Lahey Health System · Burlington, MA
4 of 5
CMS star rating
343
Beds
22,622
Inpatient discharges a year
$1.3B
Net patient revenue a year
29
In-network payers
Lahey Clinic Hospital Inc. is a 343-bed voluntary non-profit - private hospital in Burlington, MA, affiliated with Lahey Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 225 disclosed rate categories.
The 24 services Lahey Clinic Hospital Inc. 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.
CT imaging
CPT 74177
$1,296 - $1,315
from 3 insurers · median $1,313
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$17,506 - $28,114
from 2 insurers · median $22,810
110 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$316 - $548
from 4 insurers · median $326
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$4,688 - $8,608
from 3 insurers · median $6,243
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$383 - $1,313
from 3 insurers · median $530
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,182 - $1,317
from 2 insurers · median $1,250
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$140,996 - $153,489
from 3 insurers · median $141,261
12 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 71275
$687 - $1,482
from 3 insurers · median $1,313
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$687 - $1,313
from 3 insurers · median $906
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,181 - $4,189
from 4 insurers · median $3,563
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$79 - $244
from 4 insurers · median $162
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$881 - $3,767
from 3 insurers · median $1,315
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$232 - $489
from 4 insurers · median $391
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$116 - $577
from 4 insurers · median $382
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$943 - $3,767
from 3 insurers · median $1,315
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$354 - $1,919
from 2 insurers · median $1,137
Common here, based on CMS Medicare volume
MRI imaging
CPT 73221
$943 - $3,767
from 2 insurers · median $2,355
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$786 - $3,767
from 3 insurers · median $943
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$232 - $492
from 4 insurers · median $383
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$54,909
negotiated rate
29 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,185
negotiated rate
64 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$3,080
negotiated rate
1526 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Ultrasound
CPT 76536
$232 - $533
from 4 insurers · median $391
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$224 - $433
from 3 insurers · median $364
Common here, based on CMS Medicare volume
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* | 22 | 387% | 18 | 3 |
| Insurer B* | 16 | 339% | 14 | 1 |
| Insurer C* | 13 | 338% | 6 | 4 |
| Insurer D* | 18 | 317% | 15 | 2 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 0 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 Lahey Clinic Hospital Inc., or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$1.3B net patient revenue
Ownership and leadership
Owned by Beth Israel Lahey Health, Inc.
The employer identification numbers (EINs) health plans and networks list for Lahey Clinic Hospital Inc. in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 04-2704686Lahey Clinic Hospital INC | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1558392563 Lahey Clinic Hospital Inc.1629718226 Lahey Clinic Hospital Inc1689755746 Lahey Clinic Hospital Inc.and 8 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.
41 Mall Road, Burlington, MA 01805
(781) 744-5100
How Lahey Clinic Hospital Inc. compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 3 of 8 measures
3 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 7 measures
3 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 11 measures
2 better, 9 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.08
Higher than 78% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
226 min
Higher than 90% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
49%
Lower than 82% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Better on 3 of 8 measures | |
| Safety | Better on 3 of 7 measures | |
| Readmissions | Better on 2 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.08 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 226 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 49% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Lahey Clinic Hospital Inc.'s inpatient payments for its readmissions, quality and cost results.
-0.40% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.02% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Lahey Clinic Hospital Inc., beside the US median and the average of MA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 322 cases | 4.3 | 4.1 | 4.091 | Worse than 59% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 6,326 cases | 2.7 | 3.9 | 3.416 | Better than 97% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 436 cases | 10.8 | 11.8 | 11.44 | Better than 81% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 197 cases | 2.4 | 2.3 | 2.108 | Worse than 53% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 198 cases | 7.1 | 8.5 | 7.486 | Better than 86% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 1,132 cases | 8.9 | 11 | 9.785 | Better than 87% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 1,018 cases | 14.1 | 15.2 | 13.44 | Better than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 561 cases | 11.4 | 11.6 | 11.76 | Better than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 13,632 cases | 0.56 | 0.51 | 0.6721 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 309 cases | 177 | 173 | 175 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 16,750 cases | 0.3 | 0.2 | 0.2083 | No Different Than the National Rate | Worse than 93% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 17,310 cases | 0.45 | 0.27 | 0.296 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 4,603 cases | 3.3 | 2.29 | 2.482 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 2,426 cases | 1.35 | 1.63 | 1.613 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 2,289 cases | 8.14 | 8.88 | 9.192 | No Different Than the National Rate | Better than 68% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 5,016 cases | 3.57 | 3.4 | 3.743 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 2,380 cases | 7.61 | 5.105 | 5.331 | Worse Than the National Rate | Worse than 96% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 1,264 cases | 2.29 | 1.72 | 1.756 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 3,453 cases | 1.25 | 1.02 | 1.044 | No Different Than the National Rate | Worse than 85% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 537 cases | 12.1 | 4.2 | 18.16 | Worse than 65% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 1,315 cases | -7.7 | 1.25 | 17.34 | Better than 62% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 1,041 cases | -0.3 | 3.85 | 17.01 | Better than 56% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 6,706 cases | 12.3 | 12.9 | 12.66 | No Different Than the National Rate | Better than 83% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 228 cases | 10.1 | 10.7 | 10.92 | No Different Than the National Rate | Better than 68% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 228 cases | 4.9 | 5.3 | 5.182 | No Different Than the National Rate | Better than 75% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 2,373 cases | 0.8 | 1 | 0.9596 | Better than expected | Better than 92% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 539 cases | 14.5 | 14.4 | 14.76 | Worse than 55% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 156 cases | 10.4 | 10.9 | 10.82 | Better than 65% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 244 cases | 18.5 | 19.8 | 20.36 | Better than 95% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,296 cases | 21.6 | 21.3 | 22.03 | Worse than 58% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 301 cases | 4 | 5.8 | 5.709 | Better than 99% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,091 cases | 17.1 | 17.2 | 17.81 | Better than 54% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.396 | 0.172 | 0.2107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.063 | 1.504 | 1.812 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 23,169 | 1,370 | 8,303 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 23.93 | 0.9835 | 8.287 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 16 | 0 | 4.273 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.669 | 0.484 | 0.4759 | No Different than National Benchmark | Worse than 66% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.232 | 0.138 | 0.2845 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.696 | 1.392 | 1.932 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 20,969 | 1,799 | 7,314 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 31.15 | 1.377 | 8.986 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 13 | 0 | 5.818 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.417 | 0.399 | 0.6647 | Better than the National Benchmark | Worse than 52% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.341 | 0.2345 | 0.3618 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.196 | 2.135 | 2.379 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 566 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 14.9 | 1.591 | 3.928 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 10 | 1 | 3.531 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.671 | 0.7155 | 0.7845 | No Different than National Benchmark | Better than 53% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.671 | 0.211 | 0.4656 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 7.175 | 3.068 | 3.886 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 147 | 38 | 72.32 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.138 | 0.328 | 0.6066 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.7955 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 2.636 | 0.812 | 1.451 | No Different than National Benchmark | Worse than 93% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.27 | 0.193 | 0.2428 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.222 | 1.855 | 2.383 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 124,872 | 14,451 | 69,453 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 11.33 | 0.567 | 4.799 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 7 | 0 | 3.018 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.618 | 0.597 | 0.6915 | No Different than National Benchmark | Worse than 53% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.482 | 0.127 | 0.2286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.841 | 0.747 | 0.9902 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 124,872 | 13,646 | 64,881 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 77.78 | 5.683 | 33.9 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 50 | 2 | 16.5 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.643 | 0.279 | 0.4375 | Better than the National Benchmark | Worse than 85% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 2,376 cases | 61 | 73 | 69.54 | Worse than 92% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 2,376 cases | 15 | 8 | 10.27 | Worse than 89% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 2,376 cases | 24 | 18 | 20.2 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 80 | 87 | 85.15 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 2 | 4 | 3.13 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 80 | 80 | 79.3 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 91 | 91 | 91.43 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 5 | 4 | 4.75 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 3.463 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 15 | 16 | 15.95 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 79 | 79 | 78.45 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 91 | 91 | 90.5 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 6 | 5 | 5.893 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 3.019 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 2,376 cases | 15 | 16 | 15.66 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 2,376 cases | 62 | 61 | 60.82 | Better than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 79 | 77 | 76.96 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 2,376 cases | 19 | 19 | 19.86 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 2.704 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 2,376 cases | 19 | 19 | 19.32 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 86 | 86 | 86.83 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 2,376 cases | 13 | 13 | 12.75 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 3.648 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 2,376 cases | 87 | 87 | 87.25 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 2,376 cases | 14 | 14 | 13.96 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 2,376 cases | 86 | 86 | 86.04 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 74 | 74 | 73.88 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 8 | 7 | 7.232 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 18 | 19 | 18.89 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 78 | 77 | 76.98 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 6 | 6 | 6.357 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 16 | 17 | 16.66 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 85 | 85 | 84.46 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 4 | 3 | 4.036 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 11 | 11 | 11.5 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 2,376 cases | 11 | 8 | 9.911 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 2,376 cases | 22 | 20 | 22.54 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 2,376 cases | 67 | 72 | 67.55 | Worse than 68% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 86 | 88 | 86.72 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 2.981 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 2,376 cases | 76 | 74 | 74.29 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 2,376 cases | 9 | 9 | 9.679 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 2,376 cases | 15 | 16 | 16.04 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 76 | 75 | 75.66 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 6 | 5 | 6.125 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 2,376 cases | 18 | 20 | 18.