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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Umass Memorial Healthalliance Clinton Hospital - Leominster Campus

UMass Memorial Health Care · Leominster, MA

275 Nichols Rd, Leominster, MA 01453(978) 466-2000

3 of 5

CMS star rating

138

Beds

8,519

Inpatient discharges a year

$260.4M

Net patient revenue a year

31

In-network payers

About this hospital

Umass Memorial Healthalliance Clinton Hospital - Leominster Campus is a 138-bed voluntary non-profit - other hospital in Leominster, MA, affiliated with UMass Memorial Health Care. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 177 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
220001
NPI
1013995133
Health system
UMass Memorial Health Care
Teaching
Teaching hospital
County
Worcester County
Metro area
Worcester, MA MSA
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
1966
Last CMS survey
1993

Prices for common services

The 24 services Umass Memorial Healthalliance Clinton Hospital - Leominster Campus 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,069 - $3,037

from 4 insurers · median $2,752

Aetna$3,037
Insurer A*$1,069
Insurer B*$2,586
Insurer C*$2,919
Medicare $396Nearby hospitals $1,213127% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$303 - $1,685

from 4 insurers · median $1,172

Aetna$1,685
Insurer A*$303
Insurer B*$870
Insurer C*$1,474
Medicare $119Nearby hospitals $330255% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,421

negotiated rate

UnitedHealthcare$6,421

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

$8,992

negotiated rate

UnitedHealthcare$8,992

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 Umass Memorial Healthalliance Clinton Hospital - Leominster Campus

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*22
461%
120
Insurer B*24
341%
1010
Insurer C*22
330%
191
Insurer D*21
151%
414

How we chose these services: 4 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 2 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 Umass Memorial Healthalliance Clinton Hospital - Leominster Campus, 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

    3 of 5 stars

    • 253 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.79%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 26 services
    • 1,147 affiliated clinicians
    See doctors and services
  • Finances

    $260.4M net patient revenue

    • Operating margin on patient care -8.2%
    • $5.2M unreimbursed and uncompensated care
    • $1.6M net income
    See finances
  • Ownership and leadership

    Owned by UMass Memorial Health Care, Inc.

    • Other
    • Charles E Cavagnaro, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Umass Memorial Healthalliance Clinton Hospital - Leominster Campus in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
04-2103555(multi-state) Umass Memorial Healthalliance Clinton Hospital INC58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 53 more1013995133 Umass Memorial Healthalliance Clinton Hospital Inc1285171934 Umass Memorial Healthalliance Clinton Hospital Inc1821050535 Clinton Hospital Associationand 3 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

275 Nichols Rd, Leominster, MA 01453

(978) 466-2000

Get directions

Frequently asked questions

About Umass Memorial Healthalliance Clinton Hospital - Leominster Campus's rates and hospital price transparency.

How much does an MRI cost at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus range from $535 to $2,754 across 4 insurers. Blue Cross Blue Shield's rate is $535. The median at nearby comparable hospitals is $1,375. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus range from $1,069 to $3,037 across 4 insurers. Aetna's rate is $3,037. The median at nearby comparable hospitals is $1,213. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus range from $349 to $3,035 across 4 insurers. Cigna's rate is $3,035. The median at nearby comparable hospitals is $1,465. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus range from $6,421 to $6,421 across 1 insurers. UnitedHealthcare's rate is $6,421. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus range from $95 to $394 across 4 insurers. Aetna's rate is $95. The median at nearby comparable hospitals is $222. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Umass Memorial Healthalliance Clinton Hospital - Leominster Campus's CMS star rating?

Umass Memorial Healthalliance Clinton Hospital - Leominster Campus has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Umass Memorial Healthalliance Clinton Hospital - Leominster Campus a teaching hospital?

Yes. CMS counts 0.06 Medicare-funded residents per bed at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Umass Memorial Healthalliance Clinton Hospital - Leominster Campus for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Umass Memorial Healthalliance Clinton Hospital - Leominster Campus's base inpatient payments by an estimated 0.79% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Umass Memorial Healthalliance Clinton Hospital - Leominster Campus?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (249 discharges), heart failure and shock with mcc (209 discharges), respiratory infections and inflammations with mcc (109 discharges).

What is Umass Memorial Healthalliance Clinton Hospital - Leominster Campus's case mix index?

Umass Memorial Healthalliance Clinton Hospital - Leominster Campus's Medicare case mix index is 1.39 for fiscal year 2027, higher than 16% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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
  • 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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