Does Signature Healthcare Brockton Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Signature Healthcare Brockton Hospital. In a medical emergency, call 911.

Where is Signature Healthcare Brockton Hospital?

680 Center Street, Brockton, MA 02302, in Plymouth County, Massachusetts.

What is the phone number of Signature Healthcare Brockton Hospital?

(508) 941-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Signature Healthcare Brockton Hospital?

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

Signature Healthcare Brockton Hospital

Quick answers

Does Signature Healthcare Brockton Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Signature Healthcare Brockton Hospital. In a medical emergency, call 911.
Where is Signature Healthcare Brockton Hospital?: 680 Center Street, Brockton, MA 02302, in Plymouth County, Massachusetts.
What is the phone number of Signature Healthcare Brockton Hospital?: (508) 941-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Signature Healthcare Brockton Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Obstetrics, birthing and maternity
Maternal fetal medicine
Infertility
Podiatry
Pain management
Surgery
Wound care
Physical therapy
Radiology and imaging

Treatments^[4]

Procedures^[4]

Cardiac catheterization
Day surgery
CT
MRI
Mammography
Ultrasound
Bone densitometry
CT scan
Laboratory blood collection

Programs and centers^[4][7]

Level II Nursery
Birthing and maternity
Transitional Year Residency Program

Emergency care (hospital website)^[4][5]

Emergency room	Yes

Visiting and practical information

Interpreters and languages	Trained medical interpreters in Cape Verdean Creole, Portuguese, Spanish, Haitian Creole, French; ASL and phone options; no cost. Line 508-941-7658^[6]

Doctors and clinicians (532)

532 doctors and other clinicians list Signature Healthcare Brockton 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 (532)

Aaron Amardey-Wellington, MDEmergency Medicine
Aaron Wright, MDDiagnostic Radiology
Abigail J. RotaNurse Practitioner
Abrah Canfield, NPNurse Practitioner
Adam D. Rulnick, MDDiagnostic Radiology
Adam S. Donahue, NPNurse Practitioner
Aderinola Ojengbede, MDHospitalist
Adrea S. Lee, MDEmergency Medicine
Adrian M. Iglesias, CNACertified Registered Nurse Anesthetist (CRNA)
Ahmed Atia, MDAnesthesiology
Ahmed K. Gayed, MDHospitalist
Aida M. Hanna, MDInternal Medicine
Aisling J. Zylberman, NPNurse Practitioner
Akash D. Patel, MDFamily Practice
Akshay B. Shanbhag, MDInternal Medicine
Aleksandr Perepletchikov, MDPathology
Alex I. Varghese, MDInternal Medicine
Alexander Georgakis, MDCardiovascular Disease (Cardiology)
Alexandra N. FrankPhysician Assistant
Alexis ManzellaNurse Practitioner
Alexis Nworah, MDInternal Medicine
Alfred John R. Tanglao, MDFamily Practice
Ali R. Niakosari, MDDiagnostic Radiology
Alice R. EatonPhysician Assistant

And 508 more: the button below opens the full list.

Other emergency rooms nearby

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

Good Samaritan Medical Center3.9 mi · Brockton, MA · Acute Care Hospital
South Shore Hospital6.4 mi · South Weymouth, MA · Acute Care Hospital
Beth Israel Deaconess Hospital - Milton12 mi · Milton, MA · Acute Care Hospital
Brown University Health Morton Hospital14 mi · Taunton, MA · Acute Care Hospital
Westwood Pembroke Health Systems15 mi · Westwood, MA · Psychiatric Hospital

Other hospitals nearby

PAM Health Specialty Hospital of Stoughton4.8 mi · Stoughton, MA · Long-Term Acute Care Hospital
Encompass Health Braintree Hospital of Braintree7.9 mi · Braintree, MA · Inpatient Rehabilitation Hospital
Walden Behavioral Care, LLC13 mi · Dedham, MA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Champion Rehabilitation and Nursing Center0.3 mi · Brockton, MA · 2 of 5 stars
St Joseph Manor Health Care Inc0.8 mi · Brockton, MA · 4 of 5 stars
The Guardian Center2.3 mi · Brockton, MA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Brockton Visiting Nurse Association2.7 mi · Brockton, MA
Old Colony Hospice, Inc4.8 mi · W Bridgewater, MA · 5 of 5 stars
Compassionate Care Hospice of Southeastern Massachusetts LLC7.9 mi · Bridgewater, MA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Analia Home Health Care Services, LLC0.4 mi · Brockton, MA
Greater Boston Home Health Care, LLC0.4 mi · Brockton, MA
Ab Home Health Care, LLC2.7 mi · Brockton, MA

All home health agencies in the state →

Dialysis facilities

Brockton Dialysis Center, LLC2.7 mi · Brockton, MA · 3 of 5 stars
Brockton Regional Kidney Center2.7 mi · Brockton, MA · 5 of 5 stars
FMC Quality Care Dialysis Center5.9 mi · Weymouth, 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.

New England Eye Surgical Center5.9 mi · Weymouth, MA
Commonwealth Endoscopy Center, Inc6.8 mi · North Easton, MA
South Shore Endoscopy Center8.3 mi · Braintree, 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

BNHC Community Care in Reach1.5 mi · Brockton, MA · Community health center
BNHC Pharmacy1.5 mi · Brockton, MA · Community health center
Brockton Neighborhood Health Center1.5 mi · Brockton, MA · Community health center

Clinics and urgent care

Signature Healthcare Urgent Care, Inc.0.4 mi · Brockton, MA · Urgent care center
Uplift Behavioral Health Services LLC0.4 mi · Brockton, MA · Urgent care center
Alm Medical LLC2.7 mi · Brockton, MA · Urgent care center

Pharmacies

Walgreen Eastern Co Inc0.4 mi · Brockton, MA · Pharmacy
Boston Medical Center Corporation2.7 mi · Brockton, MA · Community/retail pharmacy
Brockton Hospital, Inc.2.7 mi · Brockton, 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 Signature Healthcare Brockton 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	59%National average: 72%
Would definitely recommend the hospital	62%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	71%National average: 80%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	42%National average: 60%
Completed surveys	500Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.577No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.01No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.01No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.587Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.4%
Deaths within 30 days: heart failure patients	9.8%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	6.8%
Deaths within 30 days: stroke patients	15.5%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	4.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	23.6%
Readmitted within 30 days: pneumonia	16.5%
Readmitted within 30 days: COPD	20.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.7%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	208 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	83%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Brockton Best hospitals in Massachusetts