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 78 | 77 | 77 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 5 | 4 | 4.946 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 2,376 cases | 17 | 19 | 18.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 85 | 86 | 85.23 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 4 | 3 | 3.125 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,376 cases | 11 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 2,376 cases | 47 | 59 | 47.63 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 2,376 cases | 18 | 9 | 17.7 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 2,376 cases | 35 | 31 | 34.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 74 | 82 | 74.48 | Worse than 88% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 2 | 3 | 2.111 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 2,376 cases | 6 | 5 | 6.143 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 2,376 cases | 72 | 71 | 69.48 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 2,376 cases | 87 | 87 | 86.65 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 2,376 cases | 22 | 23 | 24.38 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 2,376 cases | 4 | 4 | 3.556 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 2,376 cases | 49 | 47 | 47.23 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 2,376 cases | 28 | 30 | 30.13 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 2,376 cases | 23 | 22 | 22.64 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 2,376 cases | 3 | 3 | 3.056 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 2,376 cases | 12 | 12 | 11.66 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 2,376 cases | 88 | 88 | 88.34 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.188 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 6,997 cases | 99 | 79 | 84.05 | Better than 98% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 399 cases | 227 | 154 | 227 | Worse than 89% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 371 cases | 226 | 148 | 219 | Worse than 90% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases | 424 | 247 | 381 | Worse than 90% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 358 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 71,835 cases | 5 | 1 | 3.981 | Worse than 94% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.39 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 108 cases | 91 | 97 | 97.12 | Worse than 76% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 101 cases | 54 | 53 | 30.67 | Better than 51% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 5,362 cases | 17 | 15 | 17.23 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 126 cases | 49 | 65 | 53.88 | Worse than 82% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 37 cases | 62 | 73 | 63.72 | Worse than 72% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 94 | 88 | 81.64 | Better than 69% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 126 cases | 69 | 82 | 74.82 | Worse than 87% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 86 | 94 | 90.31 | Worse than 84% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 423 cases | 99 | 98 | 97.42 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 81 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 14,018 cases | 97 | 90 | 91.36 | Better than 79% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,640 cases | 100 | 97 | 96.17 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.2 | 5 | 4.356 | Worse than 52% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.7 | 6.6 | 6.335 | Worse than 51% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 0.9783 | Better than 58% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 46.67 | 20 | 37.36 | Better than 88% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 11.67 | 5 | 9.341 | Better than 88% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 15.42 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 3.854 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 34 | 34 | 33.06 | Worse than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.5 | 8.75 | 8.266 | Worse than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 16.67 | 40 | 34.38 | Worse than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 4.167 | 10 | 8.595 | Worse than 89% of US hospitals | |
| VBP total performance scoreFY 2026 | 29.33 | 29.5 | 30.06 | Worse than 50% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 88 | 83.33 | 66 | 53.33 | 50 | 46.67 |
| VBP clinical outcomes weighted domain score | 22 | 20.83 | 16.5 | 13.33 | 12.5 | 11.67 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 5 |
| VBP person and community engagement domain score | 26 | Not Available | Not Available | 14 | 19 | 34 |
| VBP person and community engagement weighted domain score | 6.5 | Not Available | Not Available | 3.5 | 4.75 | 8.5 |
| VBP safety domain score | 28 | Not Available | Not Available | 34 | 10 | 16.67 |
| VBP safety weighted domain score | 7 | Not Available | Not Available | 8.5 | 2.5 | 4.167 |
| VBP total performance score | 35.5 | Not Available | Not Available | 25.33 | 19.75 | 29.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 523 cases | 1.003 | 0.9995 | 1.051 | Worse than 52% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 229 cases | 1.057 | 1 | 1.024 | Worse than 73% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 195 cases | 1.033 | 0.9969 | 1.036 | Worse than 78% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 1,327 cases | 1.02 | 0.9983 | 1.036 | Worse than 64% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 236 cases | 1.188 | 0.9916 | 1.008 | Worse than 88% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 878 cases | 0.8753 | 0.9955 | 1.046 | Better than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.099 | 1.068 | 1.033 | 0.9721 | 0.9692 | 1.003 |
| READM-30-CABG-HRRP | 0.8195 | 0.9186 | 0.9542 | 1.111 | 1.028 | 1.057 |
| READM-30-COPD-HRRP | 1.022 | 1.002 | 0.9895 | 1.104 | 1.03 | 1.033 |
