Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (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 · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Emerson Hospital - median $5,508 · local Medicare $6,980 · file 2026-05-18 | |||
| Aetna | $5,715 | 0.8× | 1 |
| Elevance/Anthem/Empire | $5,300 | 0.8× | 1 |
| Anna Jaques Hospital median $6,054 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $6,054 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $6,233 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $6,233 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $15,941 | 2.3× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $6,871 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $6,871 | 1.0× | 1 |
| Mount Auburn Hospital median $7,138 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $7,138 | 1.0× | 1 |
| Beverly Hospital Corporation median $7,455 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $7,455 | 1.1× | 1 |
| Winchester Hospital median $7,455 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $7,455 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $8,025 · local Medicare $6,980 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $8,025 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $15,941 | 2.3× | 1 |
| New England Baptist Hospital median $8,591 · local Medicare $6,980 · file 2026-04-01 | |||
| Cigna | $9,007 | 1.3× | 1 |
| Elevance/Anthem/Empire | $8,591 | 1.2× | 1 |
| UnitedHealthcare | $8,164 | 1.2× | 1 |
| Brigham and Women's Faulkner Hospital median $11,561 · local Medicare $6,980 · file 2026-03-27 | |||
| BCBS Massachusetts | $17,449 | 2.5× | 3 |
| Harvard Pilgrim | $11,561 | 1.7× | 2 |
| Mgb Health Plan | $31,385 | 4.5× | 3 |
| Tufts Health Plan | $7,604 | 1.1× | 1 |
| Wellsense | $8,222 | 1.2× | 4 |
| Lahey Hospital & Medical Center, Burlington median $11,746 · local Medicare $6,980 · file 2026-04-01 | |||
| BCBS Massachusetts | $13,474 | 1.9× | 1 |
| Cigna | $11,746 | 1.7× | 1 |
| Elevance/Anthem/Empire | $7,924 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $16,809 | 2.4× | 1 |
| Lowell General Hospital median $11,861 · local Medicare $6,980 · file 2026-04-01 | |||
| BCBS Massachusetts | $19,164 | 2.7× | 8 |
| Cigna | $12,292 | 1.8× | 1 |
| Commonwealth Care Alliance | $7,603 | 1.1× | 1 |
| Elevance/Anthem/Empire | $10,050 | 1.4× | 1 |
| Fallon Health | $11,861 | 1.7× | 1 |
| Fallon Health Connectorcare | $11,861 | 1.7× | 1 |
| Harvard Pilgrim Healthcare | $15,998 | 2.3× | 14 |
| Health Plans | $19,778 | 2.8× | 8 |
| Middlesex County | $8,858 | 1.3× | 4 |
| Suffolk County | $8,858 | 1.3× | 4 |
| Tewksbury Hospital | $8,858 | 1.3× | 4 |
| Tufts Health Public Plan | $8,881 | 1.3× | 4 |
| UnitedHealthcare | $16,140 | 2.3× | 3 |
| Wellsense Clarity Connectorcare | $12,291 | 1.8× | 8 |
| Tufts Medical Center median $12,826 · local Medicare $6,980 · file 2026-04-01 | |||
| Aetna | $10,200 | 1.5× | 3 |
| BCBS Massachusetts | $25,810 | 3.7× | 6 |
| Commonwealth Care Alliance | $8,085 | 1.2× | 1 |
| Elevance/Anthem/Empire | $16,720 | 2.4× | 1 |
| Fallon Health | $18,790 | 2.7× | 1 |
| Fallon Health Connectorcare | $18,790 | 2.7× | 1 |
| Harvard Pilgrim Healthcare | $17,571 | 2.5× | 6 |
| Health Plans | $17,571 | 2.5× | 6 |
| Health Safety Net | $7,050 | 1.0× | 1 |
| Middlesex County | $9,091 | 1.3× | 4 |
| Suffolk County | $9,091 | 1.3× | 4 |
| Tewksbury Hospital | $9,091 | 1.3× | 4 |
| Tufts Health Public Plan | $9,091 | 1.3× | 4 |
| UnitedHealthcare | $19,328 | 2.8× | 3 |
| Wellsense Clarity Connectorcare | $12,826 | 1.8× | 8 |
