How many shoppable procedure prices are published for Anna Jaques Hospital?

Anna Jaques Hospital in Newburyport, MA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Anna Jaques Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Anna Jaques Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Anna Jaques Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Anna Jaques Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 116 Beds · urban Updated: 2026-04-01

Anna Jaques Hospital

25 Highland Avenue, Newburyport, MA 01950 · 127 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness85

Price Logic98

Peer Alignment75

Clean Billing74

Real Cash Discount6

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Anna Jaques Hospital prices shoppable and inpatient services (1.3× to 1.5× Medicare, divergence 1.15×) in alignment with regional hospital peers (1.11× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#22 of 53 in MA · 39th State Percentile#1,711 of 3,385 in U.S. · 50th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (62/100 safety score) with 62% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.11× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.9×) & laboratory (2.1×) services average 1.15× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.45×) jump +22% above the median procedure ratio (Q50 1.19×)
Unnegotiated chargemaster list prices average 8.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.15× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 0.98× · Q50 1.19× · Q75 1.45×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 62/100Elevated

Procedure Prices at Anna Jaques Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,865	$30,775	0.9×
Total knee replacement CPT Code: `27447`	—	$19,604	$13,523	1.4×
Total hip replacement CPT Code: `27130`	—	$18,035	$13,413	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,856	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,740	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,322	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,596	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,916	$8,223	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$5,841	$5,405	$2,680	2.0×
Breast lump removal CPT Code: `19120`	$11,890	$4,692	$3,875	1.2×
Inguinal hernia repair CPT Code: `49505`	—	$4,291	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	—	$3,921	$3,446	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$10,075	$3,759	$3,372	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,315	$2,540	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,093	$1,694	$1,256	1.3×
Trauma team activation HCPCS Code: `G0390`	$2,473	$1,616	$1,453	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,314	$1,484	$1,021	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,902	$1,288	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,901	$1,257	$987	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,035	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,158	$758	$583	1.3×
Blood transfusion CPT Code: `36430`	$1,896	$731	$498	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,512	$582	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,379	$582	$511	1.1×
Psychological testing by technician CPT Code: `96138`	—	$535	$395	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,272	$375	$303	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$876	$375	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,943	$375	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	—	$375	$369	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$325	$231	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,689	$298	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,466	$298	$258	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,254	$310	$272	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$384	$262	$201	1.3×
Rabies immune globulin HCPCS Code: `90375`	—	$285	$322	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$217	$166	1.3×
Family therapy session CPT Code: `90847`	—	$217	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$217	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$499	$217	$185	1.2×
Care planning with family CPT Code: `90887`	—	$189	$107	1.8×
Behavioral health day program HCPCS Code: `H2012`	—	$147	$100	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$438	$160	$123	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$752	$157	$126	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$159	$128	1.2×
Ultrasound, pelvis CPT Code: `76856`	$938	$157	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$732	$157	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$979	$157	$134	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,331	$172	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$1,152	$172	$163	1.1×
Group therapy session CPT Code: `90853`	$264	$127	$100	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$387	$139	$110	1.3×
Mental health services (assessment) HCPCS Code: `H0031`	—	$147	$140	1.1×
CT scan, sinuses CPT Code: `70486`	$1,402	$172	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$2,547	$172	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,361	$172	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,218	$172	$169	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$139	$151	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$335	$107	$87	1.2×
X-ray, lower back CPT Code: `72110`	$832	$129	$112	1.2×
X-ray, pelvis CPT Code: `72170`	$443	$125	$110	1.1×
X-ray, chest (single view) CPT Code: `71045`	$387	$104	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$424	$104	$93	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$594	$125	$148	0.8×
X-ray, hip CPT Code: `73502`	$384	$89	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$333	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$338	$86	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$338	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$367	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$327	$86	$93	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$525	$104	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	—	$323	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$230	$203	1.1×
Drug screening test HCPCS Code: `G0480`	$800	$146	$116	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$114	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$136	$140	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$120	$44	$25	1.8×
Blood antibody screen CPT Code: `86850`	$110	$60	$46	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$131	$56	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$56	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$56	$49	1.1×
Orthotic fitting and training CPT Code: `97760`	$170	$57	$51	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$219	$71	$64	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$376	$79	$86	0.9×
Prosthetic fitting and training CPT Code: `97761`	$136	$51	$45	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$25	$14	1.8×
Blood test, vitamin D CPT Code: `82306`	$299	$47	$31	1.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$76	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$120	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$67	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$94	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$170	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$38	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$38	$11	$7	1.6×
Culture, bacterial CPT Code: `87070`	$85	$14	$9	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$91	$17	$11	1.5×
Hepatitis C antibody test CPT Code: `86803`	$141	$23	$15	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$229	$29	$19	1.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$200	$21	$14	1.5×
Blood test, vitamin B12 CPT Code: `82607`	$114	$24	$16	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$217	$27	$18	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$109	$35	$38	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$97	$12	$8	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$155	$36	$38	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$97	$9	$6	1.5×
Culture, blood CPT Code: `87040`	$116	$16	$11	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$84	$29	$20	1.4×
Physical therapy (gait training) CPT Code: `97116`	$126	$32	$33	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$141	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$130	$31	$34	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$155	$36	$40	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$35	$39	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$149	$34	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$33	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$41	$56	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$78	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$15	$10	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$71	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$156	$13	$9	1.4×
Blood test, amylase CPT Code: `82150`	$110	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$59	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$40	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$6	$5	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$24	$25	1.0×
Speech therapy (group session) CPT Code: `92508`	$70	$25	$27	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$28	$35	0.8×
Behavioral health living support HCPCS Code: `H2019`	—	$18	$34	0.5×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.3%

Audit a Bill or Quote at Anna Jaques Hospital (Zero PHI Required)

CMS CCN: 220029

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,865

1. Amount on Your Bill or Quote ($) Pre-filled with Anna Jaques Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $13,562 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,562

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.3% of gross = $13,562).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Anna Jaques Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$36,101 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($66,876) is $36,101 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 832671600

Filing Period: 202004

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (20.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait192 min

Left ER Before Seen23%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Anna Jaques Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-04·administrative_or_closure
Met Requirements
Recorded
2024-03-13·administrative_or_closure
Closure Notice
Recorded
2023-12-05·warning_notice
Warning Notice
Recorded
2022-02-24·administrative_or_closure
Closure Notice
Recorded
2021-10-27·cap_corrective_action
CAP Request
Recorded
2021-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (571 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Anna Jaques Hospital.

Price Index: 0.74× regional baseline

Quality: 47/100 CMS composite

Median Household Income$99,431U.S. Census ACS

Local Uninsured Share2.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 71/100 · Corroborated CMS CCN 220029 EIN 832671600

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 220029) ↗ Verify IRS Form 990 (EIN 832671600) ↗ CMS HCRIS Cost Reports ↗

Published MRF File832671600_anna-jaques-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 19.50 MB

Validated Rate Rows617 (CMS v3.0.0)

File Integrity Digest56a99260d00179afbdbe…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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