How many shoppable procedure prices are published for Metrowest Medical Center?

Metrowest Medical Center in Framingham, MA currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Metrowest Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Metrowest Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Metrowest Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Metrowest Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 134 Beds · rural Updated: 2026-06-05

Metrowest Medical Center

115 Lincoln Street, Framingham, MA 01701 · 120 Priced Procedures · 42% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness66

Price Logic71

Peer Alignment73

Clean Billing82

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Metrowest Medical Center prices shoppable and inpatient services (1.4× to 1.4× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#6 of 53 in MA · 9th State Percentile#1,166 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 3% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 42% patient recommendation (48/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.10× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.34×) jump +22% above the median procedure ratio (Q50 1.10×)
Unnegotiated chargemaster list prices average 19.0× Medicare (14¢ 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 & ER1.00× Divergence

1.4× Medicare

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

Quantile Tail Spread+22% Upper Tail

Q25 0.75× · Q50 1.10× · Q75 1.34×

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

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.8× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.7× MedicareGood

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

3% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 48/100Watchout

Procedure Prices at Metrowest Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$41,140	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,509	$19,432	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	—	$3,605	$855	unverified
Blood transfusion CPT Code: `36430`	$5,236	$3,218	$498	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$2,035	$6,109	0.3×
C-section delivery (full package) CPT Code: `59510`	—	$1,989	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,757	$2,680	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$1,371	$3,629	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$1,378	$1,378	$123	unverified
Bunion correction surgery CPT Code: `28296`	—	$1,315	$3,446	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,286	$3,372	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,228	$1,228	$148	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$15,061	$1,130	$511	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$11,504	$1,096	$1,021	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,066	$2,540	0.4×
Breast lump removal CPT Code: `19120`	—	$922	$3,875	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,058	$775	$583	1.3×
X-ray, chest (two views) CPT Code: `71046`	$790	$790	$93	unverified
MRI, brain (no contrast) CPT Code: `70551`	$5,714	$672	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$4,327	$655	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,803	$647	$369	unverified
X-ray, hip CPT Code: `73502`	$554	$554	$93	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$5,342	$411	$258	1.6×
X-ray, chest (single view) CPT Code: `71045`	$432	$432	$92	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$395	$981	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$380	$987	0.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$395	$1,256	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,435	$344	$169	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,612	$368	$448	0.8×
CT scan, sinuses CPT Code: `70486`	$2,413	$321	$166	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$4,769	$338	$242	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$3,633	$344	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,505	$343	$168	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,845	$307	$272	1.1×
CT scan, pelvis CPT Code: `72192`	$1,686	$331	$163	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$271	$271	$14	19.4×
CT scan, head (no contrast) CPT Code: `70450`	$3,806	$266	$160	1.7×
Rabies immune globulin HCPCS Code: `90375`	$1,014	$280	$322	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$383	$199	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$440	$199	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$911	$199	$185	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$211	$231	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,004	$230	$303	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$132	$100	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,648	$134	$151	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$430	$107	$86	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,823	$131	$134	1.0×
Mental health services (assessment) HCPCS Code: `H0031`	—	$132	$140	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,553	$120	$130	0.9×
Family therapy session CPT Code: `90847`	$453	$131	$173	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$618	$139	$201	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$428	$100	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$918	$112	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,988	$109	$132	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$677	$99	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,435	$314	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$663	$230	$203	1.1×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$536	$133	$140	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$314	$53	$40	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$48	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$169	$41	$33	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$572	$47	$64	0.7×
Group therapy session CPT Code: `90853`	$319	$65	$100	0.7×
Care planning with family CPT Code: `90887`	—	$66	$107	0.6×
Speech therapy (group session) CPT Code: `92508`	$185	$37	$27	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$290	$47	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$372	$43	$35	1.2×
Orthotic fitting and training CPT Code: `97760`	$357	$62	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$264	$54	$45	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$146	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$133	$46	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$623	$66	$87	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$180	$50	$86	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$98	$6	$4	1.5×
Blood test, sodium CPT Code: `84295`	$63	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$140	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$232	$26	$19	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$174	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$293	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$332	$23	$18	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$205	$48	$38	1.3×
Culture, blood CPT Code: `87040`	$254	$14	$11	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$30	$25	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$389	$39	$34	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$120	$46	$48	1.0×
X-ray, lower back CPT Code: `72110`	$1,448	$62	$112	0.6×
Blood test, calcium CPT Code: `82310`	$109	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$129	$7	$5	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$182	$19	$14	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$300	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$776	$41	$31	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$713	$42	$93	0.5×
Blood test, lipase CPT Code: `83690`	$99	$10	$7	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$243	$14	$10	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$218	$15	$11	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$321	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$81	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$423	$21	$16	1.3×
Blood test, amylase CPT Code: `82150`	$86	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$68	$9	$7	1.3×
Blood test, liver function panel CPT Code: `80076`	$320	$11	$9	1.2×
X-ray, foot CPT Code: `73630`	$1,202	$36	$92	0.4×
X-ray, hand CPT Code: `73130`	$1,354	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$1,323	$36	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$1,229	$35	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$747	$32	$110	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$5	$4	1.3×
Blood test, potassium CPT Code: `84132`	$85	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$169	$16	$15	1.1×
Blood test, hemoglobin CPT Code: `85018`	$53	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$82	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$62	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$20	$20	$37	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$17	$34	0.5×
Review of medical records for care CPT Code: `90889`	—	$27	$114	0.2×
Blood antibody screen CPT Code: `86850`	$197	$10	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$27	$128	0.2×

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Metrowest Medical Center (Zero PHI Required)

CMS CCN: 220175

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $41,140

1. Amount on Your Bill or Quote ($) Pre-filled with Metrowest Medical Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Metrowest Medical Center'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 +$80,800 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($98,736) is $80,800 above the denoised Fair BaseRate ($17,936) and 7.7× the $12,807 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Metrowest Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall1/5 Stars (1/5)

Safety Composite48/100

Would Recommend42%

Rated 9 or 10 (HCAHPS)45%

Median ER Wait227 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 Infectionbetter

Source: CMS Hospital Care Compare (603 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 Metrowest Medical Center.

Price Index: 0.58× regional baseline

Quality: 31/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+91.8%

Cigna

+311.8%

Median Household Income$126,779U.S. Census ACS

Local Uninsured Share2.4%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 77/100 · Corroborated CMS CCN 220175

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 220175) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-05

Validated Rate Rows979 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220175

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