Southcoast Hospitals Group is an acute care hospital at 363 Highland Avenue, Fall River, MA 02720. Phone: (508) 679-3131. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).
Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 31, 2026).
Summary
Southcoast Hospitals Group is an acute care hospital in Fall River, Massachusetts. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 10 services, specialties and programs. Medicare lists 1,585 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.
What is an acute care hospital?
A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Does Southcoast Hospitals Group have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Southcoast Hospitals Group. In a medical emergency, call 911.
Where is Southcoast Hospitals Group?
363 Highland Avenue, Fall River, MA 02720, in Bristol County, Massachusetts.
What is the phone number of Southcoast Hospitals Group?
(508) 679-3131, as listed by Medicare (CMS).
What is the Medicare star rating of Southcoast Hospitals Group?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Southcoast Hospitals Group for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Southcoast Hospitals Group under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1958; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
1,585 doctors and other clinicians list Southcoast Hospitals Group as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 1,561 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Southcoast Hospitals Group reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics)
★★★★★3 of 5 stars
Overall rating of the hospital
3 of 5 stars
Would recommend the hospital
4 of 5 stars
Nurses communicated well
3 of 5 stars
Doctors communicated well
3 of 5 stars
Patients got help quickly from staff
2 of 5 stars
Staff explained medicines
3 of 5 stars
Information about recovery at home
4 of 5 stars
Room and bathroom kept clean
4 of 5 stars
Restfulness of Environment
2 of 5 stars
Care Coordination
3 of 5 stars
Symptoms After Stay
3 of 5 stars
Rated the hospital 9 or 10 out of 10
68%National average: 72%
Would definitely recommend the hospital
73%National average: 71%
Nurses “always” communicated well
78%National average: 80%
Doctors “always” communicated well
78%National average: 80%
“Always” got help as soon as they wanted
54%National average: 64%
Staff “always” explained medicines before giving them
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.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
11.6%
Deaths within 30 days: heart failure patients
10.1%
Deaths within 30 days: pneumonia patients
15.1%
Deaths within 30 days: COPD patients
8.8%
Deaths within 30 days: stroke patients
9.9%
Deaths within 30 days: coronary bypass surgery (CABG)
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)
16.9%
Readmitted within 30 days: heart attack
14%
Readmitted within 30 days: heart failure
23.1%
Readmitted within 30 days: pneumonia
17.9%
Readmitted within 30 days: COPD
18.8%
Readmitted within 30 days: coronary bypass surgery
10%
Readmitted within 30 days: hip or knee replacement
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year)
Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
186 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Southcoast Hospitals Group, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says:Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
Medicare payment reduction, fiscal year 2026
NoCMS lists no payment reduction for this hospital.
Total HAC Score
0.1958Lower is better. Hospitals above the 75th percentile of all scores get the reduction.
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says:In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says:This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
Total Performance Score
18.92 out of 100Median of the 2,455 hospitals in the program: 29.50
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says:The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
Medicare spending per patient, ratio
1.02Above the national median hospital (1.00): Medicare spent more
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Southcoast Hospitals Group 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.
$! 35 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.