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Signature Healthcare Brockton Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$73.50 – $197.07
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — All Plans: $73.50 AllWays Health Partners — Medicare Advantage: $114.25 Blue Cross Blue Shield — HMO: $197.07 Blue Cross Blue Shield — Indemnity-PPA: $197.07 Fallon — Medicare Plus: $109.77 Fallon — Navicare: $137.21 Humana — Medicare Advantage: $112.01 Senior Whole Health — Medicare Advantage: $136.65 Tufts Health Plan — Medicare Advantage: $112.01 UniCare — All Plans: $133.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$124.78 – $333.59
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — All Plans: $124.78 AllWays Health Partners — Medicare Advantage: $170.91 Blue Cross Blue Shield — HMO: $333.59 Blue Cross Blue Shield — Indemnity-PPA: $333.59 Fallon — Medicare Plus: $164.21 Fallon — Navicare: $205.26 Humana — Medicare Advantage: $167.56 Senior Whole Health — Medicare Advantage: $204.42 Tufts Health Plan — Medicare Advantage: $167.56 UniCare — All Plans: $189.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$162.05 – $435.38
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — All Plans: $162.05 AllWays Health Partners — Medicare Advantage: $225.44 Blue Cross Blue Shield — HMO: $435.38 Blue Cross Blue Shield — Indemnity-PPA: $435.38 Fallon — Medicare Plus: $216.60 Fallon — Navicare: $270.74 Humana — Medicare Advantage: $221.02 Senior Whole Health — Medicare Advantage: $269.64 Tufts Health Plan — Medicare Advantage: $221.02 UniCare — All Plans: $189.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT; LEVEL 3	$186	$130.20	$48.97 – $133.81
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $48.97 AllWays Health Partners — Medicare Advantage: $93.51 Blue Cross Blue Shield — HMO: $132 Blue Cross Blue Shield — Indemnity-PPA: $132 Cigna — All Plans: $110 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $89.84 Fallon — Navicare: $112.30 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $91.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT; ONCOLOGY LEVEL 3	$186	$130.20	$48.97 – $986
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $48.97 AllWays Health Partners — Medicare Advantage: $93.51 Blue Cross Blue Shield — HMO: $132 Blue Cross Blue Shield — Indemnity-PPA: $132 Cigna — All Plans: $93 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $89.84 Fallon — Navicare: $112.30 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $91.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CNSLT; LEVEL 3	$186	$130.20	$48.97 – $133.81
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $48.97 AllWays Health Partners — Medicare Advantage: $93.51 Blue Cross Blue Shield — HMO: $132 Blue Cross Blue Shield — Indemnity-PPA: $132 Cigna — All Plans: $110 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $89.84 Fallon — Navicare: $112.30 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $91.67
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT; LEVEL 4	$186	$130.20	$68.82 – $203.52
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $75.55 AllWays Health Partners — Medicare Advantage: $131.37 Blue Cross Blue Shield — HMO: $203.52 Blue Cross Blue Shield — Indemnity-PPA: $203.52 Cigna — All Plans: $110 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $126.22 Fallon — Navicare: $157.78 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $128.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT; ONCOLOGY LEVEL 4	$186	$130.20	$68.82 – $986
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $75.55 AllWays Health Partners — Medicare Advantage: $131.37 Blue Cross Blue Shield — HMO: $203.52 Blue Cross Blue Shield — Indemnity-PPA: $203.52 Cigna — All Plans: $93 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $126.22 Fallon — Navicare: $157.78 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $128.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CNSLT; ONCOLOGY LEVEL 4	$186	$130.20	$68.82 – $986
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $75.55 AllWays Health Partners — Medicare Advantage: $131.37 Blue Cross Blue Shield — HMO: $203.52 Blue Cross Blue Shield — Indemnity-PPA: $203.52 Cigna — All Plans: $93 Commonwealth Care Alliance — ICO-SCO: $68.82 Fallon — Medicare Plus: $126.22 Fallon — Navicare: $157.78 Harvard PIlgrim HealthCare — All Plans: $103.23 Humana — Medicare Advantage: $128.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$93.50 – $137.70
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — All Plans: $93.50 AllWays Health Partners — Medicare Advantage: $114.66 Fallon — Medicare Plus: $110.16 Fallon — Navicare: $137.70 Humana — Medicare Advantage: $112.41 Senior Whole Health — Medicare Advantage: $137.14 Tufts Health Plan — Medicare Advantage: $112.41 UniCare — All Plans: $133.81
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$148.90 – $195.85
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — All Plans: $148.90 AllWays Health Partners — Medicare Advantage: $163.07 Fallon — Medicare Plus: $156.68 Fallon — Navicare: $195.85 Humana — Medicare Advantage: $159.88 Senior Whole Health — Medicare Advantage: $195.05 Tufts Health Plan — Medicare Advantage: $159.88 UniCare — All Plans: $189.91
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	$101.19 – $378.90
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — All Plans: $101.19 AllWays Health Partners — Medicare Advantage: $132.60 Fallon — Medicare Plus: $127.40 Fallon — Navicare: $159.25 Humana — Medicare Advantage: $130 Senior Whole Health — Medicare Advantage: $158.60 Tufts Health Plan — Medicare Advantage: $130 UniCare — All Plans: $378.90
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	$122.76 – $443.15
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — All Plans: $122.76 AllWays Health Partners — Medicare Advantage: $152.48 Fallon — Medicare Plus: $146.50 Fallon — Navicare: $183.13 Humana — Medicare Advantage: $149.49 Senior Whole Health — Medicare Advantage: $182.38 Tufts Health Plan — Medicare Advantage: $149.49 UniCare — All Plans: $443.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; LOW MDM	$1,410	$987	$299 – $1,505
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $335.40 Blue Cross Blue Shield — HMO: $399.33 Blue Cross Blue Shield — Indemnity-PPA: $399.33 Cigna — All Plans: $456.12 Commonwealth Care Alliance — ICO-SCO: $521.70 Fallon — Medicare Plus: $322.25 Fallon — Navicare: $402.81 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $328.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; LOW MDM (25)	$1,410	$987	$299 – $1,505
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $335.40 Blue Cross Blue Shield — HMO: $399.33 Blue Cross Blue Shield — Indemnity-PPA: $399.33 Cigna — All Plans: $456.12 Commonwealth Care Alliance — ICO-SCO: $521.70 Fallon — Medicare Plus: $322.25 Fallon — Navicare: $402.81 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $328.82
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT; LOW MDM	$1,410	$987	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; MOD MDM	$1,821	$1,274.70	$299 – $1,505
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $515.80 Blue Cross Blue Shield — HMO: $645.35 Blue Cross Blue Shield — Indemnity-PPA: $645.35 Cigna — All Plans: $701.46 Commonwealth Care Alliance — ICO-SCO: $673.77 Fallon — Medicare Plus: $495.57 Fallon — Navicare: $619.47 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $505.69
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; MOD MDM (25)	$1,821	$1,274.70	$299 – $1,505
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $515.80 Blue Cross Blue Shield — HMO: $645.35 Blue Cross Blue Shield — Indemnity-PPA: $645.35 Cigna — All Plans: $701.46 Commonwealth Care Alliance — ICO-SCO: $673.77 Fallon — Medicare Plus: $495.57 Fallon — Navicare: $619.47 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $505.69
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT; MOD MDM (25)	$1,821	$1,274.70	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; HIGH MDM	$2,313	$1,619.10	$299 – $1,505
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $742.65 Blue Cross Blue Shield — HMO: $940.71 Blue Cross Blue Shield — Indemnity-PPA: $940.71 Cigna — All Plans: $1,009.97 Commonwealth Care Alliance — ICO-SCO: $855.81 Fallon — Medicare Plus: $713.53 Fallon — Navicare: $891.91 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $728.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT; HIGH MDM (25)	$2,313	$1,619.10	$299 – $1,505
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Plans: $1,241.62 AllWays Health Partners — Medicare Advantage: $742.65 Blue Cross Blue Shield — HMO: $940.71 Blue Cross Blue Shield — Indemnity-PPA: $940.71 Cigna — All Plans: $1,009.97 Commonwealth Care Alliance — ICO-SCO: $855.81 Fallon — Medicare Plus: $713.53 Fallon — Navicare: $891.91 Harvard PIlgrim HealthCare — All Plans: $299 Humana — Medicare Advantage: $728.09
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT; HIGH MDM	$2,313	$1,619.10	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: BASIC METABOLIC PANEL	$35	$24.50	$8.29 – $27.12
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — All Plans: $11.77 AllWays Health Partners — Medicare Advantage: $8.63 Blue Cross Blue Shield — HMO: $20.76 Blue Cross Blue Shield — Indemnity-PPA: $20.76 Cigna — All Plans: $10.86 Commonwealth Care Alliance — ICO-SCO: $10.15 Fallon — Medicare Plus: $8.29 Fallon — Navicare: $10.36 Harvard PIlgrim HealthCare — All Plans: $24.85 Humana — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$35	$24.50	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$44	$30.80	$10.35 – $33.89
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — All Plans: $14.69 AllWays Health Partners — Medicare Advantage: $10.77 Blue Cross Blue Shield — HMO: $25.78 Blue Cross Blue Shield — Indemnity-PPA: $25.78 Cigna — All Plans: $13.56 Commonwealth Care Alliance — ICO-SCO: $12.67 Fallon — Medicare Plus: $10.35 Fallon — Navicare: $12.94 Harvard PIlgrim HealthCare — All Plans: $31.04 Humana — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$44	$30.80	Not listed in the file
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	$46.85 – $126.43
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — All Plans: $66.49 AllWays Health Partners — Medicare Advantage: $48.77 Blue Cross Blue Shield — HMO: $117.42 Blue Cross Blue Shield — Indemnity-PPA: $117.42 Cigna — All Plans: $61.39 Commonwealth Care Alliance — ICO-SCO: $57.37 Fallon — Medicare Plus: $46.85 Fallon — Navicare: $58.57 Harvard PIlgrim HealthCare — All Plans: $126.43 Humana — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$55	$38.50	$13.12 – $42.93
