PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

South Shore Hospital

South Shore Health System · South Weymouth, MA

55 Fogg Road, South Weymouth, MA 02190(781) 340-8000

2 of 5

CMS star rating

394

Beds

33,469

Inpatient discharges a year

$833.9M

Net patient revenue a year

32

In-network payers

About this hospital

South Shore Hospital is a 394-bed voluntary non-profit - private hospital in South Weymouth, MA, affiliated with South Shore Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 277 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
220100
NPI
1134227606
Website
southshorehealth.org
Health system
South Shore Health System
Teaching
No Medicare-funded residents
County
Norfolk County
Metro area
Boston-Cambridge-Newton, MA-NH MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
1994

Prices for common services

The 24 services South Shore 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.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$7,401 - $11,903

from 2 insurers · median $9,652

UnitedHealthcare$11,903
Insurer A*$7,401
Medicare $3,703Nearby hospitals $7,62727% above nearby hospitals

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,721 - $9,928

from 4 insurers · median $7,244

Aetna$6,145
Insurer A*$3,721
Insurer B*$8,344
Insurer C*$9,928

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,014 - $3,793

from 4 insurers · median $1,369

Aetna$1,014
Insurer A*$1,283
Insurer B*$1,456
Insurer C*$3,793
Medicare $399Nearby hospitals $86958% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,379 - $16,486

from 4 insurers · median $10,362

Aetna$6,379
Insurer A*$9,142
Insurer B*$11,582
Insurer C*$16,486

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

How the insurers pay at South Shore Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
360%
220
Insurer B*12
252%
81
Insurer C*22
250%
11
Insurer D*22
116%
81

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 South Shore 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 PlanBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    2 of 5 stars

    • 233 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.52%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 25 services, including trauma care
    • 1,545 affiliated clinicians
    See doctors and services

  • Finances

    $833.9M net patient revenue

    • Operating margin on patient care -10.0%
    • $43.8M unreimbursed and uncompensated care
    • -$7.1M net income
    See finances

  • Ownership and leadership

    Private (not for profit)

    • Allen L Smith, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for South Shore 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
04-2769210South Shore Hospital61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 56 more1134227606 South Shore Hospital Inc.1669558474 South Shore Hospital Inc.1558632653 South Shore Hospital Incand 6 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

55 Fogg Road, South Weymouth, MA 02190

(781) 340-8000

Get directions

Frequently asked questions

About South Shore Hospital's rates and hospital price transparency.

How much does an MRI cost at South Shore Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at South Shore Hospital range from $532 to $3,793 across 4 insurers. Blue Cross Blue Shield's rate is $1,285. The median at nearby comparable hospitals is $869. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at South Shore Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at South Shore Hospital range from $1,014 to $3,793 across 4 insurers. Aetna's rate is $1,014. The median at nearby comparable hospitals is $869. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at South Shore Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at South Shore Hospital range from $458 to $4,400 across 3 insurers. Cigna's rate is $3,055. The median at nearby comparable hospitals is $1,754. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at South Shore Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at South Shore Hospital range from $3,721 to $9,928 across 4 insurers. Aetna's rate is $6,145. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at South Shore Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at South Shore Hospital range from $100 to $414 across 3 insurers. Blue Cross Blue Shield's rate is $354. The median at nearby comparable hospitals is $221. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at South Shore Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at South Shore Hospital range from $17,845 to $29,757 across 3 insurers. Blue Cross Blue Shield's rate is $17,845. The median at nearby comparable hospitals is $22,498. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is South Shore Hospital's CMS star rating?

South Shore Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is South Shore Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at South Shore Hospital for fiscal year 2027.

Does Medicare penalize South Shore Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts South Shore Hospital's base inpatient payments by an estimated 1.52% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at South Shore Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (663 discharges), heart failure and shock with mcc (641 discharges), respiratory infections and inflammations with mcc (436 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster