Tenet Healthcare Corporation · Worcester, MA
314
Disclosed rate categories
283
Beds
2
Care quality
Saint Vincent Hospital - Duplicate is a 283-bed proprietary hospital in Worcester, MA, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 314 disclosed rate categories.
CCN (Medicare provider number)
220176
NPI
1508838293
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
283
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Saint Vincent Hospital - Duplicate 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.
Childbirth · Inpatient
MS-DRG 807
$11,901 - $14,565
from 3 insurers · median $12,530
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$17,860 - $20,714
from 3 insurers · median $18,792
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$7,740 - $9,850
from 3 insurers · median $8,766
31 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$7,453 - $9,147
from 3 insurers · median $8,459
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$18,016 - $57,506
from 3 insurers · median $41,672
24 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$368 - $2,821
from 4 insurers · median $1,033
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$344 - $9,147
from 4 insurers · median $7,778
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$7,096 - $9,147
from 3 insurers · median $8,459
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$144,726 - $291,655
from 3 insurers · median $211,348
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$7,517 - $13,238
from 3 insurers · median $10,956
84 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$8,766 - $13,191
from 3 insurers · median $11,947
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$11,901 - $14,565
from 3 insurers · median $12,530
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$8,499 - $14,536
from 3 insurers · median $10,956
84 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$8,810 - $10,342
from 3 insurers · median $10,001
99 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$776 - $1,415
from 4 insurers · median $1,159
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$8,766 - $10,342
from 3 insurers · median $10,001
14 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$2,691 - $6,143
from 2 insurers · median $4,417
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$8,459 - $9,850
from 3 insurers · median $9,311
Typical for a hospital with this service line
Urology
CPT 50590
$8,798 - $18,232
from 3 insurers · median $10,956
94 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58571
$10,956 - $14,536
from 3 insurers · median $12,533
17 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$97 - $286
from 4 insurers · median $161
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$8,499 - $14,536
from 3 insurers · median $10,956
Typical for a hospital with this service line
CT imaging
CPT 74176
$230 - $1,612
from 4 insurers · median $771
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$109 - $825
from 4 insurers · median $243
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* | 23 | 403% | 13 | 2 |
| Insurer B* | 23 | 309% | 15 | 1 |
| Insurer C* | 24 | 259% | 14 | 6 |
| Insurer D* | 7 | 142% | 0 | 7 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 Saint Vincent Hospital - Duplicate.
123 Summer Street, Worcester, MA 01608
(508) 363-5000
The nearest hospitals of similar type and size. Their rates are compared with Saint Vincent Hospital - Duplicate for the same insurers and services above.
Umass Memorial Medical Center - University Campus
▼ Rates typically 26% lower than Saint Vincent Hospital - Duplicate (21 services)
Landmark Medical Center
▼ Rates typically 35% lower than Saint Vincent Hospital - Duplicate (21 services)
Emerson Hospital
▼ Rates typically 56% lower than Saint Vincent Hospital - Duplicate (21 services)
Newton Wellesley Hospital
▼ Rates typically 35% lower than Saint Vincent Hospital - Duplicate (12 services)
Norwood Hospital
▼ Rates typically 29% lower than Saint Vincent Hospital - Duplicate (7 services)
Our Lady Of Fatima Hospital
▼ Rates typically 68% lower than Saint Vincent Hospital - Duplicate (21 services)
Adcare Hospital Of Worcester
Metrowest Medical Center - Leonard Morse Hospital
Baystate Franklin Medical Center
About Saint Vincent Hospital - Duplicate's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saint Vincent Hospital - Duplicate range from $368 to $2,821 across 4 insurers. Blue Cross Blue Shield's rate is $513. The median at nearby comparable hospitals is $984. 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 Saint Vincent Hospital - Duplicate range from $344 to $9,147 across 4 insurers. Aetna's rate is $7,096. The median at nearby comparable hospitals is $2,065. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Vincent Hospital - Duplicate range from $11,901 to $14,565 across 3 insurers. UnitedHealthcare's rate is $12,530. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Vincent Hospital - Duplicate range from $97 to $286 across 4 insurers. Blue Cross Blue Shield's rate is $221. The median at nearby comparable hospitals is $281. 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 Saint Vincent Hospital - Duplicate range from $18,016 to $57,506 across 3 insurers. Cigna's rate is $41,672. The median at nearby comparable hospitals is $20,340. What a patient pays depends on their plan's deductible, coinsurance and network status.
Saint Vincent Hospital - Duplicate has 283 beds. Facility type: Short Term Acute Care Hospital.
Saint Vincent Hospital - Duplicate is located at 123 Summer Street, Worcester, MA 01608. Its main phone number is (508) 363-5000.
Saint Vincent Hospital - Duplicate's CMS Certification Number (CCN), also called its Medicare provider number, is 220176.
The National Provider Identifier (NPI) on file for Saint Vincent Hospital - Duplicate is 1508838293.
Saint Vincent Hospital - Duplicate is affiliated with Tenet Healthcare Corporation.
314 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.
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{
"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