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Short Term Acute Care HospitalVoluntary Non-Profit - Private

New England Baptist Hospital

Boston, MA

125 Parker Hill Avenue, Boston, MA 02120(617) 754-5800

5 of 5

CMS star rating

62

Beds

2,474

Inpatient discharges a year

$179.2M

Net patient revenue a year

30

In-network payers

About this hospital

New England Baptist Hospital is a 62-bed voluntary non-profit - private hospital in Boston, MA. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 201 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • ACO participant
  • Helipad
CCN
220088
NPI
1699767491
Website
nebh.org
Teaching
Teaching hospital
County
Suffolk County
Metro area
Boston-Cambridge-Newton, MA-NH MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services New England Baptist 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,653 - $20,753

from 3 insurers · median $19,540

UnitedHealthcare$19,540
Insurer A*$15,653
Insurer B*$20,753
Medicare $13,898Nearby hospitals $20,122In line with nearby hospitals

615 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$38,044

negotiated rate

UnitedHealthcare$38,044
Medicare $30,418

151 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$617 - $940

from 2 insurers · median $779

Blue Cross$940
Insurer A*$617
Medicare $403Nearby hospitals $8498% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$358 - $4,689

from 3 insurers · median $2,853

Aetna$2,853
Insurer A*$358
Insurer B*$4,689
Medicare $1,383Nearby hospitals $2,33422% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at New England Baptist 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*21
233%
182
Insurer B*23
173%
148
Insurer C*13
150%
48
Insurer D*3
87%
02

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 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 New England Baptist 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 HealthCenteneEMI Health

More about this hospital

  • Quality

    5 of 5 stars

    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 22 services
    • 355 affiliated clinicians
    See doctors and services
  • Finances

    $179.2M net patient revenue

    • Operating margin on patient care -24.7%
    • $568,992 unreimbursed and uncompensated care
    • -$19.4M net income
    See finances
  • Ownership and leadership

    Owned by Beth Israel Lahey Health, Inc.

    • Private (not for profit)
    • Tabb MD Kevin, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for New England Baptist 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
04-2103612New England Baptist Hospital52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 47 more1699767491 New England Baptist Hospital1851427553 New England Baptist Hospital1578534459 Boston Out-patient Surgical Suites LLCand 1 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

125 Parker Hill Avenue, Boston, MA 02120

(617) 754-5800

Get directions

Frequently asked questions

About New England Baptist Hospital's rates and hospital price transparency.

How much does an MRI cost at New England Baptist Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at New England Baptist Hospital range from $617 to $1,751 across 3 insurers. Aetna's rate is $1,751. The median at nearby comparable hospitals is $846. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at New England Baptist Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at New England Baptist Hospital range from $617 to $940 across 2 insurers. Blue Cross Blue Shield's rate is $940. The median at nearby comparable hospitals is $849. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at New England Baptist Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at New England Baptist Hospital range from $358 to $4,689 across 3 insurers. Aetna's rate is $2,853. The median at nearby comparable hospitals is $2,334. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at New England Baptist Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at New England Baptist Hospital range from $159 to $228 across 3 insurers. Blue Cross Blue Shield's rate is $177. The median at nearby comparable hospitals is $235. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at New England Baptist Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at New England Baptist Hospital range from $15,653 to $20,753 across 3 insurers. UnitedHealthcare's rate is $19,540. The median at nearby comparable hospitals is $20,122. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is New England Baptist Hospital's CMS star rating?

New England Baptist Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is New England Baptist Hospital a teaching hospital?

Yes. CMS counts 0.11 Medicare-funded residents per bed at New England Baptist Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize New England Baptist Hospital for readmissions?

No. New England Baptist Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at New England Baptist Hospital?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (882 discharges), spinal fusion except cervical without mcc (121 discharges), revision of hip or knee replacement with cc (117 discharges).

What is New England Baptist Hospital's case mix index?

New England Baptist Hospital's Medicare case mix index is 3.22 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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