Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in Massachusetts: what insurers pay
Posted commercial rates at 12 Massachusetts hospitals, each next to its own Medicare base rate.
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MS-DRG 194
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Emerson Hospital - W Concord | $5,508 | 0.8× | 2 | 2026-05-18 |
| Anna Jaques Hospital Newburyport | $6,054 | 0.9× | 1 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Needham Needham | $6,233 | 0.9× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth | $6,871 | 1.0× | 1 | 2026-04-01 |
| Mount Auburn Hospital Cambridge | $7,138 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation Beverly | $7,455 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital Winchester | $7,455 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center Boston | $8,025 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital Boston | $8,591 | 1.2× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington Burlington | $11,746 | 1.7× | 4 | 2026-04-01 |
| Lowell General Hospital Lowell | $14,216 | 2.0× | 4 | 2026-04-01 |
| Tufts Medical Center Boston | $18,024 | 2.6× | 4 | 2026-04-01 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Anna Jaques Hospital Newburyport | $9,874 | 0.9× | 1 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth | $11,207 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation Beverly | $12,158 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital Winchester | $12,158 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center Boston | $13,089 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital Boston | $14,012 | 1.2× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington Burlington | $19,157 | 1.7× | 4 | 2026-04-01 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Anna Jaques Hospital Newburyport | $4,721 | 0.9× | 1 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth | $5,359 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation Beverly | $5,814 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital Winchester | $5,814 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center Boston | $6,259 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital Boston | $6,700 | 1.2× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington Burlington | $9,160 | 1.7× | 4 | 2026-04-01 |
Questions
How much do insurers pay for pneumonia (hospital stay) in Massachusetts?
12 Massachusetts hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 12 hospitals is $7,455, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.