| Massachusetts General Hospital median $13,232 · local Medicare $6,980 · file 2026-03-27 | |||
| BCBS Massachusetts | $29,686 | 4.3× | 6 |
| Commonwealth Care Alliance | $8,037 | 1.2× | 1 |
| Harvard Pilgrim | $13,232 | 1.9× | 2 |
| Mgb Health Plan | $35,724 | 5.1× | 2 |
| Wellsense | $8,222 | 1.2× | 4 |
| Brigham and Women's Hospital median $13,232 · local Medicare $6,980 · file 2026-03-27 | |||
| BCBS Massachusetts | $29,686 | 4.3× | 6 |
| Commonwealth Care Alliance | $7,731 | 1.1× | 1 |
| Harvard Pilgrim | $13,232 | 1.9× | 2 |
| Mgb Health Plan | $34,023 | 4.9× | 4 |
| Wellsense | $9,588 | 1.4× | 3 |
MS-DRG 193
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Emerson Hospital - median $9,321 · local Medicare $11,385 · file 2026-05-18 | |||
| Aetna | $9,321 | 0.8× | 1 |
| Anna Jaques Hospital median $9,874 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $9,874 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $10,166 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $10,166 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $25,999 | 2.3× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $11,207 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $11,207 | 1.0× | 1 |
| Mount Auburn Hospital median $11,642 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $11,642 | 1.0× | 1 |
| Beverly Hospital Corporation median $12,158 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $12,158 | 1.1× | 1 |
| Winchester Hospital median $12,158 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $12,158 | 1.1× | 1 |
| Brigham and Women's Faulkner Hospital median $12,193 · local Medicare $11,385 · file 2026-03-27 | |||
| BCBS Massachusetts | $33,273 | 2.9× | 2 |
| Commonwealth Care Alliance | $12,193 | 1.1× | 1 |
| Tufts Health Plan | $12,193 | 1.1× | 1 |
| Tufts Health Public Plans | $12,193 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $13,089 · local Medicare $11,385 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $13,089 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $25,999 | 2.3× | 1 |
| New England Baptist Hospital median $14,012 · local Medicare $11,385 · file 2026-04-01 | |||
| Cigna | $14,690 | 1.3× | 1 |
| Elevance/Anthem/Empire | $14,012 | 1.2× | 1 |
| UnitedHealthcare | $13,315 | 1.2× | 1 |
| Brigham and Women's Hospital median $14,611 · local Medicare $11,385 · file 2026-03-27 | |||
| BCBS Massachusetts | $39,527 | 3.5× | 2 |
| Commonwealth Care Alliance | $12,370 | 1.1× | 1 |
| Wellsense | $14,611 | 1.3× | 2 |
| Lowell General Hospital median $18,946 · local Medicare $11,385 · file 2026-04-01 | |||
| Cigna | $20,047 | 1.8× | 1 |
| Commonwealth Care Alliance | $12,145 | 1.1× | 1 |
| Elevance/Anthem/Empire | $16,392 | 1.4× | 1 |
| Fallon Health | $18,946 | 1.7× | 1 |
| Fallon Health Connectorcare | $18,946 | 1.7× | 1 |
| Harvard Pilgrim Healthcare | $42,266 | 3.7× | 4 |
| Health Plans | $40,955 | 3.6× | 2 |
| Middlesex County | $15,741 | 1.4× | 3 |
| Suffolk County | $15,741 | 1.4× | 3 |
| Tewksbury Hospital | $15,741 | 1.4× | 3 |
| Tufts Health Public Plan | $15,781 | 1.4× | 3 |
| UnitedHealthcare | $43,925 | 3.9× | 1 |
| Wellsense Clarity Connectorcare | $22,116 | 1.9× | 6 |
| Lahey Hospital & Medical Center, Burlington median $19,157 · local Medicare $11,385 · file 2026-04-01 | |||
| BCBS Massachusetts | $21,976 | 1.9× | 1 |
| Cigna | $19,157 | 1.7× | 1 |
| Elevance/Anthem/Empire | $12,924 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $27,414 | 2.4× | 1 |
| Tufts Medical Center median $19,828 · local Medicare $11,385 · file 2026-04-01 | |||