| READM-30-HF-HRRP | 1.004 | 1.014 | 1.028 | 1.064 | 1.036 | 1.02 |
| READM-30-HIP-KNEE-HRRP | 1.221 | 1.105 | 1.082 | 1.047 | 1.194 | 1.188 |
| READM-30-PN-HRRP | 1.063 | 1.07 | 1.092 | 1.059 | 0.954 | 0.8753 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lahey Clinic Hospital Inc. | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.617 | 0.489 | 0.7646 | Worse than 63% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.602 | 0.346 | 0.4801 | Worse than 82% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.752 | 0.559 | 0.683 | Worse than 67% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.549 | 0.6405 | 0.6605 | Better than 59% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.081 | 0.9628 | 1.026 | Worse than 78% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.893 | 0.7945 | 0.9399 | Worse than 57% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2976 | -0.0453 | 0.2232 | Worse than 70% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.081 | 0.0628 | 0 | -0.5012 | -0.0897 | 0.2976 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2011)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
327
Medicare-certified beds
865
Registered nurses (full-time equivalent)
1980
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lahey Clinic Hospital Inc. reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
22,622
Inpatient discharges
Medicare 41%, Medicaid 8%
125,195
Inpatient days
100% of available bed days used
4,756
Employees (full-time equivalent)
186
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830420). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lahey Clinic Hospital Inc. reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 54,800 | 12,247 | 58,148 | 125,195 |
| Discharges | 9,312 | 1,713 | 11,597 | 22,622 |
| Average length of stay | 5.9 days | 7.1 days | 5.0 days | 5.5 days |
| Average daily census | 150.1 | 33.6 | 159.3 | 343.0 |
31,135
Medicare Advantage days
4,858 discharges
1,889
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 282 | 102,930 | 49,901 | 100% |
| Intensive care unit | 61 | 22,265 | 4,899 | 100% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lahey Clinic Hospital Inc. treats Medicare patients for most often, in 2024. 7,899 Medicare discharges in 186 published DRGs; 29% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 819 | $38,279 | $17,672 | $17,761 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 381 | $25,717 | $11,447 | $11,933 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 203 | $30,607 | $14,795 | $14,202 | 1.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 133 | $35,402 | $14,253 | $16,426 | 1.59 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 132 | $42,382 | $17,585 | $19,665 | 2.00 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 127 | $105,827 | $47,272 | $49,104 | 5.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 126 | $22,943 | $11,007 | $10,645 | 1.23 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 123 | $20,656 | $8,580 | $9,584 | 1.03 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 122 | $30,761 | $14,092 | $14,273 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 118 | $19,294 | $7,232 | $8,952 | 0.90 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 117 | $16,137 | $5,724 | $7,487 | 0.74 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 103 | $16,082 | $6,141 | $7,462 | 0.79 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 102 | $96,104 | $44,863 | $44,592 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 100 | $69,518 | $29,152 | $32,256 | 3.24 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 97 | $23,673 | $8,373 | $10,984 | 0.98 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 91 | $68,924 | $37,945 | $31,981 | 4.52 |
| Renal failure with MCCMS-DRG 682, medical | 91 | $33,725 | $13,221 | $15,649 | 1.50 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 90 | $23,879 | $11,287 | $11,080 | 1.33 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 82 | $40,915 | $19,974 | $18,985 | 2.37 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 79 | $32,856 | $15,733 | $15,245 | 1.88 |
See all 186 Medicare inpatient DRGs at Lahey Clinic Hospital Inc.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Lahey Clinic Hospital Inc. billed Medicare for most in 2024: 11,317 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 1,577 | 1,051 | $2,898 | $580 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 1,526 | 1,022 | $4,319 | $1,990 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 907 | 621 | $5,386 | $1,726 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 725 | 662 | $4,852 | $1,378 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 518 | 472 | $10,458 | $1,632 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 494 | 431 | $8,223 | $1,606 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 423 | 417 | $12,806 | $2,492 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 380 | 371 | $13,065 | $2,287 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 359 | 349 | $79,946 | $23,389 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 281 | 263 | $13,394 | $4,374 | $3,918 |
See all 56 Medicare outpatient services at Lahey Clinic Hospital Inc.
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Lahey Clinic Hospital Inc. in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 11,985 in 2020 to 13,815 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 01801 | 1,070 | 8% | 5,934 | $56.4M | 44% | 40% |
| 01821 | 933 | 7% | 5,183 | $48.1M | 63% | 60% |
| 01803 | 916 | 7% | 5,224 | $46.1M | 72% | 72% |
| 01960 | 631 | 5% | 3,614 | $35.5M | 14% | 16% |
| 01887 | 466 | 3% | 2,808 | $28.9M | 41% | 38% |
| 01867 | 381 | 3% | 2,275 | $22M | 33% | 30% |
| 01876 | 372 | 3% | 2,189 | $20.6M | 21% | 19% |
| 01730 | 360 | 3% | 2,093 | $18M | 64% | 56% |
| 02180 | 322 | 2% | 1,854 | $17.2M | 21% | 25% |
| 01930 | 311 | 2% | 1,859 | $21.5M | 14% | 14% |
| 01915 | 305 | 2% | 1,876 | $21.1M | 11% | 11% |
| 02421 | 299 | 2% | 2,050 | $16.9M | 34% | 38% |
| 01864 | 256 | 2% | 1,534 | $15.1M | 31% | 36% |
| 01862 | 255 | 2% | 1,503 | $13.6M | 50% | 48% |
| 02420 | 249 | 2% | 1,196 | $11.1M | 58% | 54% |
| 02474 | 246 | 2% | 1,373 | $12.4M | 25% | 25% |
| 01923 | 244 | 2% | 1,315 | $15M | 14% | 13% |
| 01880 | 242 | 2% | 1,368 | $13.8M | 17% | 20% |
| 02476 | 213 | 2% | 1,364 | $11.2M | 30% | 26% |
| 01890 | 207 | 1% | 1,203 | $12M | 22% | 24% |
| 01940 | 190 | 1% | 921 | $9.5M | 28% | 26% |
| 02155 | 188 | 1% | 1,160 | $11.2M | 7% | 7% |
| 01844 | 176 | 1% | 1,187 | $11.3M | 7% | 4% |
| 01810 | 160 | 1% | 825 | $8M | 11% | 16% |
| 01824 | 157 | 1% | 725 | $7.7M | 13% | 16% |
Source: CMS Hospital Service Area file. Shares are of the 13,815 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Lahey Clinic Hospital Inc. reported at its latest Medicare certification survey (2012). Counts are people, not full-time equivalents.
28
Operating rooms
10
Endoscopy rooms
5
Cardiac catheterization rooms
5
Off-site locations
865
Registered nurses
53
Licensed practical nurses
129
Resident physicians
3
Nurse practitioners
1
Physician assistants
35
Pharmacists
27
Respiratory therapists
30
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
49
Radiology technicians
9
Nuclear medicine technicians
13
Laboratory technicians
105
Medical technologists
8
Dietitians
6
Social workers
2,036
Other personnel
Source: CMS Provider of Services file.
2,288 clinicians who bill Medicare list Lahey Clinic Hospital Inc. as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Sharon Stotsky, MD
Internal Medicine Physician
NPI 1912913039
See commercial rates for Sharon Stotsky, MDRichard Blair, MD
Diagnostic Radiology Physician
NPI 1225075914
See commercial rates for Richard Blair, MDJessica Schoonmaker, M.D.
Internal Medicine Physician
NPI 1568467355
See commercial rates for Jessica Schoonmaker, M.D.Thomas Johnson, MD
Specialist
NPI 1922090430
See commercial rates for Thomas Johnson, MDJeffrey Rubel, MD
Nephrology Physician
NPI 1508873670
See commercial rates for Jeffrey Rubel, MDKendra Klein-Mascia, MD
Ophthalmology Physician
NPI 1205192697
See commercial rates for Kendra Klein-Mascia, MDMichael Fehm, M.D.
Orthopaedic Surgery Physician
NPI 1548381791
See commercial rates for Michael Fehm, M.D.Cullen Jumper, M.D.
Urology Physician
NPI 1861612244
See commercial rates for Cullen Jumper, M.D.Stephen Lyle, M.D., PH.D.
Anatomic Pathology Physician
NPI 1598750234
See commercial rates for Stephen Lyle, M.D., PH.D.Jeffrey Marx, MD
Ophthalmology Physician
NPI 1851312367
See commercial rates for Jeffrey Marx, MDRanjodh Dhami, MD
Diagnostic Radiology Physician
NPI 1457714131
See commercial rates for Ranjodh Dhami, MDZeyar Yeh, M.D.
Nephrology Physician
NPI 1518218882
See commercial rates for Zeyar Yeh, M.D.Mark Allara, MD
Family Medicine Physician
NPI 1659457984
See commercial rates for Mark Allara, MDJennifer Braimon, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1649373986
See commercial rates for Jennifer Braimon, MDKirubakaran Siva, DO
Family Medicine Physician
NPI 1649657594
See commercial rates for Kirubakaran Siva, DOFina Barouch, MD
Retina Specialist (Ophthalmology) Physician
NPI 1386628501
See commercial rates for Fina Barouch, MDJeffrey Clayman, MD
Nuclear Cardiology Physician
NPI 1477509206
See commercial rates for Jeffrey Clayman, MDGregory Blaha, MD, PHD
Ophthalmology Physician
NPI 1902998776
See commercial rates for Gregory Blaha, MD, PHDDavid Ramsey, M.D., PH.D., M.P.H.
Ophthalmology Physician
NPI 1881861789
See commercial rates for David Ramsey, M.D., PH.D., M.P.H.David Rose, M.D.
Diagnostic Radiology Physician
NPI 1477528677
See commercial rates for David Rose, M.D.Andrew Ferree, MD
Neurology Physician
NPI 1942662366
See commercial rates for Andrew Ferree, MDVartan Yeghiazarians, MD
Internal Medicine Physician
NPI 1134130735
See commercial rates for Vartan Yeghiazarians, MDPriya Shastri, M.D.
Neurology Physician
NPI 1023216827
See commercial rates for Priya Shastri, M.D.Daniel Vardeh, M.D.
