How many shoppable procedure prices are published for Spaulding Rehabilitation Hospital - Boston?

Spaulding Rehabilitation Hospital - Boston in Charlestown, MA currently has 50 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Spaulding Rehabilitation Hospital - Boston's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Spaulding Rehabilitation Hospital - Boston's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-03-27

Spaulding Rehabilitation Hospital - Boston

300 1St Ave, Charlestown, MA 02129 · 50 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness60

Price Logic100

Peer Alignment75

Clean Billing58

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Spaulding Rehabilitation Hospital - Boston prices shoppable and inpatient services (1.2× to 1.5× Medicare, divergence 1.25×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#8 of 53 in MA · 13th State Percentile#1,239 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× 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 (1.7×) & laboratory (1.8×) services average 1.25× higher multiples than routine shoppable care (1.2×)
Even at low-cost facilities (0.99× 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.
Unnegotiated chargemaster list prices average 8.4× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.5× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.95× · Q50 0.98× · Q75 1.03×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

0.5× MedicareGood

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

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Spaulding Rehabilitation Hospital - Boston

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 50 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$4,868	$1,208	$1,021	1.2×
X-ray, hip CPT Code: `73502`	$358	$358	$93	3.8×
X-ray, foot CPT Code: `73630`	$331	$331	$92	3.6×
X-ray, ankle CPT Code: `73610`	$331	$331	$93	3.6×
X-ray, shoulder CPT Code: `73030`	$311	$311	$92	3.4×
X-ray, chest (two views) CPT Code: `71046`	$311	$311	$93	3.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$325	$325	$185	1.8×
X-ray, hand CPT Code: `73130`	$297	$297	$93	3.2×
X-ray, pelvis CPT Code: `72170`	$281	$281	$110	2.6×
Family therapy session CPT Code: `90847`	$292	$292	$173	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$266	$266	$181	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,336	$287	$272	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$237	$237	$166	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$183	$183	$87	2.1×
Psychological testing by technician CPT Code: `96138`	$158	$158	$395	0.4×
Group therapy session CPT Code: `90853`	$118	$118	$100	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$436	$105	$93	1.1×
X-ray, lower back CPT Code: `72110`	$564	$126	$112	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$546	$126	$126	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,090	$126	$134	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$552	$119	$132	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$444	$83	$86	1.0×
Hepatitis C antibody test CPT Code: `86803`	$247	$247	$15	16.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$211	$211	$18	11.7×
Blood test, vitamin D CPT Code: `82306`	$222	$222	$31	7.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$148	$148	$14	10.6×
Blood test, liver function panel CPT Code: `80076`	$103	$103	$9	11.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$104	$104	$10	10.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$125	$125	$14	8.9×
Blood test, vitamin B12 CPT Code: `82607`	$129	$129	$16	8.1×
Blood test, basic metabolic panel CPT Code: `80048`	$82	$82	$9	9.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$96	$96	$11	8.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$100	$100	$19	5.3×
Blood antibody screen CPT Code: `86850`	$122	$122	$46	2.7×
Blood test, magnesium CPT Code: `83735`	$61	$61	$7	8.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$56	$8	7.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$29	$29	$3	9.7×
Blood test, calcium CPT Code: `82310`	$47	$47	$5	9.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$44	$5	8.8×
Prosthetic fitting and training CPT Code: `97761`	$137	$46	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$137	$52	$51	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$26	$4	6.5×
Physical therapy (manual therapy) CPT Code: `97140`	$137	$48	$34	1.4×
Speech therapy (group session) CPT Code: `92508`	$285	$27	$27	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$137	$14	$14	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$39	$40	1.0×
Physical therapy (gait training) CPT Code: `97116`	$137	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$137	$36	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$137	$36	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$137	$32	$35	0.9×

Showing top 25 high-impact procedures of 50 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.0%

Audit a Bill or Quote at Spaulding Rehabilitation Hospital - Boston (Zero PHI Required)

CMS CCN: 223034

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $4,868

Insurer Median $1,208

1. Amount on Your Bill or Quote ($) Pre-filled with Spaulding Rehabilitation Hospital - Boston’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: $2,790 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,790

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.0% of gross = $2,790).

Step 2 · Cash vs. Insurance Arbitrage Save $1,622 Paying Cash

Self-Pay Cash Rate ($4,868) Beats Your Bill

Spaulding Rehabilitation Hospital - Boston's published 45 CFR § 180 self-pay cash rate is $4,868 (vs. $1,208 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,469 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($6,490) is $5,469 above the denoised Fair BaseRate ($1,021) and 7.4× the $877 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: 042551124

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 (43.0% 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 ↑

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 Spaulding Rehabilitation Hospital - Boston.

Price Index: 1.74× regional baseline

Quality: 54/100 CMS composite

Median Household Income$157,192U.S. Census ACS

Local Uninsured Share0.7%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 79/100 · Corroborated CMS CCN 223034 EIN 042551124

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

MRF Portal Indexed (042551124_Spaulding-Rehabilitation-Hospital-Boston_StandardCharges.zip!042551124_Spaulding-Rehabilitation-Hospital-Boston_StandardCharges.csv) Verify on CMS Medicare.gov (CCN 223034) ↗ Verify IRS Form 990 (EIN 042551124) ↗ CMS HCRIS Cost Reports ↗

Published MRF File042551124_Spaulding-Rehabilitation-Hospital-Boston_StandardCharges.zip!042551124_Spaulding-Rehabilitation-Hospital-Boston_StandardCharges.csv

Publication / Vintage2026-03-27 · 0.05 MB

Validated Rate Rows214 (CMS v3.0.0)

File Integrity DigestVerified · CCN 223034

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