Heywood Healthcare · Athol, MA
39
In-network payers
215
Disclosed rate categories
21
Beds
5
Care quality
Athol Hospital is a 21-bed voluntary non-profit - private hospital in Athol, MA, affiliated with Heywood Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 215 disclosed rate categories.
CCN (Medicare provider number)
221303
NPI
1336120047
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
21
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Athol Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$264 - $1,663
from 4 insurers · median $738
Typical for a hospital with this service line
Mammography
CPT 77067
$164 - $460
from 4 insurers · median $224
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$280 - $960
from 4 insurers · median $681
Typical for a hospital with this service line
CT imaging
CPT 70450
$151 - $751
from 4 insurers · median $272
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,331 - $7,347
from 2 insurers · median $7,339
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$308 - $4,755
from 4 insurers · median $1,051
Typical for a hospital with this service line
Gynecology
CPT 58571
$2,947 - $12,376
from 3 insurers · median $7,331
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$461 - $4,755
from 4 insurers · median $1,077
Typical for a hospital with this service line
CT imaging
CPT 74176
$264 - $1,459
from 4 insurers · median $424
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$385 - $4,755
from 4 insurers · median $1,038
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$7,331 - $7,347
from 2 insurers · median $7,339
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,604 - $5,368
from 4 insurers · median $2,603
Typical for a hospital with this service line
MRI imaging
CPT 70553
$437 - $1,481
from 4 insurers · median $764
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$5,368 - $7,073
from 2 insurers · median $6,220
Typical for a hospital with this service line
CT imaging
CPT 71275
$264 - $626
from 4 insurers · median $401
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$62 - $164
from 4 insurers · median $82
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,578 - $7,347
from 3 insurers · median $7,331
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$732 - $4,142
from 3 insurers · median $1,038
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$4,067 - $13,618
from 2 insurers · median $8,843
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58661
$1,575 - $7,347
from 4 insurers · median $4,454
Typical for a hospital with this service line
MRI imaging
CPT 72148
$278 - $1,481
from 4 insurers · median $505
Typical for a hospital with this service line
MRI imaging
CPT 70551
$272 - $1,481
from 4 insurers · median $505
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$7,331 - $9,112
from 2 insurers · median $8,221
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$6,096 - $12,376
from 2 insurers · median $9,236
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 350% | 5 | 4 |
| Insurer B* | 23 | 121% | 1 | 15 |
| Insurer C* | 18 | 115% | 1 | 13 |
| Insurer D* | 16 | 113% | 8 | 4 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Athol Hospital.
2033 Main Street, Athol, MA 01331
(978) 249-3511
The nearest hospitals of similar type and size. Their rates are compared with Athol Hospital for the same insurers and services above.
Monadnock Community Hospital
▲ Rates typically 59% higher than Athol Hospital (23 services)
Grace Cottage Hospital
▲ Rates typically 111% higher than Athol Hospital (11 services)
Springfield Hospital
▲ Rates typically 125% higher than Athol Hospital (18 services)
Valley Regional Hospital
▲ Rates typically 199% higher than Athol Hospital (12 services)
New London Hospital
▲ Rates typically 139% higher than Athol Hospital (13 services)
Mt Ascutney Hospital And Health Cent
▲ Rates typically 67% higher than Athol Hospital (14 services)
Marthas Vineyard Hospital
Fairview Hospital
About Athol Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Athol Hospital range from $437 to $1,481 across 4 insurers. Aetna's rate is $568. The median at nearby comparable hospitals is $2,547. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Athol Hospital range from $264 to $1,663 across 4 insurers. Aetna's rate is $516. The median at nearby comparable hospitals is $3,516. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Athol Hospital range from $461 to $4,755 across 4 insurers. UnitedHealthcare's rate is $4,755. The median at nearby comparable hospitals is $2,161. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Athol Hospital range from $164 to $460 across 4 insurers. Blue Cross Blue Shield's rate is $221. The median at nearby comparable hospitals is $302. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Athol Hospital range from $4,067 to $13,618 across 2 insurers. Blue Cross Blue Shield's rate is $13,618. The median at nearby comparable hospitals is $31,078. What a patient pays depends on their plan's deductible, coinsurance and network status.
Athol Hospital has 21 beds. Facility type: Critical Access Hospital.
Athol Hospital is located at 2033 Main Street, Athol, MA 01331. Its main phone number is (978) 249-3511.
Athol Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 221303.
The National Provider Identifier (NPI) on file for Athol Hospital is 1336120047.
Athol Hospital is affiliated with Heywood Healthcare.
Athol Hospital lists 39 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
215 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers