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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Baystate Medical Center

Baystate Health · Springfield, MA

759 Chestnut Street, Springfield, MA 01199(413) 794-0000

2 of 5

CMS star rating

768

Beds

40,661

Inpatient discharges a year

$1.8B

Net patient revenue a year

32

In-network payers

About this hospital

Baystate Medical Center is a 768-bed voluntary non-profit - private hospital in Springfield, MA, affiliated with Baystate Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 173 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
220077
NPI
1487655064
Health system
Baystate Health
Teaching
Major teaching hospital
County
Hampden County
Metro area
Springfield, MA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1976
Last CMS survey
2013

Prices for common services

The 24 services Baystate Medical Center 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, or start a free trial.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,920 - $11,268

from 2 insurers · median $7,594

Aetna$3,920
Insurer A*$11,268
Medicare $3,690Nearby hospitals $6,01926% above nearby hospitals

105 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,268 - $8,076

from 2 insurers · median $5,672

UnitedHealthcare$8,076
Insurer A*$3,268

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,334 - $2,035

from 3 insurers · median $1,862

Aetna$2,035
Insurer A*$1,334
Insurer B*est.$1,862
Medicare $398Nearby hospitals $824126% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,268 - $11,430

from 2 insurers · median $7,349

UnitedHealthcare$11,430
Insurer A*$3,268

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Baystate Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
347%
123
Insurer B*12
327%
72
Insurer C*18
235%
99
Insurer D*5
-
02

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 Baystate Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthComPsychEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 286 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.89%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 49 services, including trauma & transplant care
    • 1,779 affiliated clinicians
    See doctors and services

  • Finances

    $1.8B net patient revenue

    • Operating margin on patient care -1.7%
    • $28.4M unreimbursed and uncompensated care
    • $150.8M net income
    See finances

  • Ownership and leadership

    Owned by Baystate Health, Inc

    • Private (not for profit)
    • Peter Banko, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baystate Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
04-2790311Baystate Medical Center INC54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1487655064 Baystate Medical Center Inc1497756282 Baystate Medical Center Inc1972936623 Baystate Medical Center Inc.and 18 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

759 Chestnut Street, Springfield, MA 01199

(413) 794-0000

Get directions

Frequently asked questions

About Baystate Medical Center's rates and hospital price transparency.

How much does an MRI cost at Baystate Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baystate Medical Center range from $1,334 to $2,366 across 3 insurers. Blue Cross Blue Shield's rate is $1,334. The median at nearby comparable hospitals is $1,060. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Baystate Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baystate Medical Center range from $1,334 to $2,035 across 3 insurers. Aetna's rate is $2,035. The median at nearby comparable hospitals is $824. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Baystate Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Baystate Medical Center range from $1,736 to $4,178 across 2 insurers. Cigna's rate is $4,178. The median at nearby comparable hospitals is $4,518. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Baystate Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Baystate Medical Center range from $3,268 to $8,076 across 2 insurers. UnitedHealthcare's rate is $8,076. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Baystate Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baystate Medical Center range from $239 to $464 across 3 insurers. Aetna's rate is $464. The median at nearby comparable hospitals is $285. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Baystate Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Baystate Medical Center range from $18,644 to $21,287 across 2 insurers. The median at nearby comparable hospitals is $40,489. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Baystate Medical Center's CMS star rating?

Baystate Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Baystate Medical Center a teaching hospital?

Yes. CMS counts 0.47 Medicare-funded residents per bed at Baystate Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Baystate Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baystate Medical Center's base inpatient payments by an estimated 1.89% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Baystate Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (807 discharges), heart failure and shock with mcc (601 discharges), endovascular cardiac valve replacement and supplement procedures without mcc (216 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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