UMass Memorial Health Care · Marlborough, MA
29
In-network payers
143
Disclosed rate categories
79
Beds
2
Care quality
Umass Memorial Marlborough Hospital is a 79-bed voluntary non-profit - private hospital in Marlborough, MA, affiliated with UMass Memorial Health Care. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 143 disclosed rate categories.
CCN (Medicare provider number)
220049
NPI
1396738159
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
79
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 Umass Memorial Marlborough 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.
CT imaging
CPT 74177
$1,127 - $4,016
from 4 insurers · median $3,383
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$328 - $1,828
from 4 insurers · median $1,197
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$373 - $644
from 4 insurers · median $540
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$673 - $3,886
from 4 insurers · median $2,983
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$150 - $483
from 3 insurers · median $419
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$969 - $2,257
from 4 insurers · median $1,954
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$589 - $2,731
from 4 insurers · median $1,934
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,127 - $4,020
from 4 insurers · median $2,759
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,008 - $4,771
from 3 insurers · median $4,219
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,256 - $13,497
from 4 insurers · median $7,156
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,134 - $4,771
from 3 insurers · median $4,219
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$3,589 - $5,656
from 4 insurers · median $4,974
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$344 - $4,771
from 4 insurers · median $3,142
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,370 - $9,163
from 4 insurers · median $6,576
16 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 74183
$1,127 - $3,750
from 4 insurers · median $3,170
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$645 - $2,817
from 4 insurers · median $2,621
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$322 - $1,067
from 4 insurers · median $808
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,952 - $9,163
from 4 insurers · median $4,866
52 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$7,768 - $13,497
from 2 insurers · median $10,632
Typical for a hospital with this service line
MRI imaging
CPT 70551
$673 - $2,817
from 4 insurers · median $2,493
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$296 - $827
from 4 insurers · median $716
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$22,253 - $58,357
from 4 insurers · median $43,891
Hospital reports orthopedic surgery services to CMS
Orthopedics and pain
CPT 20610
$794 - $3,617
from 3 insurers · median $3,564
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,015 - $13,497
from 4 insurers · median $5,994
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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* | 22 | 635% | 9 | 1 |
| Insurer B* | 24 | 578% | 19 | 4 |
| Insurer C* | 24 | 471% | 17 | 6 |
| Insurer D* | 20 | 276% | 14 | 0 |
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 Marlborough Hospital.
157 Union St, Marlborough, MA 01752
(508) 481-5000
The nearest hospitals of similar type and size. Their rates are compared with Umass Memorial Marlborough Hospital for the same insurers and services above.
Metrowest Medical Center - Framingham Union Hospital
▼ Rates typically 54% lower than Umass Memorial Marlborough Hospital (24 services)
Emerson Hospital
▼ Rates typically 26% lower than Umass Memorial Marlborough Hospital (24 services)
Adcare Hospital Of Worcester
Too few shared services to compare rates
Milford Regional Medical Center
▼ Rates typically 19% lower than Umass Memorial Marlborough Hospital (24 services)
Nashoba Valley Medical Center
▼ Rates typically 41% lower than Umass Memorial Marlborough Hospital (24 services)
Beth Israel Deaconess Hospital Needham
▼ Rates typically 50% lower than Umass Memorial Marlborough Hospital (24 services)
Umass Memorial Medical Center - Memorial Campus
Umass Memorial Healthalliance Clinton Hospital - Leominster Campus
Umass Memorial Health - Harrington
Beth Israel Deaconess Hospital-Milton
About Umass Memorial Marlborough Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Umass Memorial Marlborough Hospital range from $1,127 to $4,020 across 4 insurers. Blue Cross Blue Shield's rate is $1,127. The median at nearby comparable hospitals is $1,138. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Umass Memorial Marlborough Hospital range from $1,127 to $4,016 across 4 insurers. Aetna's rate is $3,210. The median at nearby comparable hospitals is $1,130. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Umass Memorial Marlborough Hospital range from $2,134 to $4,771 across 3 insurers. Cigna's rate is $4,771. The median at nearby comparable hospitals is $4,409. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Umass Memorial Marlborough Hospital range from $373 to $644 across 4 insurers. Blue Cross Blue Shield's rate is $373. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.
Umass Memorial Marlborough Hospital has 79 beds. Facility type: Short Term Acute Care Hospital.
Umass Memorial Marlborough Hospital is located at 157 Union St, Marlborough, MA 01752. Its main phone number is (508) 481-5000.
Umass Memorial Marlborough Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 220049.
The National Provider Identifier (NPI) on file for Umass Memorial Marlborough Hospital is 1396738159.
Umass Memorial Marlborough Hospital is affiliated with UMass Memorial Health Care.
Umass Memorial Marlborough Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
143 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