Pain Medicine (Psychiatry & Neurology) Physician
NPI 1205132990
See commercial rates for Daniel Vardeh, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Lahey Clinic Hospital Inc. reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $3.6B | 286.6% |
| Inpatient | $1.4B | 113.1% |
| Outpatient | $2.2B | 173.6% |
| Contractual allowances and discounts | -$2.4B | -186.6% |
| Net patient revenue | $1.3B | 100.0% |
| Operating expenses | -$1.2B | -96.5% |
| Operating income from patient care | $44.4M | 3.5% |
| Other income | $82.3M | 6.5% |
| Net income | $126.7M | 10.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $991.2M | 27.4% |
| Medicaid (including managed care) | $294.5M | 8.1% |
| Other payers and self-pay | $2.3B | 64.5% |
| Total charges | $3.6B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Lahey Clinic Hospital Inc.'s latest cost report.
3.5%
Operating margin
Operating income from patient care / net patient revenue
9.4%
Total margin
Net income / net patient revenue plus other income
14.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
75% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$76.29
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
2.6%
Return on assets
Net income for a year / total assets
32.6%
Return on equity
Net income for a year / fund balance
0.04
Current ratio
Current assets / current liabilities
0.04
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
45 days
Days in patient receivables
Net patient receivables / daily net patient revenue
1417 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.27
Asset turnover
Total revenue for a year / total assets
12.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lahey Clinic Hospital Inc. owned and owed at the end of its reporting period (Sep 2025), across all fund types: $4.9B in total assets and a $389.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $5M | 0.1% |
| Patient receivables, net | $154.5M | 3.2% |
| Inventory | $15.2M | 0.3% |
| Total current assets | $179.7M | 3.7% |
| Property and equipment, net of depreciation | $352.6M | 7.2% |
| Investments and other assets | $4.4B | 89.1% |
| Total assets | $4.9B | 100.0% |
| Current liabilities | $4.5B | 91.8% |
| Total liabilities | $4.5B | 92.1% |
| Fund balance (net assets) | $389.1M | 7.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lahey Clinic Hospital Inc. provided without full payment, as reported on Worksheet S-10 of its cost report.
$13.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$24.7M
Bad debt
Patient bills written off as uncollectible, at charges
$10.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$39.4M
Total unreimbursed and uncompensated care
3.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
-$4.8M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lahey Clinic Hospital Inc.'s full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $935.1M | $1B | $991.1M | $1.1B | $1.2B | $1.3B |
| Operating expenses | $966.3M | $1B | $1B | $1.1B | $1.1B | $1.2B |
| Operating margin | -3.3% | -0.8% | -4.2% | 1.4% | 1.6% | 3.5% |
| Net income | $76.2M | $71.2M | $184,366 | $61.7M | $81.5M | $126.7M |
| Total assets | $439.3M | $425.7M | $284M | $1.6B | $3.4B | $4.9B |
| Discharges | 21,448 | 21,448 | 20,747 | 21,618 | 22,176 | 22,622 |
| Inpatient days | 116,121 | 119,431 | 118,448 | 119,588 | 125,538 | 125,195 |
| Medicare Advantage days | 20,320 | 22,527 | 23,915 | 25,639 | 28,457 | 31,135 |
| Beds | 345 | 345 | 345 | 344 | 343 | 343 |
| Employees (FTE) | 4,653 | 4,653 | 4,676 | 4,754 | 4,810 | 4,756 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lahey Clinic Hospital Inc. reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Clinic | $79M | $160.8M | $499.4M | 0.32 | |
| Medical supplies charged to patient | $99.4M | $134.5M | 0.74 | ||
| Drugs charged to patients | $94M | $167.3M | 0.56 | ||
| Operating room | $32.3M | $76.1M | $293.7M | 0.26 | |
| Impl. dev. charged to patients | $61.5M | $127.5M | 0.48 | ||
| Laboratory | $15.7M | $49.8M | $368.9M | 0.14 | |