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates Aetna — All Plans: $18.62 AllWays Health Partners — Medicare Advantage: $13.66 Blue Cross Blue Shield — HMO: $32.94 Blue Cross Blue Shield — Indemnity-PPA: $32.94 Cigna — All Plans: $17.19 Commonwealth Care Alliance — ICO-SCO: $16.07 Fallon — Medicare Plus: $13.12 Fallon — Navicare: $16.40 Harvard PIlgrim HealthCare — All Plans: $39.34 Humana — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$55	$38.50	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$190	$133	$8.51 – $27.84
Kidney function panel: 10 of 14 insurance plan rates Aetna — All Plans: $12.07 AllWays Health Partners — Medicare Advantage: $8.85 Blue Cross Blue Shield — HMO: $21.48 Blue Cross Blue Shield — Indemnity-PPA: $21.48 Cigna — All Plans: $11.15 Commonwealth Care Alliance — ICO-SCO: $10.42 Fallon — Medicare Plus: $8.51 Fallon — Navicare: $10.63 Harvard PIlgrim HealthCare — All Plans: $25.51 Humana — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$190	$133	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$34	$23.80	$8.01 – $26.22
Liver function panel: 10 of 14 insurance plan rates Aetna — All Plans: $11.36 AllWays Health Partners — Medicare Advantage: $8.33 Blue Cross Blue Shield — HMO: $20.05 Blue Cross Blue Shield — Indemnity-PPA: $20.05 Cigna — All Plans: $10.49 Commonwealth Care Alliance — ICO-SCO: $9.80 Fallon — Medicare Plus: $8.01 Fallon — Navicare: $10.01 Harvard PIlgrim HealthCare — All Plans: $21.61 Humana — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$34	$23.80	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$13	$9.10	$3.11 – $10.17
Urine test (automated, with microscope): 10 of 14 insurance plan rates Aetna — All Plans: $4.41 AllWays Health Partners — Medicare Advantage: $3.23 Blue Cross Blue Shield — HMO: $7.88 Blue Cross Blue Shield — Indemnity-PPA: $7.88 Cigna — All Plans: $4.07 Commonwealth Care Alliance — ICO-SCO: $3.80 Fallon — Medicare Plus: $3.11 Fallon — Navicare: $3.88 Harvard PIlgrim HealthCare — All Plans: $8.38 Humana — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$13	$9.10	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO W/O MICRO	$14	$9.80	$3.13 – $8.28
Urine test (manual, without microscope): 10 of 14 insurance plan rates Aetna — All Plans: $4.84 AllWays Health Partners — Medicare Advantage: $3.55 Blue Cross Blue Shield — HMO: $7.16 Blue Cross Blue Shield — Indemnity-PPA: $7.16 Cigna — All Plans: $4.47 Commonwealth Care Alliance — ICO-SCO: $4.18 Fallon — Medicare Plus: $3.41 Fallon — Navicare: $4.26 Harvard PIlgrim HealthCare — All Plans: $8.28 Humana — Medicare Advantage: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO W/O MICRO	$14	$9.80	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 MICRO (59)	$10	$7	$2.21 – $7.20
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — All Plans: $3.13 AllWays Health Partners — Medicare Advantage: $2.30 Blue Cross Blue Shield — HMO: $5.72 Blue Cross Blue Shield — Indemnity-PPA: $5.72 Cigna — All Plans: $2.89 Commonwealth Care Alliance — ICO-SCO: $2.70 Fallon — Medicare Plus: $2.21 Fallon — Navicare: $2.76 Harvard PIlgrim HealthCare — All Plans: $6.59 Humana — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC; URINALYSIS AUTO W/O MICRO	$10	$7	$2.21 – $7.20
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — All Plans: $3.13 AllWays Health Partners — Medicare Advantage: $2.30 Blue Cross Blue Shield — HMO: $5.72 Blue Cross Blue Shield — Indemnity-PPA: $5.72 Cigna — All Plans: $2.89 Commonwealth Care Alliance — ICO-SCO: $2.70 Fallon — Medicare Plus: $2.21 Fallon — Navicare: $2.76 Harvard PIlgrim HealthCare — All Plans: $6.59 Humana — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC; URINALYSIS AUTO W/O MICRO	$10	$7	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPEC ANTIGEN TOTAL	$76	$53.20	$18.02 – $58.96
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates Aetna — All Plans: $25.57 AllWays Health Partners — Medicare Advantage: $18.76 Blue Cross Blue Shield — HMO: $45.11 Blue Cross Blue Shield — Indemnity-PPA: $45.11 Cigna — All Plans: $23.61 Commonwealth Care Alliance — ICO-SCO: $22.07 Fallon — Medicare Plus: $18.02 Fallon — Navicare: $22.53 Harvard PIlgrim HealthCare — All Plans: $48.65 Humana — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPEC ANTIGEN TOTAL	$76	$53.20	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$69	$48.30	$16.46 – $53.87
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates Aetna — All Plans: $23.36 AllWays Health Partners — Medicare Advantage: $17.14 Blue Cross Blue Shield — HMO: $41.52 Blue Cross Blue Shield — Indemnity-PPA: $41.52 Cigna — All Plans: $21.57 Commonwealth Care Alliance — ICO-SCO: $20.16 Fallon — Medicare Plus: $16.46 Fallon — Navicare: $20.58 Harvard PIlgrim HealthCare — All Plans: $49.38 Humana — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$69	$48.30	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & AUTO DIFF	$32	$22.40	$7.61 – $24.92
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — All Plans: $10.81 AllWays Health Partners — Medicare Advantage: $7.93 Blue Cross Blue Shield — HMO: $19.34 Blue Cross Blue Shield — Indemnity-PPA: $19.34 Cigna — All Plans: $9.98 Commonwealth Care Alliance — ICO-SCO: $9.32 Fallon — Medicare Plus: $7.61 Fallon — Navicare: $9.52 Harvard PIlgrim HealthCare — All Plans: $20.54 Humana — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & AUTO DIFF	$32	$22.40	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	$27	$18.90	$6.34 – $20.73
Complete blood count (CBC), automated: 10 of 14 insurance plan rates Aetna — All Plans: $9 AllWays Health Partners — Medicare Advantage: $6.60 Blue Cross Blue Shield — HMO: $15.75 Blue Cross Blue Shield — Indemnity-PPA: $15.75 Cigna — All Plans: $8.31 Commonwealth Care Alliance — ICO-SCO: $7.76 Fallon — Medicare Plus: $6.34 Fallon — Navicare: $7.93 Harvard PIlgrim HealthCare — All Plans: $17.09 Humana — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$27	$18.90	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	$17	$11.90	$4.20 – $12.60
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Aetna — All Plans: $5.97 AllWays Health Partners — Medicare Advantage: $4.38 Blue Cross Blue Shield — HMO: $9.31 Blue Cross Blue Shield — Indemnity-PPA: $9.31 Cigna — All Plans: $5.51 Commonwealth Care Alliance — ICO-SCO: $5.15 Fallon — Medicare Plus: $4.20 Fallon — Navicare: $5.26 Harvard PIlgrim HealthCare — All Plans: $11.54 Humana — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC; PT/INR (QW)	$17	$11.90	$4.20 – $12.60
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Aetna — All Plans: $5.97 AllWays Health Partners — Medicare Advantage: $4.38 Blue Cross Blue Shield — HMO: $9.31 Blue Cross Blue Shield — Indemnity-PPA: $9.31 Cigna — All Plans: $5.51 Commonwealth Care Alliance — ICO-SCO: $5.15 Fallon — Medicare Plus: $4.20 Fallon — Navicare: $5.26 Harvard PIlgrim HealthCare — All Plans: $11.54 Humana — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC; PT/INR (QW)	$17	$11.90	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 PRTL (PTT)	$25	$17.50	$5.89 – $19.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — All Plans: $8.36 AllWays Health Partners — Medicare Advantage: $6.13 Blue Cross Blue Shield — HMO: $15.04 Blue Cross Blue Shield — Indemnity-PPA: $15.04 Cigna — All Plans: $7.72 Commonwealth Care Alliance — ICO-SCO: $7.21 Fallon — Medicare Plus: $5.89 Fallon — Navicare: $7.36 Harvard PIlgrim HealthCare — All Plans: $15.87 Humana — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME,PRTL (PTT)	$25	$17.50	$5.89 – $19.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — All Plans: $8.36 AllWays Health Partners — Medicare Advantage: $6.13 Blue Cross Blue Shield — HMO: $15.04 Blue Cross Blue Shield — Indemnity-PPA: $15.04 Cigna — All Plans: $7.72 Commonwealth Care Alliance — ICO-SCO: $7.21 Fallon — Medicare Plus: $5.89 Fallon — Navicare: $7.36 Harvard PIlgrim HealthCare — All Plans: $15.87 Humana — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PRTL (PTT)	$25	$17.50	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 CNTRST	$538	$376.60	$59.24 – $504.70
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — All Plans: $59.24 AllWays Health Partners — Medicare Advantage: $128.81 Blue Cross Blue Shield — HMO: $284.60 Blue Cross Blue Shield — Indemnity-PPA: $284.60 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $151.54 Fallon — Medicare Plus: $123.76 Fallon — Navicare: $154.70 Harvard PIlgrim HealthCare — All Plans: $298.59 Humana — Medicare Advantage: $126.29
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	$97.72
CT scan of the head or brain, without contrast: rates for 1 insurance plan Aetna — All Plans: $97.72
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT; HEAD/BRAIN W/O CNTRST	$538	$376.60	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 W&W/O CNTRST	$1,819	$1,273.30	$81.05 – $1,364.79
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — All Plans: $379.99 AllWays Health Partners — Medicare Advantage: $432.60 Blue Cross Blue Shield — HMO: $976.11 Blue Cross Blue Shield — Indemnity-PPA: $976.11 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $508.94 Fallon — Medicare Plus: $415.63 Fallon — Navicare: $519.54 Harvard PIlgrim HealthCare — All Plans: $1,009.55 Humana — Medicare Advantage: $424.11
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI; BRAIN W&W/O CNTRST	$1,819	$1,273.30	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY; CHEST 2 VWS	$386	$270.20	$33.29 – $214.23
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — All Plans: $33.29 AllWays Health Partners — Medicare Advantage: $106.66 Blue Cross Blue Shield — HMO: $89.05 Blue Cross Blue Shield — Indemnity-PPA: $89.05 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $125.48 Fallon — Medicare Plus: $102.47 Fallon — Navicare: $128.09 Harvard PIlgrim HealthCare — All Plans: $214.23 Humana — Medicare Advantage: $104.56
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY; CHEST 2 VWS	$386	$270.20	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: XRAY; LS SPINE >= 4 VWS	$538	$376.60	$56.20 – $298.59
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Aetna — All Plans: $56.20 AllWays Health Partners — Medicare Advantage: $128.81 Blue Cross Blue Shield — HMO: $160.82 Blue Cross Blue Shield — Indemnity-PPA: $160.82 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $151.54 Fallon — Medicare Plus: $123.76 Fallon — Navicare: $154.70 Harvard PIlgrim HealthCare — All Plans: $298.59 Humana — Medicare Advantage: $126.29
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY; LS SPINE >= 4 VWS	$538	$376.60	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 W/O CNTRST	$1,137	$795.90	$81.05 – $939.87
