Health Community Care — Medicare Managed Care Plan - Dual (D-Snp): $88,204.12 Mass General Brigham — Medicare Managed Care Plan: $88,204.12 Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $88,204.12
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Cigna — Hmo/Ppo: 61% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$17,623.77 – $31,896.29
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Aetna — Hmo/Ppo: $31,896.29 Aetna — Medicare Managed Care Plan: $17,623.77 Bcbs — Medicare Managed Care Plan: $17,623.77 Commonwealth Care Alliance — Medicare Managed Care Plan: $18,504.96 Eternal Health — Medicare Managed Care Plan: $17,623.77 Fallon Health Community Care — Hmo/Ppo: $23,792.09 Fallon Health Community Care — Medicare Managed Care Plan: $19,386.15 Fallon Health Community Care — Medicare Managed Care Plan - Dual (D-Snp): $17,623.77 Mass General Brigham — Medicare Managed Care Plan: $17,623.77 Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $17,623.77
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$22,228.54 – $40,369.34
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Aetna — Hmo/Ppo: $40,369.34 Aetna — Medicare Managed Care Plan: $22,228.54 Bcbs — Medicare Managed Care Plan: $22,228.54 Commonwealth Care Alliance — Medicare Managed Care Plan: $23,339.97 Eternal Health — Medicare Managed Care Plan: $22,228.54 Fallon Health Community Care — Hmo/Ppo: $30,008.53 Fallon Health Community Care — Medicare Managed Care Plan: $24,451.39 Fallon Health Community Care — Medicare Managed Care Plan - Dual (D-Snp): $22,228.54 Mass General Brigham — Medicare Managed Care Plan: $22,228.54 Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $22,228.54
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$11,439.15 – $20,516.22
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Aetna — Hmo/Ppo: $20,516.22 Aetna — Medicare Managed Care Plan: $11,439.15 Bcbs — Medicare Managed Care Plan: $11,439.15 Commonwealth Care Alliance — Medicare Managed Care Plan: $12,011.11 Eternal Health — Medicare Managed Care Plan: $11,439.15 Fallon Health Community Care — Hmo/Ppo: $15,442.85 Fallon Health Community Care — Medicare Managed Care Plan: $12,583.06 Fallon Health Community Care — Medicare Managed Care Plan - Dual (D-Snp): $11,439.15 Mass General Brigham — Medicare Managed Care Plan: $11,439.15 Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $11,439.15

Source: Saint Anne's Hospital’s standard charges file (brownhealth.org, 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	795 Middle Street, Fall River, MA 02721
County	Bristol County
State	Massachusetts
Phone	(508) 674‑5600
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
CMS Certification Number	220020
Name in Medicare records	SAINT ANNE'S HOSPITAL
Profile level	Medicare data + hospital website
Official website	brownhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Saint Anne's Hospital — brownhealth.org
Interpreter Services at Saint Anne's Hospital | Brown University Health — brownhealth.org
Frequently Asked Questions about Hospitalist Doctors at Saint Anne's Hospital | Brown University Health — brownhealth.org
Saint Anne's Hospital Awards and Accreditations | Brown University Health — brownhealth.org
Locations and Directions to Saint Anne's Hospital | Brown University Health — brownhealth.org
Visitor Policy Guidelines at Saint Anne's Hospital | Brown University Health — brownhealth.org
Preparing for Your Stay at Saint Anne's Hospital | Brown University Health — brownhealth.org
During Your Stay at Saint Anne's Hospital | Brown University Health — brownhealth.org
Community Health Partners and Programs at Saint Anne's Hospital | Brown University Health — brownhealth.org

Saint Anne's Hospital

Summary

Profile from official sources

At a glance