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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Newton Wellesley Hospital

Mass General Brigham · Newton Lower Falls, MA

2014 Washington Street, Newton Lower Falls, MA 02462(617) 243-6000

5 of 5

CMS star rating

285

Beds

17,881

Inpatient discharges a year

$739.4M

Net patient revenue a year

37

In-network payers

About this hospital

Newton Wellesley Hospital is a 285-bed voluntary non-profit - private hospital in Newton Lower Falls, MA, affiliated with Mass General Brigham. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 215 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • ACO participant
CCN
220101
NPI
1992737761
Website
nwh.org
Health system
Mass General Brigham
Teaching
Teaching hospital
County
Middlesex County
Metro area
Boston-Cambridge-Newton, MA-NH MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2020

Prices for common services

The 24 services Newton Wellesley 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

$12,584 - $15,865

from 4 insurers · median $13,972

Cignaest.$12,584
Insurer A*est.$13,101
Insurer B*est.$14,842
Insurer C*est.$15,865

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,786 - $33,105

from 4 insurers · median $26,798

Blue Cross$17,786
Insurer A*est.$26,259
Insurer B*est.$27,337
Insurer C*est.$33,105
Medicare $13,309Nearby hospitals $27,070In line with nearby hospitals

222 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,636 - $3,516

from 2 insurers · median $3,076

AetnaNot published
Insurer A*$2,636
Insurer B*$3,516
Medicare $3,728Nearby hospitals $8,37363% below nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$203 - $1,724

from 4 insurers · median $994

Aetna$203
Insurer A*$831
Insurer B*$1,156
Insurer C*$1,724
Medicare $402Nearby hospitals $1,0868% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Newton Wellesley 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*23
261%
25
Insurer B*23
242%
1110
Insurer C*22
200%
142
Insurer D*18
72%
115

How we chose these services: 3 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Newton Wellesley 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 HealthCenteneFallon Health

More about this hospital

  • Quality

    5 of 5 stars

    • 265 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.42%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 36 services
    • 2,821 affiliated clinicians
    See doctors and services
  • Finances

    $739.4M net patient revenue

    • Operating margin on patient care -3.8%
    • $42.1M unreimbursed and uncompensated care
    • $6M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Ellen Moloney, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Newton Wellesley 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
04-2103611Newtonwellesley Hospital66Aetna, BCBS Massachusetts, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 61 more1992737761 Newton-wellesley Hospital

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

2014 Washington Street, Newton Lower Falls, MA 02462

(617) 243-6000

Get directions

Frequently asked questions

About Newton Wellesley Hospital's rates and hospital price transparency.

How much does an MRI cost at Newton Wellesley Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Newton Wellesley Hospital range from $282 to $3,034 across 4 insurers. UnitedHealthcare's rate is $1,950. The median at nearby comparable hospitals is $881. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Newton Wellesley Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Newton Wellesley Hospital range from $203 to $1,724 across 4 insurers. Aetna's rate is $203. The median at nearby comparable hospitals is $1,086. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Newton Wellesley Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Newton Wellesley Hospital range from $785 to $1,991 across 3 insurers. Blue Cross Blue Shield's rate is $785. The median at nearby comparable hospitals is $1,738. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Newton Wellesley Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Newton Wellesley Hospital range from $12,584 to $15,865 across 4 insurers. Cigna's rate is $12,584. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Newton Wellesley Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Newton Wellesley Hospital range from $85 to $341 across 4 insurers. UnitedHealthcare's rate is $256. The median at nearby comparable hospitals is $254. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Newton Wellesley Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Newton Wellesley Hospital range from $17,786 to $33,105 across 4 insurers. Blue Cross Blue Shield's rate is $17,786. The median at nearby comparable hospitals is $27,070. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Newton Wellesley Hospital's CMS star rating?

Newton Wellesley 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 Newton Wellesley Hospital a teaching hospital?

Yes. CMS counts 0.21 Medicare-funded residents per bed at Newton Wellesley Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Newton Wellesley Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Newton Wellesley Hospital's base inpatient payments by an estimated 0.42% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Newton Wellesley Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (426 discharges), heart failure and shock with mcc (420 discharges), respiratory infections and inflammations with mcc (228 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
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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