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — All Plans: $213.39 AllWays Health Partners — Medicare Advantage: $292.80 Blue Cross Blue Shield — HMO: $583.22 Blue Cross Blue Shield — Indemnity-PPA: $583.22 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $344.47 Fallon — Medicare Plus: $281.32 Fallon — Navicare: $351.64 Harvard PIlgrim HealthCare — All Plans: $631.04 Humana — Medicare Advantage: $287.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI; LUMBAR W/O CNTRST	$1,137	$795.90	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/CNTRST	$892	$624.40	$81.05 – $706.70
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — All Plans: $135.80 AllWays Health Partners — Medicare Advantage: $215.64 Blue Cross Blue Shield — HMO: $510.31 Blue Cross Blue Shield — Indemnity-PPA: $510.31 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $253.69 Fallon — Medicare Plus: $207.18 Fallon — Navicare: $258.98 Harvard PIlgrim HealthCare — All Plans: $495.06 Humana — Medicare Advantage: $211.41
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT; PELVIS W/CNTRST	$892	$624.40	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; JT LW EXTRM W/O DYE (RT)	$1,137	$795.90	$81.05 – $939.87
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — All Plans: $241.98 AllWays Health Partners — Medicare Advantage: $292.80 Blue Cross Blue Shield — HMO: $583.22 Blue Cross Blue Shield — Indemnity-PPA: $583.22 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $344.47 Fallon — Medicare Plus: $281.32 Fallon — Navicare: $351.64 Harvard PIlgrim HealthCare — All Plans: $631.04 Humana — Medicare Advantage: $287.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI; JT LW EXTRM W/O DYE (LT)	$1,137	$795.90	$81.05 – $939.87
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — All Plans: $241.98 AllWays Health Partners — Medicare Advantage: $292.80 Blue Cross Blue Shield — HMO: $583.22 Blue Cross Blue Shield — Indemnity-PPA: $583.22 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $344.47 Fallon — Medicare Plus: $281.32 Fallon — Navicare: $351.64 Harvard PIlgrim HealthCare — All Plans: $631.04 Humana — Medicare Advantage: $287.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI; JT LW EXTRM W/O DYE (50)	$2,274	$1,591.80	$81.05 – $1,262.07
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — All Plans: $241.98 AllWays Health Partners — Medicare Advantage: $292.80 Blue Cross Blue Shield — HMO: $583.22 Blue Cross Blue Shield — Indemnity-PPA: $583.22 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $344.47 Fallon — Medicare Plus: $281.32 Fallon — Navicare: $351.64 Harvard PIlgrim HealthCare — All Plans: $1,262.07 Humana — Medicare Advantage: $287.06
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/CNTRST	$1,819	$1,273.30	$81.05 – $1,164.27
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — All Plans: $178.29 AllWays Health Partners — Medicare Advantage: $432.60 Blue Cross Blue Shield — HMO: $976.11 Blue Cross Blue Shield — Indemnity-PPA: $976.11 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $508.94 Fallon — Medicare Plus: $415.63 Fallon — Navicare: $519.54 Harvard PIlgrim HealthCare — All Plans: $1,009.55 Humana — Medicare Advantage: $424.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT; ABD/PELV W/CNTRST	$1,819	$1,273.30	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US; ABD CMP	$554	$387.80	$67.39 – $307.47
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Aetna — All Plans: $67.39 AllWays Health Partners — Medicare Advantage: $128.81 Blue Cross Blue Shield — HMO: $160.82 Blue Cross Blue Shield — Indemnity-PPA: $160.82 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $151.54 Fallon — Medicare Plus: $123.76 Fallon — Navicare: $154.70 Harvard PIlgrim HealthCare — All Plans: $307.47 Humana — Medicare Advantage: $126.29
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US; ABD CMP	$554	$387.80	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US; OB>14 WKS, SINGLE FETUS	$538	$376.60	$74.96 – $298.59
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Aetna — All Plans: $74.96 AllWays Health Partners — Medicare Advantage: $128.81 Blue Cross Blue Shield — HMO: $160.82 Blue Cross Blue Shield — Indemnity-PPA: $160.82 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $151.54 Fallon — Medicare Plus: $123.76 Fallon — Navicare: $154.70 Harvard PIlgrim HealthCare — All Plans: $298.59 Humana — Medicare Advantage: $126.29
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US; OB>14 WKS, SINGLE FETUS	$538	$376.60	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US; NON-OB TRANSVAGINAL (TC)	$538	$376.60	$71.47 – $298.59
Transvaginal ultrasound: 10 of 14 insurance plan rates Aetna — All Plans: $71.47 AllWays Health Partners — Medicare Advantage: $128.81 Blue Cross Blue Shield — HMO: $160.82 Blue Cross Blue Shield — Indemnity-PPA: $160.82 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $151.54 Fallon — Medicare Plus: $123.76 Fallon — Navicare: $154.70 Harvard PIlgrim HealthCare — All Plans: $298.59 Humana — Medicare Advantage: $126.29
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US; NON-OB TRANSVAGINAL (TC)	$538	$376.60	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO; DX W/CAD (LT)	$456	$319.20	$77.87 – $253.08
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Aetna — All Plans: $77.87 AllWays Health Partners — Medicare Advantage: $130.27 Blue Cross Blue Shield — HMO: $209.38 Blue Cross Blue Shield — Indemnity-PPA: $209.38 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $153.26 Fallon — Medicare Plus: $125.16 Fallon — Navicare: $156.45 Harvard PIlgrim HealthCare — All Plans: $253.08 Humana — Medicare Advantage: $127.72
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO; DX W/CAD (RT)	$456	$319.20	$77.87 – $253.08
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Aetna — All Plans: $77.87 AllWays Health Partners — Medicare Advantage: $130.27 Blue Cross Blue Shield — HMO: $209.38 Blue Cross Blue Shield — Indemnity-PPA: $209.38 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $153.26 Fallon — Medicare Plus: $125.16 Fallon — Navicare: $156.45 Harvard PIlgrim HealthCare — All Plans: $253.08 Humana — Medicare Advantage: $127.72
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO; DX W/CAD (LT)	$456	$319.20	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO; DX W/CAD	$583	$408.10	$81.05 – $323.57
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates Aetna — All Plans: $99.64 AllWays Health Partners — Medicare Advantage: $164.30 Blue Cross Blue Shield — HMO: $267.96 Blue Cross Blue Shield — Indemnity-PPA: $267.96 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $193.30 Fallon — Medicare Plus: $157.86 Fallon — Navicare: $197.32 Harvard PIlgrim HealthCare — All Plans: $323.57 Humana — Medicare Advantage: $161.08
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO; DX W/CAD	$583	$408.10	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO; SCRN BL W/CAD (52)	$482	$337.40	$81.05 – $267.51
Screening mammogram, both breasts: 10 of 14 insurance plan rates Aetna — All Plans: $82.29 AllWays Health Partners — Medicare Advantage: $133.23 Blue Cross Blue Shield — HMO: $221.41 Blue Cross Blue Shield — Indemnity-PPA: $221.41 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $156.74 Fallon — Medicare Plus: $128.01 Fallon — Navicare: $160.01 Harvard PIlgrim HealthCare — All Plans: $267.51 Humana — Medicare Advantage: $130.62
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO; SCRN W/CAD (BL)	$482	$337.40	$81.05 – $267.51
Screening mammogram, both breasts: 10 of 14 insurance plan rates Aetna — All Plans: $82.29 AllWays Health Partners — Medicare Advantage: $133.23 Blue Cross Blue Shield — HMO: $221.41 Blue Cross Blue Shield — Indemnity-PPA: $221.41 Cigna — All Plans: $81.05 Commonwealth Care Alliance — ICO-SCO: $156.74 Fallon — Medicare Plus: $128.01 Fallon — Navicare: $160.01 Harvard PIlgrim HealthCare — All Plans: $267.51 Humana — Medicare Advantage: $130.62
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO; SCRN W/CAD (BL)	$482	$337.40	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	$14.06 – $45.65
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans Aetna — All Plans: $19.49 AllWays Health Partners — Medicare Advantage: $14.63 Blue Cross Blue Shield — HMO: $45.65 Blue Cross Blue Shield — Indemnity-PPA: $45.65 Fallon — Medicare Plus: $14.06 Fallon — Navicare: $17.57 Humana — Medicare Advantage: $14.34 Senior Whole Health — Medicare Advantage: $17.50 Tufts Health Plan — Medicare Advantage: $14.34
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HRT CATH W/INJ, LT VENTR/ S	$6,084	$4,258.80	$2,251.08 – $7,126.85
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates Aetna — All Plans: $6,682.43 AllWays Health Partners — Medicare Advantage: $3,896.07 Blue Cross Blue Shield — HMO: $5,000.77 Blue Cross Blue Shield — Indemnity-PPA: $5,000.77 Cigna — All Plans: $5,298.47 Commonwealth Care Alliance — ICO-SCO: $2,251.08 Fallon — Medicare Plus: $3,743.29 Fallon — Navicare: $4,679.11 Harvard PIlgrim HealthCare — All Plans: $6,019.90 Humana — Medicare Advantage: $3,819.68
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	$4,799.67
Left heart catheterization (diagnostic): rates for 1 insurance plan Aetna — All Plans: $4,799.67
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LT HRT CATH W/INJ, LT VENTR/ S	$6,084	$4,258.80	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$4,799.67 – $12,500.05
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Aetna — All Plans: $4,799.67 AllWays Health Partners — Medicare Advantage: $9,191.55 Blue Cross Blue Shield — HMO: $9,070.17 Blue Cross Blue Shield — Indemnity-PPA: $9,070.17 Cigna — All Plans: $12,500.05 Fallon — Medicare Plus: $8,831.10 Fallon — Navicare: $11,038.87 Harvard PIlgrim HealthCare — All Plans: $10,918.61 Humana — Medicare Advantage: $9,011.32 Senior Whole Health — Medicare Advantage: $10,993.82
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$4,799.67 – $41,155.84
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Aetna — All Plans: $4,799.67 AllWays Health Partners — Medicare Advantage: $29,716.25 Blue Cross Blue Shield — HMO: $34,188.45 Blue Cross Blue Shield — Indemnity-PPA: $34,188.45 Cigna — All Plans: $40,412.58 Fallon — Medicare Plus: $28,550.91 Fallon — Navicare: $35,688.63 Harvard PIlgrim HealthCare — All Plans: $41,155.84 Humana — Medicare Advantage: $29,133.58 Senior Whole Health — Medicare Advantage: $35,542.97
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	$524.61 – $2,282.92
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates Aetna — All Plans: $524.61 AllWays Health Partners — Medicare Advantage: $1,232.38 Blue Cross Blue Shield — HMO: $1,624.20 Blue Cross Blue Shield — Indemnity-PPA: $1,624.20 Cigna — All Plans: $1,675.97 Fallon — Medicare Plus: $1,184.05 Fallon — Navicare: $1,480.06 Humana — Medicare Advantage: $1,208.21 Senior Whole Health — Medicare Advantage: $1,474.02 Tufts Health Plan — Medicare Advantage: $1,208.21

