Newton Wellesley Hospital — price list
← Hospital overviewVerified from Newton Wellesley Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,081 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1 25 Dihydroxy Inc Fraction Inpatient & outpatient | PX-30000412 CDM | $325 | $244 | $37.73 – $309 | $179 | |
| 1 25 Dihydroxy Inc Fraction Outpatient | PX-30000412 CDM | $325 | $244 | $39.70 – $255 | $243 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient | PX-98300811 CDM | $407 | $305 | $83.70 – $1,207 | $2,044 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient | PX-98300811 CDM | $407 | $305 | $228 – $287 | $1,738 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Outpatient | PX-98300811 CDM | $407 | $305 | $164 – $5,129 | $354 | |
| 9vhpv Vacc 2/3 Dose Sched IM Use Outpatient | PX-63601160 CDM | $503 | $377 | $223 – $767 | $259 | |
| Abdominal pain,minor Inpatient | 251 MS-DRG | $26,213 | — | $4,619 – $28,781 | $11,993 | |
| Abdominal pain,moderate Inpatient | 251 MS-DRG | $26,015 | — | $4,619 – $28,781 | $5,887 | |
| Abdominal Paracentesis W/ Imaging Inpatient & outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,677 | $1,187 | |
| Abdominal Paracentesis W/ Imaging Outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,874 | $1,231 | |
| Abdominal Paracentesis without Imaging Inpatient & outpatient | PX-75000277 CDM | $1,631 | $1,223 | $762 – $1,271 | $1,113 | |
| Abdominal Paracentesis without Imaging Outpatient | PX-75000277 CDM | $1,631 | $1,223 | $871 – $871 | $1,231 | |
| Ablation Endometrial Thermal Outpatient | PX-76001389 CDM | $8,481 | $6,361 | $3,713 – $7,178 | $6,822 | |
| Ablation Tumor Liver Radiofreq Perc Inpatient & outpatient | PX-75000243 CDM | $13,805 | $10,354 | $4,136 – $10,755 | $6,929 | |
| Abortion Induced D&C Inpatient & outpatient | PX-72000030 CDM | $4,625 | $3,469 | $1,984 – $3,889 | $4,688 | |
| Abortion Induced D&C Outpatient | PX-72000030 CDM | $4,625 | $3,469 | $2,125 – $7,939 | $3,899 | |
| Abortion Induced D&E Inpatient & outpatient | PX-72000031 CDM | $4,625 | $3,469 | $1,984 – $3,889 | $1,693 | |
| Abortion Induced D&E Outpatient | PX-72000031 CDM | $4,625 | $3,469 | $2,125 – $7,939 | $3,899 | |
| Abortion with D&C, aspiration curettage or hysterotomy,minor Inpatient | 543 MS-DRG | $30,070 | — | $4,507 – $17,430 | $4,254 | |
| Abortion with D&C, aspiration curettage or hysterotomy,moderate Inpatient | 543 MS-DRG | $32,963 | — | $4,507 – $17,430 | $15,489 | |
| Acetabular augment 10mm size 50 zimmer trabecular metal 22 Inpatient & outpatient | SUP-ITM-10019435 CDM | $3,281 | $2,461 | $1,459 – $2,556 | $1,531 | |
| Acetabular augment 10mm size 50 zimmer trabecular metal 22 Outpatient | SUP-ITM-10019435 CDM | $3,281 | $2,461 | $1,641 – $2,574 | $1,359 | |
| Acetabular augment 10x50 52mm gription tf revision ti truebond locking slot 21 Inpatient & outpatient | SUP-ITM-10118696 CDM | $3,750 | $2,813 | $1,667 – $2,922 | $1,531 | |
| Acetabular augment 10x50 52mm gription tf revision ti truebond locking slot 21 Outpatient | SUP-ITM-10118696 CDM | $3,750 | $2,813 | $1,875 – $2,942 | $1,359 | |
| Acetabular cup 42x32mm prostalac polyethylene cemented Inpatient & outpatient | SUP-ITM-10119416 CDM | $2,151 | $1,613 | $956 – $1,676 | $1,531 | |
| Acetabular cup 42x32mm prostalac polyethylene cemented Outpatient | SUP-ITM-10119416 CDM | $2,151 | $1,613 | $1,076 – $1,687 | $1,359 | |
| Acetabular cup 48mm restoration adm shell rt 09 Inpatient & outpatient | SUP-ITM-10073228 CDM | $2,400 | $1,800 | $1,067 – $1,870 | $1,531 | |
| Acetabular cup 48mm restoration adm shell rt 09 Outpatient | SUP-ITM-10073228 CDM | $2,400 | $1,800 | $1,200 – $1,883 | $1,359 | |
| Acetabular cup 56mm birmingham resurfacing cobalt ha coating porous impactor Inpatient & outpatient | SUP-ITM-10019002 CDM | $5,474 | $4,106 | $2,433 – $4,265 | $1,531 | |
| Acetabular cup 56mm birmingham resurfacing cobalt ha coating porous impactor Outpatient | SUP-ITM-10019002 CDM | $5,474 | $4,106 | $2,737 – $4,294 | $1,359 |