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Short Term Acute Care HospitalGovernment - Local

Cambridge Health Alliance

Cambridge Health Alliance · Cambridge, MA

1493 Cambridge Street, Cambridge, MA 02139(617) 665-2300

3 of 5

CMS star rating

399

Beds

7,870

Inpatient discharges a year

$459.2M

Net patient revenue a year

38

In-network payers

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

About this hospital

Cambridge Health Alliance is a 399-bed government - local hospital in Cambridge, MA, affiliated with Cambridge Health Alliance. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 201 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
220011
NPI
1487603585
Health system
Cambridge Health Alliance
Teaching
Major teaching hospital
County
Middlesex County
Metro area
Boston-Cambridge-Newton, MA-NH MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
1993

Prices for common services

The 24 services Cambridge Health Alliance 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,353 - $6,650

from 3 insurers · median $5,533

Cigna$3,353
Insurer A*$5,533
Insurer B*$6,650

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,353 - $8,559

from 3 insurers · median $8,501

Cigna$3,353
Insurer A*$8,501
Insurer B*$8,559

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,575 - $3,560

from 3 insurers · median $3,158

Aetna$3,158
Insurer A*$2,575
Insurer B*$3,560
Medicare $3,726Nearby hospitals $4,44929% below nearby hospitals

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$3,353 - $6,650

from 3 insurers · median $5,533

Cigna$3,353
Insurer A*$5,533
Insurer B*$6,650

CMS lists this service as CPT 59610, 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

How the insurers pay at Cambridge Health Alliance

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*22
239%
21
Insurer B*23
198%
314
Insurer C*23
142%
315
Insurer D*17
95%
111

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 Cambridge Health Alliance, 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 HealthCenteneComPsych

More about this hospital

  • Quality

    3 of 5 stars

    • 153 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 25 services
    • 689 affiliated clinicians
    See doctors and services
  • Finances

    $459.2M net patient revenue

    • Operating margin on patient care -136.5%
    • $171.3M unreimbursed and uncompensated care
    • $55.4M net income
    See finances
  • Ownership and leadership

    Owned by Cambridge Public Health Commission

    • Local
    • Assaad J Sayah, 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 Cambridge Health Alliance in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
04-3320571Cambridge Health Alliance65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 60 more1487603585 Cambridge Public Health Commission1306908405 Cambridge Public Health Commission1447348313 Cambridge Public Health Commissionand 31 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

1493 Cambridge Street, Cambridge, MA 02139

(617) 665-2300

Get directions

Frequently asked questions

About Cambridge Health Alliance's rates and hospital price transparency.

How much does an MRI cost at Cambridge Health Alliance?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cambridge Health Alliance range from $358 to $2,855 across 4 insurers. Cigna's rate is $2,855. The median at nearby comparable hospitals is $866. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cambridge Health Alliance?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cambridge Health Alliance range from $405 to $1,071 across 4 insurers. Aetna's rate is $530. The median at nearby comparable hospitals is $962. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Cambridge Health Alliance?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cambridge Health Alliance range from $344 to $2,670 across 4 insurers. UnitedHealthcare's rate is $2,329. The median at nearby comparable hospitals is $2,434. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cambridge Health Alliance?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cambridge Health Alliance range from $3,353 to $6,650 across 3 insurers. Cigna's rate is $3,353. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cambridge Health Alliance?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cambridge Health Alliance range from $133 to $370 across 4 insurers. Cigna's rate is $370. The median at nearby comparable hospitals is $240. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Cambridge Health Alliance?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Cambridge Health Alliance range from $15,580 to $15,580 across 1 insurers. Blue Cross Blue Shield's rate is $15,580. The median at nearby comparable hospitals is $17,786. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cambridge Health Alliance's CMS star rating?

Cambridge Health Alliance 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 Cambridge Health Alliance a teaching hospital?

Yes. CMS counts 0.44 Medicare-funded residents per bed at Cambridge Health Alliance for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Cambridge Health Alliance for readmissions?

No. Cambridge Health Alliance has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Cambridge Health Alliance?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (109 discharges), heart failure and shock with mcc (85 discharges), simple pneumonia and pleurisy with mcc (53 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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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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.

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CodingPricingPayer contractsCompliance
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