Show the prices of 54 common services
Office and emergency visits
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC Office/Outpatient New Low Mdm 30-44 Minutes
$626
$313
$130.16 – $517.70
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $131.22
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $154.25
CIGNA [1000112] — CIGNA [100011201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC Office/Outpatient New Moderate Mdm 45-59 Minutes
$916
$458
$184.73 – $757.53
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $196.52
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $225.70
CIGNA [1000112] — CIGNA [100011201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC Office/Outpatient New High Mdm 60-74 Minutes
$1,231
$615.50
$146.61 – $1,076.75
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $259.03
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $303.32
CIGNA [1000112] — CIGNA [100011201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC Office/Outpatient Established Low Mdm 20-29 Min
$470
$235
$98.77 – $411.86
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $98.77
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $115.81
CIGNA [1000112] — CIGNA [100011201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC Office/Outpatient Established Mod Mdm 30-39 Min
$510
$255
$109.04 – $421.77
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $139.26
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $125.66
CIGNA [1000112] — CIGNA [100011201]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC Emergency Department Visit Low Mdm [99283]
$908
$454
$194.13 – $808.12
Emergency room visit (moderate): 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $690.99
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $328.79
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $328.79
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $9,628.88
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $3,010.52
CIGNA [1000112] — CIGNA [100011201]: $8,039.44
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $9,370.83
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $9,280.73
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $9,370.83
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein
$69,850
$34,925
$411.86 – $53,155.85
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $53,155.85
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $29,130.63
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $29,130.63
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $2,374.43
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $1,266.99
CIGNA [1000112] — CIGNA [100011201]: $3,383.44
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $2,529.78
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $2,505.46
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $2,529.78
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn
$2,048
$1,024
$411.86 – $2,408
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $1,558.53
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $822.33
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $822.33
BCBS RHODE ISLAND [1010501] — BCBS RHODE ISLAND HMO [101050101]: $1,388.86
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $455.59
CIGNA [1000112] — CIGNA [100011201]: $1,216.64
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $1,099.45
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $1,088.88
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $1,099.45
Hospital stays (whole stay, MS-DRG)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
$314,209.71
$157,104.86
$75,465.84 – $251,367.77
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 28 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $240,370.43
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $87,677.78
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $87,677.78
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $75,465.84
CIGNA [1000112] — CIGNA [100011201]: $218,689.96
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $91,184.89
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $90,308.12
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $91,184.89
Eternal Health [1010322] — ETERNAL HEALTH [101032201]: $96,445.56
EVERCARE [1010304] — UNITED HEALTH SENIOR CARE OPTIONS [101030401]: $87,677.78
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
$61,772.59
$30,886.29
$3,739.28 – $49,418.07
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $47,256.03
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $17,547.71
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $17,547.71
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $13,746.52
CIGNA [1000112] — CIGNA [100011201]: $42,993.72
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $18,249.62
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $18,074.14
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $18,249.62
Eternal Health [1010322] — ETERNAL HEALTH [101032201]: $19,302.48
EVERCARE [1010304] — UNITED HEALTH SENIOR CARE OPTIONS [101030401]: $17,547.71
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC
$77,554.83
$38,777.42
$18,379.34 – $62,043.86
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $59,329.44
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $22,123.10
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $22,123.10
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $18,379.34
CIGNA [1000112] — CIGNA [100011201]: $53,978.16
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $23,008.02
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $22,786.79
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $23,008.02
Eternal Health [1010322] — ETERNAL HEALTH [101032201]: $24,335.41
EVERCARE [1010304] — UNITED HEALTH SENIOR CARE OPTIONS [101030401]: $22,123.10
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
$28,710.75
$14,355.38
$8,192.63 – $26,836.34
Uterus and ovary surgery (not for cancer), without complications: 10 of 28 insurance plan rates
AETNA [1000108] — AETNA [100010801]: $21,963.72
AETNA MEDICARE MANAGED CARE [1010301] — AETNA MEDICARE MANAGED CARE [101030101]: $11,402.54
BCBS MASS MEDICARE MANAGED CARE [1010302] — BCBS MASS MEDICARE MANAGED CARE [101030201]: $11,402.54
BLUE CHIP MEDICARE MANAGED CARE [1010303] — BLUE CHIP MEDICARE MANAGED CARE [101030301]: $8,192.63
CIGNA [1000112] — CIGNA [100011201]: $19,982.68
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALIANCE MEDICARE MA [108050104]: $11,858.64
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE ONE CARE [108050102]: $11,744.62
COMMONWEALTH CARE ALLIANCE [1080501] — COMMONWEALTH CARE ALLIANCE SENIOR CARE [108050103]: $11,858.64
Eternal Health [1010322] — ETERNAL HEALTH [101032201]: $12,542.80
EVERCARE [1010304] — UNITED HEALTH SENIOR CARE OPTIONS [101030401]: $11,402.54
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.