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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Henry Heywood Memorial Hospital

Heywood Healthcare · Gardner, MA

242 Green Street, Gardner, MA 01440(978) 632-3420

2 of 5

CMS star rating

134

Beds

3,741

Inpatient discharges a year

$170.5M

Net patient revenue a year

38

In-network payers

About this hospital

Henry Heywood Memorial Hospital is a 134-bed voluntary non-profit - private hospital in Gardner, MA, affiliated with Heywood Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 211 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
220095
NPI
1205823879
Website
heywood.org
Health system
Heywood Healthcare
Teaching
No Medicare-funded residents
County
Worcester County
Metro area
Worcester, MA MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
2002

Prices for common services

The 24 services Henry Heywood Memorial 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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,400 - $7,963

from 4 insurers · median $2,867

Cigna$2,605
Insurer A*$2,400
Insurer B*est.$3,128
Insurer C*$7,963

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

$2,756 - $8,906

from 4 insurers · median $3,324

Cigna$2,756
Insurer A*est.$3,128
Insurer B*$3,520
Insurer C*$8,906

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$202 - $1,721

from 4 insurers · median $754

Aetna$549
Insurer A*$202
Insurer B*$960
Insurer C*est.$1,721
Medicare $402Nearby hospitals $1,99662% below nearby hospitals

Common here, based on CMS Medicare volume

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$1,300 - $4,755

from 4 insurers · median $2,167

UnitedHealthcare$4,755
Insurer A*$1,300
Insurer B*$1,973
Insurer C*$2,361
Medicare $1,789Nearby hospitals $2,75521% below nearby hospitals

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

How the insurers pay at Henry Heywood Memorial Hospital

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
201%
48
Insurer B*22
147%
213
Insurer C*23
119%
06
Insurer D*21
66%
116

How we chose these services: 9 appear in this hospital's own Medicare claims, 10 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 Henry Heywood Memorial Hospital, 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 HealthCenteneDean Health Plan

More about this hospital

  • Quality

    2 of 5 stars

    • 192 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.52%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 22 services
    • 352 affiliated clinicians
    See doctors and services

  • Finances

    $170.5M net patient revenue

    • Operating margin on patient care -18.3%
    • $5.5M unreimbursed and uncompensated care
    • $10.3M net income
    See finances

  • Ownership and leadership

    Owned by Heywood Healthcare Inc

    • Private (not for profit)
    • Rozanna Penney, 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 Henry Heywood Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
04-2103581Henry Heywood Memorial Hospital53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 48 more1205823879 Henry Heywood Memorial Hospital1457685299 Henry Heywood Memorial Hospital1013529502 Henry Heywood Memorial Hospitaland 7 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

242 Green Street, Gardner, MA 01440

(978) 632-3420

Get directions

Frequently asked questions

About Henry Heywood Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Henry Heywood Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Henry Heywood Memorial Hospital range from $397 to $1,866 across 4 insurers. Aetna's rate is $568. The median at nearby comparable hospitals is $1,941. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Henry Heywood Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Henry Heywood Memorial Hospital range from $202 to $1,721 across 4 insurers. Aetna's rate is $549. The median at nearby comparable hospitals is $1,996. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Henry Heywood Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Henry Heywood Memorial Hospital range from $461 to $4,755 across 4 insurers. Aetna's rate is $1,205. The median at nearby comparable hospitals is $2,065. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Henry Heywood Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Henry Heywood Memorial Hospital range from $2,400 to $7,963 across 4 insurers. Cigna's rate is $2,605. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Henry Heywood Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Henry Heywood Memorial Hospital range from $164 to $361 across 4 insurers. Blue Cross Blue Shield's rate is $221. The median at nearby comparable hospitals is $349. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Henry Heywood Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Henry Heywood Memorial Hospital range from $4,067 to $13,243 across 2 insurers. Blue Cross Blue Shield's rate is $13,243. The median at nearby comparable hospitals is $19,072. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Henry Heywood Memorial Hospital's CMS star rating?

Henry Heywood Memorial Hospital 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 Henry Heywood Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Henry Heywood Memorial Hospital for fiscal year 2027.

Does Medicare penalize Henry Heywood Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Henry Heywood Memorial Hospital's base inpatient payments by an estimated 0.52% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Henry Heywood Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (110 discharges), simple pneumonia and pleurisy with mcc (100 discharges), heart failure and shock with mcc (93 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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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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  • Missing, duplicate and outdated charge lines identified
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