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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Boston Medical Center

Boston Medical Center · Boston, MA

1 Boston Medical Center Place, Boston, MA 02118(617) 638-8000

3 of 5

CMS star rating

539

Beds

22,603

Inpatient discharges a year

$1.7B

Net patient revenue a year

32

In-network payers

Photo 1: Drknchkn, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Boston Medical Center is a 539-bed voluntary non-profit - private hospital in Boston, MA, affiliated with Boston Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 261 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
220031
NPI
1346218294
Website
bmc.org
Health system
Boston Medical Center
Teaching
Major teaching hospital
County
Suffolk County
Metro area
Boston-Cambridge-Newton, MA-NH MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
2019

Prices for common services

The 24 services Boston 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.

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$2,663 - $8,690

from 2 insurers · median $5,677

Aetna$2,663
Insurer A*$8,690
Medicare $3,737Nearby hospitals $5,531In line with nearby hospitals

151 Medicare claims in Level 4 ENT Procedures (CMS 2024)

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,447 - $8,553

from 2 insurers · median $5,500

UnitedHealthcare$8,553
Insurer A*$2,447
Medicare $3,648Nearby hospitals $3,80944% above nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$649 - $1,771

from 3 insurers · median $1,006

Blue Cross$649
Insurer A*$1,006
Insurer B*$1,771
Medicare $393Nearby hospitals $1,014In line with nearby hospitals

Common here, based on CMS Medicare volume

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$2,447 - $4,145

from 2 insurers · median $3,296

Aetna$2,447
Insurer A*$4,145
Medicare $1,749Nearby hospitals $2,89814% above nearby hospitals

34 Medicare claims in Level 3 ENT Procedures (CMS 2024)

How the insurers pay at Boston 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*24
263%
186
Insurer B*10
182%
18
Insurer C*23
172%
109
Insurer D*1
-
01

How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 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 Boston 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 HealthEMI HealthFallon Health

More about this hospital

  • Quality

    3 of 5 stars

    • 227 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.05%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 27 services, including trauma & transplant care
    • 1,744 affiliated clinicians
    See doctors and services
  • Finances

    $1.7B net patient revenue

    • Operating margin on patient care -72.4%
    • $143.9M unreimbursed and uncompensated care
    • -$30.7M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Anthony Hollenberg, 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 Boston 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
04-3314093Boston Medical Center63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1346218294 Boston Medical Center Corporation1386718823 Boston Medical Center Corporation1033854153 Boston Medical Center Corporationand 35 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

1 Boston Medical Center Place, Boston, MA 02118

(617) 638-8000

Get directions

Frequently asked questions

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

How much does an MRI cost at Boston Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Boston Medical Center range from $721 to $3,723 across 3 insurers. Aetna's rate is $3,723. The median at nearby comparable hospitals is $1,285. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Boston Medical Center range from $649 to $1,771 across 3 insurers. Blue Cross Blue Shield's rate is $649. The median at nearby comparable hospitals is $1,014. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Boston Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Boston Medical Center range from $1,845 to $3,214 across 2 insurers. UnitedHealthcare's rate is $3,214. The median at nearby comparable hospitals is $1,950. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Boston Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Boston Medical Center range from $91 to $279 across 2 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $334. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Boston Medical Center range from $18,725 to $29,757 across 3 insurers. Aetna's rate is $27,764. The median at nearby comparable hospitals is $22,458. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Boston Medical Center's CMS star rating?

Boston Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Boston Medical Center a teaching hospital?

Yes. CMS counts 1.28 Medicare-funded residents per bed at Boston Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Boston Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Boston Medical Center's base inpatient payments by an estimated 0.05% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (160 discharges), heart failure and shock with mcc (152 discharges), psychoses (66 discharges).

What is Boston Medical Center's case mix index?

Boston Medical Center's Medicare case mix index is 2.16 for fiscal year 2027, higher than 86% of hospitals paid under the inpatient prospective payment system.

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
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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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