| Emergency | $19.4M | $48M | $185.4M | 0.26 | |
| Radiology-diagnostic | $21.5M | $47.5M | $246.9M | 0.19 | |
| Recovery room | $14.3M | $27M | $43.3M | 0.62 | |
| Electrocardiology | $12.2M | $25.5M | $262.8M | 0.10 | |
| Radiology-therapeutic | $7.3M | $17.8M | $96.3M | 0.19 | |
| Ct scan | $5.5M | $13M | $164.6M | 0.08 | |
| Mri | $4.8M | $11.9M | $106.3M | 0.11 | |
| Whole blood & packed red blood cell | $2M | $10.7M | $29.4M | 0.36 | |
| Respiratory therapy | $5.6M | $10.3M | $33.5M | 0.31 | |
| Physical therapy | $5.6M | $9.4M | $32.4M | 0.29 | |
| Anesthesiology | $2.3M | $8.5M | $77.4M | 0.11 | |
| Radioisotope | $792,115 | $7.3M | $40.2M | 0.18 | |
| Cardiac catheterization | $2.5M | $6.6M | $58.2M | 0.11 | |
| Intravenous therapy | $2.6M | $5.3M | $5.4M | 0.99 | |
| Electroencephalography | $2.4M | $4.5M | $56.5M | 0.08 | |
| Occupational therapy | $1.7M | $3.1M | $9.9M | 0.31 | |
| Renal dialysis | $2.6M | $14.8M | 0.18 | ||
| Observation beds (non-distinct part | $2.3M | $21.3M | 0.11 | ||
| Speech pathology | $834,269 | $1.6M | $21.8M | 0.07 | |
| Lithotripsy | $116,968 | $1M | $2.1M | 0.49 | |
| Orthopaedic medicine | $401,183 | $206,542 | 1.94 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $53.6M | $124.9M | $365.7M | 0.34 | |
| Intensive care unit | $27.3M | $60.4M | $130.1M | 0.46 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $36.9M | $191.1M | |||
| Employee benefits department | $504,265 | $151.5M | |||
| 41 mall road main hospital | $42M | ||||
| Cap rel costs-mvble equip | $31.3M | ||||
| Plant 41 mall road main hospital | $4.9M | $23.1M | |||
| Pharmacy | $13M | $19.8M | |||
| I&r services-salary & fringes apprv | $17.7M | ||||
| Housekeeping | $3.6M | $13.8M | |||
| Dietary | $4.1M | $10.3M | |||
| Nursing administration | $8.6M | $9.3M | |||
| Central services & supply | $4.5M | $6.9M | |||
| Maint lahey clinic northshore | $4.5M | ||||
| Maint. 41 mall road main hosp | $237,575 | $3.6M | |||
| Laundry & linen service | $153,293 | $3.2M | |||
| I&r services-other prgm costs apprv | $19M | $1.6M | |||
| Parking garage | $1.2M | ||||
| Plant 29 mall road | $1.2M | ||||
| Plant lahey clinic northshore | $823,993 | $1M | |||
| Medical records & library | $94,452 | $910,926 | |||
| Cafeteria | $1.5M | $550,931 | |||
| Plant 31 mall road | $158,425 | $409,151 | |||
| Paramed ed prgm- pharmacy | $324,150 | ||||
| 31 mall road | $185,087 | ||||
| Plant parking garage | $131,458 | ||||
| Mri building | $105,252 | ||||
| Maint 31 mall road | $60,515 | ||||
| 29 mall road | $50,716 | ||||
| Kimball building | $50,716 | ||||
| Plant kimball building | $11,807 | ||||
| 45 mall road trump bldg | $6,244 | ||||
| Social service | $1,782 | $2,319 | |||
| Lexington mri | -$8,268 | ||||
| Lahey clinic northshore | -$2.6M |
Source: CMS cost report (HCRIS, Form 2552-10), report 830420, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Lahey Clinic Hospital Inc. for an inpatient stay.
2.19
Case mix index
Higher than 87% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.49 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
13.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
9,286
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.88 | 1.88 | 2.04 | 2.04 | 2.08 | 2.17 | 2.19 |
| Wage index | 1.267 | 1.284 | 1.297 | 1.242 | 1.313 | 1.288 | 1.307 |
| Readmissions adjustment | -1.48% | -1.20% | -0.78% | -0.39% | -0.73% | -0.45% | -0.40% |
| Value-based purchasing adjustment | -0.05% | +0.28% | +0.28% | +0.39% | +0.40% | -0.23% | +0.02% |
| Medicare inpatient stays | 10,814 | 10,814 | 8,882 | 8,642 | 8,937 | 8,998 | 9,286 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lahey Clinic Hospital Inc. reports to Medicare as owners or with operational control.
Beth Israel Lahey Health, Inc.
5% or greater direct ownership interest, since 2019
Lahey Clinic Hospital Inc.
Operational/managerial control, since 1980
Sources: CMS Hospital All Owners.
The officers and board members on Lahey Clinic Hospital Inc.'s Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 11 of 12 are shown.