| Aetna | $16,636 | 1.5× | 3 |
| Commonwealth Care Alliance | $12,830 | 1.1× | 1 |
| Elevance/Anthem/Empire | $27,270 | 2.4× | 1 |
| Fallon Health | $30,002 | 2.6× | 1 |
| Fallon Health Connectorcare | $30,002 | 2.6× | 1 |
| Harvard Pilgrim Healthcare | $47,818 | 4.2× | 2 |
| Health Plans | $47,818 | 4.2× | 2 |
| Health Safety Net | $7,050 | 0.6× | 1 |
| Middlesex County | $16,155 | 1.4× | 3 |
| Suffolk County | $16,155 | 1.4× | 3 |
| Tewksbury Hospital | $16,155 | 1.4× | 3 |
| Tufts Health Public Plan | $16,155 | 1.4× | 3 |
| UnitedHealthcare | $52,601 | 4.6× | 1 |
| Wellsense Clarity Connectorcare | $23,020 | 2.0× | 6 |
| Massachusetts General Hospital median $20,080 · local Medicare $11,385 · file 2026-03-27 | |||
| Commonwealth Care Alliance | $12,670 | 1.1× | 1 |
| Harvard Pilgrim | $26,001 | 2.3× | 1 |
| Mgb Health Plan | $67,813 | 6.0× | 2 |
| Wellsense | $14,159 | 1.2× | 2 |
MS-DRG 195
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Anna Jaques Hospital median $4,721 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $4,721 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $4,861 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $4,861 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $12,432 | 2.3× | 1 |
| Emerson Hospital - median $4,878 · local Medicare $5,444 · file 2026-05-18 | |||
| Aetna | $4,457 | 0.8× | 1 |
| Elevance/Anthem/Empire | $5,300 | 1.0× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $5,359 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $5,359 | 1.0× | 1 |
| Mount Auburn Hospital median $5,567 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $5,567 | 1.0× | 1 |
| Beverly Hospital Corporation median $5,814 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $5,814 | 1.1× | 1 |
| Winchester Hospital median $5,814 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $5,814 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $6,259 · local Medicare $5,444 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $6,259 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $12,432 | 2.3× | 1 |
| New England Baptist Hospital median $6,700 · local Medicare $5,444 · file 2026-04-01 | |||
| Cigna | $7,024 | 1.3× | 1 |
| Elevance/Anthem/Empire | $6,700 | 1.2× | 1 |
| UnitedHealthcare | $6,367 | 1.2× | 1 |
| Lahey Hospital & Medical Center, Burlington median $9,160 · local Medicare $5,444 · file 2026-04-01 | |||
| BCBS Massachusetts | $10,508 | 1.9× | 1 |
| Cigna | $9,160 | 1.7× | 1 |
| Elevance/Anthem/Empire | $6,180 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $13,109 | 2.4× | 1 |
| Lowell General Hospital median $9,389 · local Medicare $5,444 · file 2026-04-01 | |||
| Cigna | $9,586 | 1.8× | 1 |
| Commonwealth Care Alliance | $6,019 | 1.1× | 1 |
| Elevance/Anthem/Empire | $7,838 | 1.4× | 1 |
| Fallon Health | $9,389 | 1.7× | 1 |
| Fallon Health Connectorcare | $9,389 | 1.7× | 1 |
| Health Safety Net | $10,571 | 1.9× | 1 |
| Tufts Medical Center median $10,497 · local Medicare $5,444 · file 2026-04-01 | |||
| Aetna | $7,955 | 1.5× | 3 |
| Commonwealth Care Alliance | $6,429 | 1.2× | 1 |
| Elevance/Anthem/Empire | $13,039 | 2.4× | 1 |
| Fallon Health | $14,879 | 2.7× | 1 |
| Fallon Health Connectorcare | $14,879 | 2.7× | 1 |
| Health Safety Net | $7,050 | 1.3× | 1 |
Questions
How much does pneumonia (hospital stay) cost with commercial insurance in Boston MA?
15 Boston MA hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $8,025; hospital medians range from $5,508 to $13,232. Your cost depends on your plan's deductible and coinsurance.