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: EXERCISE - UP TO 15 MIN	$140	$98	$29.22 – $276
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $30.88 AllWays Health Partners — Medicare Advantage: $30.41 Blue Cross Blue Shield — HMO: $81.67 Blue Cross Blue Shield — Indemnity-PPA: $81.67 Cigna — All Plans: $38.29 Commonwealth Care Alliance — ICO-SCO: $51.80 Fallon — Medicare Plus: $29.22 Fallon — Navicare: $36.53 Harvard PIlgrim HealthCare — All Plans: $199.04 Humana — Medicare Advantage: $29.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXERCISE UP TO 15 MINS	$140	$98	$29.22 – $237
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $30.88 AllWays Health Partners — Medicare Advantage: $30.41 Blue Cross Blue Shield — HMO: $81.67 Blue Cross Blue Shield — Indemnity-PPA: $81.67 Cigna — All Plans: $38.29 Commonwealth Care Alliance — ICO-SCO: $51.80 Fallon — Medicare Plus: $29.22 Fallon — Navicare: $36.53 Harvard PIlgrim HealthCare — All Plans: $199.04 Humana — Medicare Advantage: $29.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXERCISE UP TO 15 MINS	$140	$98	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 COMPLEXITY	$371	$259.70	$77.71 – $276
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — All Plans: $77.71 AllWays Health Partners — Medicare Advantage: $103.48 Blue Cross Blue Shield — HMO: $225.85 Blue Cross Blue Shield — Indemnity-PPA: $225.85 Cigna — All Plans: $130.26 Commonwealth Care Alliance — ICO-SCO: $137.27 Fallon — Medicare Plus: $99.42 Fallon — Navicare: $124.28 Harvard PIlgrim HealthCare — All Plans: $199.04 Humana — Medicare Advantage: $101.45
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL - LOW COMPLEXITY	$371	$259.70	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - MEDIUM COMPLEXITY	$371	$259.70	$77.71 – $276
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — All Plans: $77.71 AllWays Health Partners — Medicare Advantage: $103.48 Blue Cross Blue Shield — HMO: $225.85 Blue Cross Blue Shield — Indemnity-PPA: $225.85 Cigna — All Plans: $130.26 Commonwealth Care Alliance — ICO-SCO: $137.27 Fallon — Medicare Plus: $99.42 Fallon — Navicare: $124.28 Harvard PIlgrim HealthCare — All Plans: $199.04 Humana — Medicare Advantage: $101.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL - MEDIUM COMPLEXITY	$371	$259.70	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 COMPLEXITY	$371	$259.70	$77.71 – $276
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — All Plans: $77.71 AllWays Health Partners — Medicare Advantage: $103.48 Blue Cross Blue Shield — HMO: $225.85 Blue Cross Blue Shield — Indemnity-PPA: $225.85 Cigna — All Plans: $130.26 Commonwealth Care Alliance — ICO-SCO: $137.27 Fallon — Medicare Plus: $99.42 Fallon — Navicare: $124.28 Harvard PIlgrim HealthCare — All Plans: $199.04 Humana — Medicare Advantage: $101.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL - HIGH COMPLEXITY	$371	$259.70	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSY TX; W/PT 20-30 MIN	$238	$166.60	$87.16 – $264.68
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Aetna — All Plans: $87.16 AllWays Health Partners — Medicare Advantage: $194.62 Blue Cross Blue Shield — HMO: $228.42 Blue Cross Blue Shield — Indemnity-PPA: $228.42 Cigna — All Plans: $264.68 Commonwealth Care Alliance — ICO-SCO: $88.06 Fallon — Medicare Plus: $186.99 Fallon — Navicare: $233.74 Harvard PIlgrim HealthCare — All Plans: $132.09 Humana — Medicare Advantage: $190.81
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSY TX; W/PT 20-30 MIN	$238	$166.60	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSY TX; W/PT 45 MIN	$353	$247.10	$116.02 – $264.68
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates Aetna — All Plans: $116.02 AllWays Health Partners — Medicare Advantage: $194.62 Blue Cross Blue Shield — HMO: $228.42 Blue Cross Blue Shield — Indemnity-PPA: $228.42 Cigna — All Plans: $264.68 Commonwealth Care Alliance — ICO-SCO: $130.61 Fallon — Medicare Plus: $186.99 Fallon — Navicare: $233.74 Harvard PIlgrim HealthCare — All Plans: $195.92 Humana — Medicare Advantage: $190.81
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSY TX; W/PT 45 MIN	$353	$247.10	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSY TX; W/PT 60 MIN	$353	$247.10	$130.61 – $264.68
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates Aetna — All Plans: $174.25 AllWays Health Partners — Medicare Advantage: $194.62 Blue Cross Blue Shield — HMO: $228.42 Blue Cross Blue Shield — Indemnity-PPA: $228.42 Cigna — All Plans: $264.68 Commonwealth Care Alliance — ICO-SCO: $130.61 Fallon — Medicare Plus: $186.99 Fallon — Navicare: $233.74 Harvard PIlgrim HealthCare — All Plans: $195.92 Humana — Medicare Advantage: $190.81
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSY TX; W/PT 60 MIN	$353	$247.10	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSY TX; FAMILY W/O PT 50 MIN	$368	$257.60	$136.16 – $264.68
Family psychotherapy, without the patient: 10 of 13 insurance plan rates Aetna — All Plans: $140.41 AllWays Health Partners — Medicare Advantage: $194.62 Blue Cross Blue Shield — HMO: $228.42 Blue Cross Blue Shield — Indemnity-PPA: $228.42 Cigna — All Plans: $264.68 Commonwealth Care Alliance — ICO-SCO: $136.16 Fallon — Medicare Plus: $186.99 Fallon — Navicare: $233.74 Harvard PIlgrim HealthCare — All Plans: $204.24 Humana — Medicare Advantage: $190.81
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSY TX; FAMILY W/O PT 50 MIN	$368	$257.60	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSY TX; FAMILY W/PT 50 MIN	$368	$257.60	$136.16 – $264.68
Family psychotherapy, with the patient: 10 of 13 insurance plan rates Aetna — All Plans: $145.90 AllWays Health Partners — Medicare Advantage: $194.62 Blue Cross Blue Shield — HMO: $228.42 Blue Cross Blue Shield — Indemnity-PPA: $228.42 Cigna — All Plans: $264.68 Commonwealth Care Alliance — ICO-SCO: $136.16 Fallon — Medicare Plus: $186.99 Fallon — Navicare: $233.74 Harvard PIlgrim HealthCare — All Plans: $204.24 Humana — Medicare Advantage: $190.81
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSY TX; FAMILY W/PT 50 MIN	$368	$257.60	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY; GROUP	$707	$494.90	$45 – $392.39
Group psychotherapy: 10 of 13 insurance plan rates Aetna — All Plans: $45 AllWays Health Partners — Medicare Advantage: $112.05 Blue Cross Blue Shield — HMO: $136.81 Blue Cross Blue Shield — Indemnity-PPA: $136.81 Cigna — All Plans: $152.38 Commonwealth Care Alliance — ICO-SCO: $261.59 Fallon — Medicare Plus: $107.65 Fallon — Navicare: $134.57 Harvard PIlgrim HealthCare — All Plans: $392.39 Humana — Medicare Advantage: $109.85
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY; GROUP	$707	$494.90	Not listed in the file