| Name | Title |
|---|---|
| Tabb MD Kevin | Chief Executive Officer (CEO, Bilh) |
| Rios Cindy | Treas (executive VP And CFO, Bilh) |
| Liesching MD Timothy | Sr. VP And Chief Medical Officer |
| Stain MD Steven | Chair, Surgery Department |
| Katz Esq Jamie | Clerk (general Counsel, Bilh) |
| Marx MD Jeffrey L | CMO, Chief Value Officer |
| Keitz MD Sheri | Chair Of Department Of Medicine |
| Francioli Carl | Treas; Bilh Intrm Cfo/boston Div CFO |
| Connelly CPA MBA Michael | Asst Treas (ex-off) & CFO |
| Cantrell Paul | VP, Planning, Design, & Construction |
| Lew John | VP, Human Resources Business Partner |
| James Dnpmbarnnea-Bc Scott | Senior VP & Chief Nursing Officer |
| Bortone Edward | VP Facility, Infrstrctre, Hosptl Ops |
| Taberner Mikaela | Asst Clerk (assoc Gc, Bilh) |
| Oxley Dwayne | Ast Treas Ex-off, Intrm CFO; Ast CFO |
| Efstratios Amy | Executive Dir, Hr Business Partners |
| Edmonds Jane C | Trustee & Chair |
| Herndon MBA CPA FACHE Scott | Treas (executive VP And CFO, Bilh) |
| Mekala Praveen | Asst Treas & Chief Financial Officer |
Board members: Shorett Peter, Moffatt-Bruce MD PhD Susan, Resnic MD Frederic, Mourtzinos MD Arthur P, Mosenthal MD Anne, Brams MD David, Srinivasan MD Jayashri, Winger MD Christine, Aquino MD Patrick, Garcia-Banigan MD Dinamarie, Hanley-Williams MD Nicole, and 15 more on the return.
Source: IRS Form 990 Part VII filed by Lahey Clinic Hospital Inc (EIN 04-2704686), via the IRS e-file data. A health system's return can cover several hospitals.
Accountable care organization (Medicare Shared Savings Program)
Lahey Clinical Performance ACO
ACO A1490, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Lahey Clinic Hospital Inc.'s legal name.
Helipad
Lahey Hospital
FAA location ID 85MA, a medical-use heliport 0.1 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Lahey Clinic Hospital Inc.'s rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lahey Clinic Hospital Inc. range from $881 to $3,767 across 3 insurers. UnitedHealthcare's rate is $3,767. The median at nearby comparable hospitals is $891. 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 Lahey Clinic Hospital Inc. range from $1,296 to $1,315 across 3 insurers. Aetna's rate is $1,296. The median at nearby comparable hospitals is $869. 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 Lahey Clinic Hospital Inc. range from $354 to $1,919 across 2 insurers. Aetna's rate is $1,919. The median at nearby comparable hospitals is $1,605. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lahey Clinic Hospital Inc. range from $316 to $548 across 4 insurers. Blue Cross Blue Shield's rate is $319. The median at nearby comparable hospitals is $231. 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 Lahey Clinic Hospital Inc. range from $17,506 to $28,114 across 2 insurers. Cigna's rate is $28,114. The median at nearby comparable hospitals is $17,186. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lahey Clinic Hospital Inc. has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.49 Medicare-funded residents per bed at Lahey Clinic Hospital Inc. for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lahey Clinic Hospital Inc.'s base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (819 discharges), heart failure and shock with mcc (381 discharges), respiratory infections and inflammations with mcc (203 discharges).
Lahey Clinic Hospital Inc.'s Medicare case mix index is 2.19 for fiscal year 2027, higher than 87% of hospitals paid under the inpatient prospective payment system.
Lahey Clinic Hospital Inc. reported 22,622 inpatient discharges and 125,195 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Lahey Clinic Hospital Inc. reported 4,756 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Lahey Clinic Hospital Inc. reported $1.3B in net patient revenue on $3.6B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 3.5%, and net income of $126.7M.
Lahey Clinic Hospital Inc. reported $39.4M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $13.6M of charity care at cost.
Lahey Clinic Hospital Inc.'s Medicare enrollment lists Susan D Moffatt Bruce as President since 2023. Its 2024 IRS Form 990 lists Tabb MD Kevin as Chief Executive Officer (CEO, Bilh).
Insurers' price transparency files list Lahey Clinic Hospital Inc. under employer identification number 04-2704686 (Lahey Clinic Hospital INC). 58 health plans and networks list 04-2704686 for it.
2,288 clinicians who bill Medicare list Lahey Clinic Hospital Inc. as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (443), family medicine physician (204), physician assistant (174).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lahey Clinic Hospital Inc., effective 2011.
In its Medicare enrollment, Lahey Clinic Hospital Inc. reports Beth Israel Lahey Health, Inc. as 5% or greater direct ownership interest.
CMS lists 43 services at Lahey Clinic Hospital Inc., including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lahey Clinic Hospital Inc. came from ZIP codes 01801 (1,070), 01821 (933), 01803 (916).
Lahey Clinic Hospital Inc. has 343 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 327 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Lahey Clinic Hospital Inc. is located at 41 Mall Road, Burlington, MA 01805. Its main phone number is (781) 744-5100.
Lahey Clinic Hospital Inc.'s CMS Certification Number (CCN), also called its Medicare provider number, is 220171.
The National Provider Identifier (NPI) on file for Lahey Clinic Hospital Inc. is 1558392563.
Lahey Clinic Hospital Inc. is affiliated with Lahey Health System.
Lahey Clinic Hospital Inc. lists 29 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.
225 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