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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Tufts Medical Center

Tufts Medicine · Boston, MA

800 Washington Street, Boston, MA 02111(617) 636-5000

2 of 5

CMS star rating

391

Beds

17,317

Inpatient discharges a year

$1.1B

Net patient revenue a year

42

In-network payers

Photo 1: Swampyank, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Tufts Medical Center is a 391-bed voluntary non-profit - private hospital in Boston, MA, affiliated with Tufts Medicine. Below you'll find publicly disclosed negotiated rates and facility details, including 42 in-network payers and 284 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
220116
NPI
1730132515
Website
tuftsmedicine.org
Health system
Tufts Medicine
Teaching
Major 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
2014

Prices for common services

The 24 services Tufts Medical Center 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

$9,367 - $16,212

from 3 insurers · median $13,547

UnitedHealthcare$16,212
Insurer A*$9,367
Insurer B*$13,547

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

Cesarean delivery, hospital stay

MS-DRG 788

$12,993 - $22,410

from 3 insurers · median $20,247

UnitedHealthcare$22,410
Insurer A*$12,993
Insurer B*$20,247

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

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$55,995 - $82,428

from 2 insurers · median $69,211

Aetna$55,995
Insurer A*$82,428
Medicare $41,347

71 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$6,240 - $10,639

from 3 insurers · median $8,773

Aetna$6,240
Insurer A*$8,773
Insurer B*$10,639
Medicare $3,676Nearby hospitals $3,040189% above nearby hospitals

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

How the insurers pay at Tufts Medical Center

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
322%
182
Insurer B*23
265%
80
Insurer C*23
241%
123
Insurer D*11
237%
92

How we chose these services: 10 appear in this hospital's own Medicare claims, 10 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 Tufts Medical Center, 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 HealthCenteneDean Health Plan

More about this hospital

  • Quality

    2 of 5 stars

    • 208 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.99%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 50 services, including trauma & transplant care
    • 1,174 affiliated clinicians
    See doctors and services

  • Finances

    $1.1B net patient revenue

    • Operating margin on patient care -26.8%
    • $120.6M unreimbursed and uncompensated care
    • $57.9M net income
    See finances

  • Ownership and leadership

    Owned by Tufts Medicine, Inc

    • Private (not for profit)
    • John J Herman, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Tufts Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
04-3400617(multi-state) Tufts Medical Center INC69Aetna, BCBS Massachusetts, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 64 more1730132515 Tufts Medical Center Inc.1851337141 Tufts Medical Center Inc.1508948613 Tufts Medical Center Incand 20 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

800 Washington Street, Boston, MA 02111

(617) 636-5000

Get directions

Frequently asked questions

About Tufts Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Tufts Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tufts Medical Center range from $325 to $1,492 across 4 insurers. Blue Cross Blue Shield's rate is $1,492. The median at nearby comparable hospitals is $1,103. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Tufts Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Tufts Medical Center range from $558 to $3,933 across 4 insurers. Cigna's rate is $3,254. The median at nearby comparable hospitals is $1,882. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Tufts Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Tufts Medical Center range from $9,367 to $16,212 across 3 insurers. UnitedHealthcare's rate is $16,212. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Tufts Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tufts Medical Center range from $91 to $441 across 4 insurers. Aetna's rate is $374. The median at nearby comparable hospitals is $268. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Tufts Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Tufts Medical Center range from $22,127 to $46,825 across 4 insurers. Aetna's rate is $27,375. The median at nearby comparable hospitals is $21,085. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Tufts Medical Center's CMS star rating?

Tufts Medical Center 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 Tufts Medical Center a teaching hospital?

Yes. CMS counts 0.78 Medicare-funded residents per bed at Tufts Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Tufts Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Tufts Medical Center's base inpatient payments by an estimated 0.99% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Tufts Medical Center?

In 2024, the most common were heart failure and shock with mcc (121 discharges), septicemia or severe sepsis without mv >96 hours with mcc (115 discharges), endovascular cardiac valve replacement and supplement procedures without mcc (111 discharges).

What is Tufts Medical Center's case mix index?

Tufts Medical Center's Medicare case mix index is 2.62 for fiscal year 2027, higher than 95% 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.

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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
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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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  • Missing, duplicate and outdated charge lines identified
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