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	$3,698.79 – $6,308.06
Removal of breast growth (open surgery): 10 of 12 insurance plan rates Aetna — All Plans: $3,698.79 AllWays Health Partners — Medicare Advantage: $4,638.45 Blue Cross Blue Shield — HMO: $5,010.74 Blue Cross Blue Shield — Indemnity-PPA: $5,010.74 Cigna — All Plans: $6,308.06 Fallon — Medicare Plus: $4,456.55 Fallon — Navicare: $5,570.69 Harvard PIlgrim HealthCare — All Plans: $6,031.90 Humana — Medicare Advantage: $4,547.50 Senior Whole Health — Medicare Advantage: $5,547.95
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	$4,602.64 – $21,195.79
Total hip replacement: 10 of 12 insurance plan rates Aetna — All Plans: $4,602.64 AllWays Health Partners — Medicare Advantage: $15,585.72 Blue Cross Blue Shield — HMO: $15,800.25 Blue Cross Blue Shield — Indemnity-PPA: $15,800.25 Cigna — All Plans: $21,195.79 Fallon — Medicare Plus: $14,974.52 Fallon — Navicare: $18,718.15 Harvard PIlgrim HealthCare — All Plans: $19,156.42 Humana — Medicare Advantage: $15,280.12 Senior Whole Health — Medicare Advantage: $18,641.75
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	$4,602.64 – $21,195.79
Total knee replacement: 10 of 12 insurance plan rates Aetna — All Plans: $4,602.64 AllWays Health Partners — Medicare Advantage: $15,585.72 Blue Cross Blue Shield — HMO: $19,064 Blue Cross Blue Shield — Indemnity-PPA: $19,064 Cigna — All Plans: $21,195.79 Fallon — Medicare Plus: $14,974.52 Fallon — Navicare: $18,718.15 Harvard PIlgrim HealthCare — All Plans: $19,156.42 Humana — Medicare Advantage: $15,280.12 Senior Whole Health — Medicare Advantage: $18,641.75
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$164.07 – $6,682.66
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Aetna — All Plans: $3,698.79 AllWays Health Partners — Medicare Advantage: $170.77 Blue Cross Blue Shield — HMO: $463.56 Blue Cross Blue Shield — Indemnity-PPA: $463.56 Fallon — Medicare Plus: $164.07 Fallon — Navicare: $205.09 Humana — Medicare Advantage: $167.42 Senior Whole Health — Medicare Advantage: $204.25 Tufts Health Plan — Medicare Advantage: $167.42 UniCare — All Plans: $6,682.66
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$3,776.11 – $5,619.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — All Plans: $3,997.99 AllWays Health Partners — Medicare Advantage: $3,930.23 Blue Cross Blue Shield — HMO: $4,667.91 Blue Cross Blue Shield — Indemnity-PPA: $4,667.91 Cigna — All Plans: $5,344.92 Fallon — Medicare Plus: $3,776.11 Fallon — Navicare: $4,720.13 Harvard PIlgrim HealthCare — All Plans: $5,619.20 Humana — Medicare Advantage: $3,853.17 Senior Whole Health — Medicare Advantage: $4,700.87
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	$3,698.79 – $9,744.99
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates Aetna — All Plans: $3,698.79 AllWays Health Partners — Medicare Advantage: $7,165.71 Blue Cross Blue Shield — HMO: $7,872.36 Blue Cross Blue Shield — Indemnity-PPA: $7,872.36 Cigna — All Plans: $9,744.99 Fallon — Medicare Plus: $6,884.70 Fallon — Navicare: $8,605.87 Harvard PIlgrim HealthCare — All Plans: $9,476.71 Humana — Medicare Advantage: $7,025.20 Senior Whole Health — Medicare Advantage: $8,570.75
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD; DX BRUSH WASH	$2,552	$1,786.40	$944.24 – $3,672
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,135.68 Blue Cross Blue Shield — HMO: $1,355.09 Blue Cross Blue Shield — Indemnity-PPA: $1,355.09 Cigna — All Plans: $1,544.46 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,091.14 Fallon — Navicare: $1,363.93 Harvard PIlgrim HealthCare — All Plans: $1,812.49 Humana — Medicare Advantage: $1,113.41
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	$3,103.52
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Aetna — All Plans: $3,103.52
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD; DX BRUSH WASH	$2,552	$1,786.40	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD; BX SNGL MLTPL	$2,552	$1,786.40	$944.24 – $3,672
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,135.68 Blue Cross Blue Shield — HMO: $1,355.09 Blue Cross Blue Shield — Indemnity-PPA: $1,355.09 Cigna — All Plans: $1,544.46 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,091.14 Fallon — Navicare: $1,363.93 Harvard PIlgrim HealthCare — All Plans: $1,812.49 Humana — Medicare Advantage: $1,113.41
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	$3,398.55
Upper GI endoscopy with biopsy: rates for 1 insurance plan Aetna — All Plans: $3,398.55
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD; BX SNGL MLTPL	$2,552	$1,786.40	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY; DX	$2,552	$1,786.40	$944.24 – $3,672
Colonoscopy (diagnostic): 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,104.36 Blue Cross Blue Shield — HMO: $1,325.43 Blue Cross Blue Shield — Indemnity-PPA: $1,325.43 Cigna — All Plans: $1,501.88 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,061.06 Fallon — Navicare: $1,326.32 Harvard PIlgrim HealthCare — All Plans: $1,772.84 Humana — Medicare Advantage: $1,082.71
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	$3,398.55
Colonoscopy (diagnostic): rates for 1 insurance plan Aetna — All Plans: $3,398.55
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY; DX	$2,552	$1,786.40	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY; W/BX	$2,552	$1,786.40	$944.24 – $3,672
Colonoscopy with biopsy: 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,428.23 Blue Cross Blue Shield — HMO: $1,743.42 Blue Cross Blue Shield — Indemnity-PPA: $1,743.42 Cigna — All Plans: $1,942.33 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,372.22 Fallon — Navicare: $1,715.28 Harvard PIlgrim HealthCare — All Plans: $2,331.90 Humana — Medicare Advantage: $1,400.23
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	$3,398.55
Colonoscopy with biopsy: rates for 1 insurance plan Aetna — All Plans: $3,398.55
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY; W/BX	$2,552	$1,786.40	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 RMVL SNA	$2,552	$1,786.40	$944.24 – $3,672
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,428.23 Blue Cross Blue Shield — HMO: $1,743.42 Blue Cross Blue Shield — Indemnity-PPA: $1,743.42 Cigna — All Plans: $1,942.33 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,372.22 Fallon — Navicare: $1,715.28 Harvard PIlgrim HealthCare — All Plans: $2,331.90 Humana — Medicare Advantage: $1,400.23
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	$3,398.55
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Aetna — All Plans: $3,398.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY; W/LESION RMVL SNA	$2,552	$1,786.40	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/ENDOSCOPY US	$2,553	$1,787.10	$944.61 – $3,672
Ultrasound of the lower bowel by endoscope: 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,428.23 Blue Cross Blue Shield — HMO: $1,743.42 Blue Cross Blue Shield — Indemnity-PPA: $1,743.42 Cigna — All Plans: $1,942.33 Commonwealth Care Alliance — ICO-SCO: $944.61 Fallon — Medicare Plus: $1,372.22 Fallon — Navicare: $1,715.28 Harvard PIlgrim HealthCare — All Plans: $2,331.90 Humana — Medicare Advantage: $1,400.23
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	$3,398.55
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Aetna — All Plans: $3,398.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY; W/ENDOSCOPY US	$2,553	$1,787.10	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY - SCREENING	$2,552	$1,786.40	$944.24 – $3,217
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates Aetna — All Plans: $2,119 AllWays Health Partners — Medicare Advantage: $1,104.36 Blue Cross Blue Shield — HMO: $1,325.43 Blue Cross Blue Shield — Indemnity-PPA: $1,325.43 Cigna — All Plans: $1,501.88 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,061.06 Fallon — Navicare: $1,326.32 Harvard PIlgrim HealthCare — All Plans: $1,772.84 Humana — Medicare Advantage: $1,082.71
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	$3,398.55
Screening colonoscopy (not high risk): rates for 1 insurance plan Aetna — All Plans: $3,398.55
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY - SCREENING	$2,552	$1,786.40	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	$4,301.36 – $9,844.32
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — All Plans: $4,301.36 AllWays Health Partners — Medicare Advantage: $7,067.23 Blue Cross Blue Shield — HMO: $8,177.74 Blue Cross Blue Shield — Indemnity-PPA: $8,177.74 Cigna — All Plans: $9,611.07 Fallon — Medicare Plus: $6,790.08 Fallon — Navicare: $8,487.60 Harvard PIlgrim HealthCare — All Plans: $9,844.32 Humana — Medicare Advantage: $6,928.65 Senior Whole Health — Medicare Advantage: $8,452.96
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	$3,997.99 – $6,313.16
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — All Plans: $3,997.99 AllWays Health Partners — Medicare Advantage: $4,274.79 Blue Cross Blue Shield — HMO: $5,244.39 Blue Cross Blue Shield — Indemnity-PPA: $5,244.39 Cigna — All Plans: $5,813.49 Fallon — Medicare Plus: $4,107.15 Fallon — Navicare: $5,133.94 Harvard PIlgrim HealthCare — All Plans: $6,313.16 Humana — Medicare Advantage: $4,190.97 Senior Whole Health — Medicare Advantage: $5,112.98
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APC	Not listed in the file	Not listed in the file	$2,384.07 – $3,726.56
Prostate biopsy: rates for 7 insurance plans AllWays Health Partners — Medicare Advantage: $2,481.38 Cigna — All Plans: $3,374.55 Fallon — Medicare Plus: $2,384.07 Fallon — Navicare: $2,980.09 Humana — Medicare Advantage: $2,432.73 Senior Whole Health — Medicare Advantage: $2,967.93 Tufts Health Plan — Medicare Advantage: $2,432.73
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Surgery	Not listed in the file	Not listed in the file	$2,384.07 – $3,726.56
Prostate biopsy: rates for 2 insurance plans Aetna — All Plans: $3,398.55 United Healthcare — All Plans: $3,672
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BCBS Fee Schedule	Not listed in the file	Not listed in the file	$2,384.07 – $3,726.56
Prostate biopsy: rates for 2 insurance plans Blue Cross Blue Shield — HMO: $3,095.66 Blue Cross Blue Shield — Indemnity-PPA: $3,095.66
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$4,301.36 – $17,150.63
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — All Plans: $4,301.36 AllWays Health Partners — Medicare Advantage: $12,611.23 Blue Cross Blue Shield — HMO: $13,775.27 Blue Cross Blue Shield — Indemnity-PPA: $13,775.27 Cigna — All Plans: $17,150.63 Fallon — Medicare Plus: $12,116.67 Fallon — Navicare: $15,145.84 Harvard PIlgrim HealthCare — All Plans: $16,582.58 Humana — Medicare Advantage: $12,363.95 Senior Whole Health — Medicare Advantage: $15,084.02
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	$3,236.35 – $5,237.70
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — All Plans: $3,698.79 AllWays Health Partners — Medicare Advantage: $3,851.40 Blue Cross Blue Shield — HMO: $4,201.59 Blue Cross Blue Shield — Indemnity-PPA: $4,201.59 Cigna — All Plans: $5,237.70 Fallon — Medicare Plus: $3,700.36 Fallon — Navicare: $4,625.46 Harvard PIlgrim HealthCare — All Plans: $5,057.83 Humana — Medicare Advantage: $3,775.88 Senior Whole Health — Medicare Advantage: $4,606.58
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; LMBR/SAC W/IG	$2,552	$1,786.40	$106.35 – $1,425.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $106.35 AllWays Health Partners — Medicare Advantage: $838.86 Blue Cross Blue Shield — HMO: $1,065.50 Blue Cross Blue Shield — Indemnity-PPA: $1,065.50 Cigna — All Plans: $1,140.81 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $805.96 Fallon — Navicare: $1,007.45 Harvard PIlgrim HealthCare — All Plans: $1,425.17 Humana — Medicare Advantage: $822.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; LMBR/SAC W/IG (BL)	$5,104	$3,572.80	$106.35 – $2,280.47
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $106.35 AllWays Health Partners — Medicare Advantage: $838.86 Blue Cross Blue Shield — HMO: $1,065.50 Blue Cross Blue Shield — Indemnity-PPA: $1,065.50 Cigna — All Plans: $1,140.81 Commonwealth Care Alliance — ICO-SCO: $1,888.48 Fallon — Medicare Plus: $805.96 Fallon — Navicare: $1,007.45 Harvard PIlgrim HealthCare — All Plans: $1,425.17 Humana — Medicare Advantage: $822.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; LMBR/SAC W/IG (50)	$5,104	$3,572.80	$106.35 – $2,280.47
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $106.35 AllWays Health Partners — Medicare Advantage: $838.86 Blue Cross Blue Shield — HMO: $1,065.50 Blue Cross Blue Shield — Indemnity-PPA: $1,065.50 Cigna — All Plans: $1,140.81 Commonwealth Care Alliance — ICO-SCO: $1,888.48 Fallon — Medicare Plus: $805.96 Fallon — Navicare: $1,007.45 Harvard PIlgrim HealthCare — All Plans: $1,425.17 Humana — Medicare Advantage: $822.41
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; AA/STRD TFRM EPI L/S (BL)	$5,104	$3,572.80	$118.44 – $2,280.47
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $118.44 AllWays Health Partners — Medicare Advantage: $1,078.42 Blue Cross Blue Shield — HMO: $1,360.94 Blue Cross Blue Shield — Indemnity-PPA: $1,360.94 Cigna — All Plans: $1,466.59 Commonwealth Care Alliance — ICO-SCO: $1,888.48 Fallon — Medicare Plus: $1,036.13 Fallon — Navicare: $1,295.16 Harvard PIlgrim HealthCare — All Plans: $1,820.32 Humana — Medicare Advantage: $1,057.27
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; AA/STRD TFRM EPI L/S (50)	$5,104	$3,572.80	$118.44 – $2,280.47
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $118.44 AllWays Health Partners — Medicare Advantage: $1,078.42 Blue Cross Blue Shield — HMO: $1,360.94 Blue Cross Blue Shield — Indemnity-PPA: $1,360.94 Cigna — All Plans: $1,466.59 Commonwealth Care Alliance — ICO-SCO: $1,888.48 Fallon — Medicare Plus: $1,036.13 Fallon — Navicare: $1,295.16 Harvard PIlgrim HealthCare — All Plans: $1,820.32 Humana — Medicare Advantage: $1,057.27
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ; AA/STRD TFRM EPI L/S	$2,552	$1,786.40	$118.44 – $1,820.32
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Aetna — All Plans: $118.44 AllWays Health Partners — Medicare Advantage: $1,078.42 Blue Cross Blue Shield — HMO: $1,360.94 Blue Cross Blue Shield — Indemnity-PPA: $1,360.94 Cigna — All Plans: $1,466.59 Commonwealth Care Alliance — ICO-SCO: $944.24 Fallon — Medicare Plus: $1,036.13 Fallon — Navicare: $1,295.16 Harvard PIlgrim HealthCare — All Plans: $1,820.32 Humana — Medicare Advantage: $1,057.27
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	$2,272.65 – $3,997
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — All Plans: $3,398.55 AllWays Health Partners — Medicare Advantage: $2,365.41 Blue Cross Blue Shield — HMO: $2,903.01 Blue Cross Blue Shield — Indemnity-PPA: $2,903.01 Cigna — All Plans: $3,216.85 Fallon — Medicare Plus: $2,272.65 Fallon — Navicare: $2,840.81 Harvard PIlgrim HealthCare — All Plans: $3,494.63 Humana — Medicare Advantage: $2,319.03 Senior Whole Health — Medicare Advantage: $2,829.22
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST-CATARACT LASER SRGRY (LT)	$2,553	$1,787.10	$315.56 – $1,180.91
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates Aetna — All Plans: $315.56 AllWays Health Partners — Medicare Advantage: $664.53 Blue Cross Blue Shield — HMO: $882.89 Blue Cross Blue Shield — Indemnity-PPA: $882.89 Cigna — All Plans: $903.73 Commonwealth Care Alliance — ICO-SCO: $944.61 Fallon — Medicare Plus: $638.47 Fallon — Navicare: $798.08 Harvard PIlgrim HealthCare — All Plans: $1,180.91 Humana — Medicare Advantage: $651.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST-CATARACT LASER SRGRY (RT)	$2,553	$1,787.10	$315.56 – $1,180.91
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates Aetna — All Plans: $315.56 AllWays Health Partners — Medicare Advantage: $664.53 Blue Cross Blue Shield — HMO: $882.89 Blue Cross Blue Shield — Indemnity-PPA: $882.89 Cigna — All Plans: $903.73 Commonwealth Care Alliance — ICO-SCO: $944.61 Fallon — Medicare Plus: $638.47 Fallon — Navicare: $798.08 Harvard PIlgrim HealthCare — All Plans: $1,180.91 Humana — Medicare Advantage: $651.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST-CATARACT LASER SRGRY (50)	$5,106	$3,574.20	$315.56 – $2,281.36
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates Aetna — All Plans: $315.56 AllWays Health Partners — Medicare Advantage: $664.53 Blue Cross Blue Shield — HMO: $882.89 Blue Cross Blue Shield — Indemnity-PPA: $882.89 Cigna — All Plans: $903.73 Commonwealth Care Alliance — ICO-SCO: $1,889.22 Fallon — Medicare Plus: $638.47 Fallon — Navicare: $798.08 Harvard PIlgrim HealthCare — All Plans: $1,180.91 Humana — Medicare Advantage: $651.50
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,654.33 – $4,301.36
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — All Plans: $4,301.36 AllWays Health Partners — Medicare Advantage: $2,762.67 Blue Cross Blue Shield — HMO: $3,411.34 Blue Cross Blue Shield — Indemnity-PPA: $3,411.34 Cigna — All Plans: $3,757.09 Fallon — Medicare Plus: $2,654.33 Fallon — Navicare: $3,317.92 Harvard PIlgrim HealthCare — All Plans: $4,106.55 Humana — Medicare Advantage: $2,708.50 Senior Whole Health — Medicare Advantage: $3,304.37

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	$2,300 – $5,562.22
Vaginal delivery, with care before and after: rates for 9 insurance plans Aetna — All Plans: $2,300 AllWays Health Partners — Medicare Advantage: $2,407.47 Blue Cross Blue Shield — HMO: $5,562.22 Blue Cross Blue Shield — Indemnity-PPA: $5,562.22 Fallon — Medicare Plus: $2,313.06 Fallon — Navicare: $2,891.32 Humana — Medicare Advantage: $2,360.26 Senior Whole Health — Medicare Advantage: $2,879.52 Tufts Health Plan — Medicare Advantage: $2,360.26
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	$2,300 – $3,200.02
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Aetna — All Plans: $2,300 AllWays Health Partners — Medicare Advantage: $2,664.50 Fallon — Medicare Plus: $2,560.01 Fallon — Navicare: $3,200.02 Humana — Medicare Advantage: $2,612.26 Senior Whole Health — Medicare Advantage: $3,186.95 Tufts Health Plan — Medicare Advantage: $2,612.26
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	$2,300 – $3,016.16
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Aetna — All Plans: $2,300 AllWays Health Partners — Medicare Advantage: $2,511.42 Fallon — Medicare Plus: $2,412.93 Fallon — Navicare: $3,016.16 Humana — Medicare Advantage: $2,462.17 Senior Whole Health — Medicare Advantage: $3,003.85 Tufts Health Plan — Medicare Advantage: $2,462.17

