Newton-wellesley Hospital
Newton-Wellesley Hospital in Newton, MA charges 3.6x the Medicare reimbursement rate across 133 analyzed procedures, according to our analysis of this nonprofit-private facility's pricing data.
Newton, MA 02462 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.62x
Charge / Medicare rate
Max markup
8.83x
Worst procedure
Procedures analyzed
133
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,738 | $16,869 | — | 8.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $29,993 | $14,996 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,086 | $10,043 | — | 6.1x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $25,781 | $12,890 | — | 5.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $31,605 | $15,802 | — | 5.7x |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $25,212 | $12,606 | — | 5.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $26,749 | $13,374 | — | 5.5x |
| RESPIRATORY NEOPLASMS WITH CC | 181 | $42,900 | $21,450 | — | 5.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $65,260 | $32,630 | — | 5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $45,892 | $22,946 | — | 4.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $15,396 | $7,698 | — | 4.9x |
| DYSEQUILIBRIUM | 149 | $24,776 | $12,388 | — | 4.7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/M | 544 | $21,413 | $10,706 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,791 | $11,396 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,590 | $16,295 | — | 4.4x |
| PNEUMOTHORAX WITH CC | 200 | $32,093 | $16,047 | — | 4.4x |
| SEIZURES WITH MCC | 100 | $72,205 | $36,102 | — | 4.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $34,724 | $17,362 | — | 4.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $27,356 | $13,678 | — | 4.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $20,814 | $10,407 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $22,903 | $11,451 | — | 4.2x |
| HYPERTENSION WITHOUT MCC | 305 | $21,757 | $10,879 | — | 4.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $65,005 | $32,502 | — | 4.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $49,023 | $24,511 | — | 4.2x |
| PSYCHOSES | 885 | $28,167 | $14,084 | — | 4.1x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $22,838 | $11,419 | — | 4.1x |
| CHEST PAIN | 313 | $20,195 | $10,098 | — | 4.1x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $23,290 | $11,645 | — | 4.1x |
| DIABETES WITH CC | 638 | $25,920 | $12,960 | — | 4.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $48,838 | $24,419 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $27,461 | $13,730 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,603 | $10,802 | — | 4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $23,802 | $11,901 | — | 4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,195 | $10,598 | — | 4x |
| SEIZURES WITHOUT MCC | 101 | $27,617 | $13,809 | — | 4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $23,169 | $11,585 | — | 4x |
| SYNCOPE AND COLLAPSE | 312 | $25,804 | $12,902 | — | 3.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $58,355 | $29,177 | — | 3.9x |
| HYPERTENSION WITH MCC | 304 | $32,680 | $16,340 | — | 3.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $23,408 | $11,704 | — | 3.9x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $53,818 | $26,909 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,415 | $14,207 | — | 3.8x |
| DIABETES WITH MCC | 637 | $43,737 | $21,868 | — | 3.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $74,107 | $37,054 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $24,176 | $12,088 | — | 3.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $37,327 | $18,663 | — | 3.8x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $49,395 | $24,698 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $33,448 | $16,724 | — | 3.7x |
| PNEUMOTHORAX WITH MCC | 199 | $48,237 | $24,118 | — | 3.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $49,678 | $24,839 | — | 3.7x |
Showing 50 of 133 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use