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Pneumonia (hospital stay) in Boston MA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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MS-DRG 194

Hospital · insurerRate× MedicarePlans
Emerson Hospital - median $5,508 · local Medicare $6,980 · file 2026-05-18
Aetna$5,7150.8×1
Elevance/Anthem/Empire$5,3000.8×1
Anna Jaques Hospital median $6,054 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$6,0540.9×1
Beth Israel Deaconess Hospital - Needham median $6,233 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$6,2330.9×1
MultiPlan/PHCS (rental network)$15,9412.3×1
Beth Israel Deaconess Hospital - Plymouth median $6,871 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$6,8711.0×1
Mount Auburn Hospital median $7,138 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$7,1381.0×1
Beverly Hospital Corporation median $7,455 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$7,4551.1×1
Winchester Hospital median $7,455 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$7,4551.1×1
Beth Israel Deaconess Medical Center median $8,025 · local Medicare $6,980 · file 2026-04-01
Elevance/Anthem/Empire$8,0251.1×1
MultiPlan/PHCS (rental network)$15,9412.3×1
New England Baptist Hospital median $8,591 · local Medicare $6,980 · file 2026-04-01
Cigna$9,0071.3×1
Elevance/Anthem/Empire$8,5911.2×1
UnitedHealthcare$8,1641.2×1
Lahey Hospital & Medical Center, Burlington median $11,746 · local Medicare $6,980 · file 2026-04-01
BCBS Massachusetts$13,4741.9×1
Cigna$11,7461.7×1
Elevance/Anthem/Empire$7,9241.1×1
MultiPlan/PHCS (rental network)$16,8092.4×1
Lowell General Hospital median $14,216 · local Medicare $6,980 · file 2026-04-01
BCBS Massachusetts$19,1642.7×8
Cigna$12,2921.8×1
Elevance/Anthem/Empire$10,0501.4×1
UnitedHealthcare$16,1402.3×3
Tufts Medical Center median $18,024 · local Medicare $6,980 · file 2026-04-01
Aetna$10,2001.5×3
BCBS Massachusetts$25,8103.7×6
Elevance/Anthem/Empire$16,7202.4×1
UnitedHealthcare$19,3282.8×3

MS-DRG 193

Hospital · insurerRate× MedicarePlans
Anna Jaques Hospital median $9,874 · local Medicare $11,385 · file 2026-04-01
Elevance/Anthem/Empire$9,8740.9×1
Beth Israel Deaconess Hospital - Plymouth median $11,207 · local Medicare $11,385 · file 2026-04-01
Elevance/Anthem/Empire$11,2071.0×1
Beverly Hospital Corporation median $12,158 · local Medicare $11,385 · file 2026-04-01
Elevance/Anthem/Empire$12,1581.1×1
Winchester Hospital median $12,158 · local Medicare $11,385 · file 2026-04-01
Elevance/Anthem/Empire$12,1581.1×1
Beth Israel Deaconess Medical Center median $13,089 · local Medicare $11,385 · file 2026-04-01
Elevance/Anthem/Empire$13,0891.1×1
MultiPlan/PHCS (rental network)$25,9992.3×1
New England Baptist Hospital median $14,012 · local Medicare $11,385 · file 2026-04-01
Cigna$14,6901.3×1
Elevance/Anthem/Empire$14,0121.2×1
UnitedHealthcare$13,3151.2×1
Lahey Hospital & Medical Center, Burlington median $19,157 · local Medicare $11,385 · file 2026-04-01
BCBS Massachusetts$21,9761.9×1
Cigna$19,1571.7×1
Elevance/Anthem/Empire$12,9241.1×1
MultiPlan/PHCS (rental network)$27,4142.4×1

MS-DRG 195

Hospital · insurerRate× MedicarePlans
Anna Jaques Hospital median $4,721 · local Medicare $5,444 · file 2026-04-01
Elevance/Anthem/Empire$4,7210.9×1
Beth Israel Deaconess Hospital - Plymouth median $5,359 · local Medicare $5,444 · file 2026-04-01
Elevance/Anthem/Empire$5,3591.0×1
Beverly Hospital Corporation median $5,814 · local Medicare $5,444 · file 2026-04-01
Elevance/Anthem/Empire$5,8141.1×1
Winchester Hospital median $5,814 · local Medicare $5,444 · file 2026-04-01
Elevance/Anthem/Empire$5,8141.1×1
Beth Israel Deaconess Medical Center median $6,259 · local Medicare $5,444 · file 2026-04-01
Elevance/Anthem/Empire$6,2591.1×1
MultiPlan/PHCS (rental network)$12,4322.3×1
New England Baptist Hospital median $6,700 · local Medicare $5,444 · file 2026-04-01
Cigna$7,0241.3×1
Elevance/Anthem/Empire$6,7001.2×1
UnitedHealthcare$6,3671.2×1
Lahey Hospital & Medical Center, Burlington median $9,160 · local Medicare $5,444 · file 2026-04-01
BCBS Massachusetts$10,5081.9×1
Cigna$9,1601.7×1
Elevance/Anthem/Empire$6,1801.1×1
MultiPlan/PHCS (rental network)$13,1092.4×1

Questions

How much does pneumonia (hospital stay) cost with commercial insurance in Boston MA?

12 Boston MA hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $7,455; hospital medians range from $5,508 to $18,024. Your cost depends on your plan's deductible and coinsurance.