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	$87,272.36 – $139,365.77
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans AllWays Health Partners — Medicare Advantage: $103,718.27 Commonwealth Care Alliance — ICO-SCO: $102,701.43 Fallon — Medicare Plus: $99,650.89 Fallon — Navicare: $105,629.94 Humana — Medicare Advantage: $101,684.58 Senior Whole Health — Medicare Advantage: $101,684.58 Tufts Health Plan — Medicare Advantage: $101,684.58 UniCare — All Plans: $87,272.36 United Healthcare — All Plans: $139,365.77
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	$17,207.72 – $27,966.43
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans AllWays Health Partners — Medicare Advantage: $27,460.30 Commonwealth Care Alliance — ICO-SCO: $27,191.08 Fallon — Medicare Plus: $26,383.42 Fallon — Navicare: $27,966.43 Humana — Medicare Advantage: $26,921.86 Senior Whole Health — Medicare Advantage: $26,921.86 Tufts Health Plan — Medicare Advantage: $26,921.86 UniCare — All Plans: $17,207.72 United Healthcare — All Plans: $27,479.11
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	$13,235.57 – $34,778.76
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans AllWays Health Partners — Medicare Advantage: $32,435.46 Commonwealth Care Alliance — ICO-SCO: $32,117.46 Fallon — Medicare Plus: $31,163.48 Fallon — Navicare: $33,033.29 Harvard PIlgrim HealthCare — All Plans: $13,235.57 Humana — Medicare Advantage: $31,799.47 Senior Whole Health — Medicare Advantage: $31,799.47 Tufts Health Plan — Medicare Advantage: $31,799.47 UniCare — All Plans: $21,778.84 United Healthcare — All Plans: $34,778.76
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	$11,068.28 – $21,161.14
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans AllWays Health Partners — Medicare Advantage: $20,778.17 Commonwealth Care Alliance — ICO-SCO: $20,574.46 Fallon — Medicare Plus: $19,963.34 Fallon — Navicare: $21,161.14 Humana — Medicare Advantage: $20,370.75 Senior Whole Health — Medicare Advantage: $20,370.75 Tufts Health Plan — Medicare Advantage: $20,370.75 UniCare — All Plans: $11,068.28 United Healthcare — All Plans: $17,675.01

Source: Signature Healthcare Brockton Hospital’s standard charges file (signature-healthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 28, 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	680 Center Street, Brockton, MA 02302
County	Plymouth County
State	Massachusetts
Phone	(508) 941‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	220052
Name in Medicare records	SIGNATURE HEALTHCARE BROCKTON HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Brockton Hospital
Official website	signature-healthcare.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Brockton Hospital - 680 Centre St — signature-healthcare.org
Emergency Room, Brockton Hospital — signature-healthcare.org
Interpreter Services | Signature Healthcare — signature-healthcare.org
Transitional Residency Program | Signature Healthcare — signature-healthcare.org