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Hospital Profile Acute Care Hospital Voluntary non-profit - Private 41 Beds · urban Updated: 2026-03-27

Massachusetts Eye and Ear Infirmary -

243 Charles Street, Boston, MA 02114 · 47 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.10×vs. Fair Market Price
Position vs. 1.00× Fair Price+10% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).73/100 · Corroborated
73/100Self-Pay Cash Beats Insurance 29% of the Time
File Completeness55Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic98Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment50Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing59Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High Quality · Fair Price
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score74/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait168 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Massachusetts Eye and Ear Infirmary - prices shoppable and inpatient services (1.4× to 1.8× Medicare, divergence 1.29×) in alignment with regional hospital peers (1.10× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#21 of 53 in MA · 37th State Percentile#1,679 of 3,385 in U.S. · 49th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
  • 4-Star CMS clinical rating with 84% patient recommendation (74/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (47.0% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (1.10× 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 (0.4×) & laboratory (1.7×) services average 1.29× higher multiples than routine shoppable care (1.4×)
  • Upper-quartile procedures (Q75 1.18×) jump +23% above the median procedure ratio (Q50 0.96×)
  • Unnegotiated chargemaster list prices average 10.6× Medicare (19¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.4× Medicare

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

Back-Door Captive & ER1.29× Divergence
1.8× Medicare

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

Quantile Tail Spread+23% Upper Tail
Q25 0.84× · Q50 0.96× · Q75 1.18×

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
1.4× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.5× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.1× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.7× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.6× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
29% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 74/100Fair

Procedure Prices at Massachusetts Eye and Ear Infirmary -

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 47 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $26,373 1.4×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $9,800 1.2×
Cataract surgery with lens implant
CPT Code: 66984
 $2,393 0.9×
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,208 1.2×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $785 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $405 0.9×
MRI, brain (with and without contrast)
CPT Code: 70553
 $424 0.8×
MRI, brain (no contrast)
CPT Code: 70551
 $287 0.8×
Breathing treatment (nebulizer)
CPT Code: 94640
 $257 1.3×
CT scan, head (with contrast)
CPT Code: 70460
 $211 0.9×
CT scan, head (with and without contrast)
CPT Code: 70470
 $211 0.8×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $153 1.8×
X-ray, chest (single view)
CPT Code: 71045
 $105 1.1×
X-ray, chest (two views)
CPT Code: 71046
 $105 1.1×
Ultrasound, thyroid and neck
CPT Code: 76536
 $126 1.0×
CT scan, head (no contrast)
CPT Code: 70450
 $126 0.8×
CT scan, sinuses
CPT Code: 70486
 $126 0.8×
CT scan, chest (no contrast)
CPT Code: 71250
 $126 0.8×
Hospital observation (per hour)
HCPCS Code: G0378
 $99 1.2×
Speech therapy (language evaluation)
CPT Code: 92507
 $83 1.0×
Blood test, vitamin D
CPT Code: 82306
 $693 22.4×
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $447 40.6×
Blood test, basic metabolic panel
CPT Code: 80048
 $287 31.9×
Blood test, liver function panel
CPT Code: 80076
 $215 23.9×
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $219 15.6×
Showing top 25 high-impact procedures of 47 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 47.0%

Audit a Bill or Quote at Massachusetts Eye and Ear Infirmary - (Zero PHI Required)

CMS CCN: 220075
CPT 871
Fair BaseRate™ $19,087
Medicare Rate $14,117
Self-Pay Cash $25,976
Insurer Median $26,373
Pre-filled with Massachusetts Eye and Ear Infirmary -’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $16,264 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $16,264

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (47.0% of gross = $16,264).

Step 2 · Cash vs. Insurance Arbitrage Save $8,658 Paying Cash

Self-Pay Cash Rate ($25,976) Beats Your Bill

Massachusetts Eye and Ear Infirmary -'s published 45 CFR § 180 self-pay cash rate is $25,976 (vs. $26,373 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$15,547 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($34,634) is $15,547 above the denoised Fair BaseRate ($19,087) and 2.5× the $14,117 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: 042103591
Filing Period: 201011
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 (47.0% 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 Overall4/5 Stars (4/5)
Safety Composite74/100
Would Recommend84%
Rated 9 or 10 (HCAHPS)81%
Median ER Wait168 min
Left ER Before Seen3%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

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 Massachusetts Eye and Ear Infirmary -. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-08-25·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (358 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Massachusetts Eye and Ear Infirmary -.

Price Index: 1.37× regional baseline
Quality: 69/100 CMS composite
Median Household Income$92,859U.S. Census ACS
Local Uninsured Share3.3%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 73/100 · Corroborated CMS CCN 220075 EIN 042103591

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

MRF Portal Indexed (042103591_Massachusetts-Eye-and-Ear_StandardCharges.zip!042103591_Massachusetts-Eye-and-Ear_StandardCharges.csv) Verify on CMS Medicare.gov (CCN 220075) ↗ Verify IRS Form 990 (EIN 042103591) ↗ CMS HCRIS Cost Reports ↗
Published MRF File042103591_Massachusetts-Eye-and-Ear_StandardCharges.zip!042103591_Massachusetts-Eye-and-Ear_StandardCharges.csv
Publication / Vintage2026-03-27 · 0.28 MB
Validated Rate Rows267 (CMS v3.0.0)
File Integrity DigestVerified · CCN 220075

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.

Submit MRF Update Correction Policy