Beth Israel Lahey Health and New England Baptist Hospital (NEBH) are committed to price transparency as part of our mission to provide high-quality, affordable care while complying with Federal laws requiring clear and helpful price information be made available to the public.
When you know what you can expect to pay for common health services, you can manage your health care dollars more effectively. Beth Israel Lahey Health offers an interactive online treatment cost calculator that gives you estimates of your out-of-pocket costs for common exams, tests and procedures.
Variation in health insurance plans and other benefits make it difficult for hospitals to provide specific cost information about more complex care without access to detailed information about a patient’s health insurance coverage.
The Centers for Medicare and Medicaid Services (CMS) requires hospitals to provide clear, accessible pricing information about the items and services they provide in two ways:
Beth Israel Lahey Health offers a consumer-friendly online calculator to estimate the cost of out-of-pocket expenses for common exams, procedures, and tests, including the 300 shoppable services. Patients, can access the estimates calculator by clicking here.
For more information about hospital costs, visit CompareCare, a website created by the Commonwealth for consumers to compare costs of medical procedures and quality metrics across Massachusetts.
As required by the federal government (Centers for Medicare and Medicaid Services), we publish information (comprehensive machine-readable files) about the rates negotiated with insurance companies as well as individual gross charge amounts for all services and items offered by our hospitals. These amounts are almost never billed to you or received as payment by a hospital. The amounts are billed to an insurance company, Medicare, or MassHealth. These payers then apply their reimbursement terms or contracted rates to the services billed which is why these rates are also not generally reflective of your out-of-pocket expenses. If you owe a co-payment, co-insurance, or deductible, these too are most often not based on chargemaster amounts, but are based on the payment terms determined by your insurer or government program.
The CMS-Required Charge Data File for the hospitals within Beth Israel Lahey Health do not include services provided by physicians and/or other providers who are not employed by the hospital. A partial list of the healthcare providers who may bill you separately include:
Yes, there is one list of charges used by the hospital. Your individual charges will vary for reasons including:
Yes, Beth Israel Lahey Health recognizes that not all patients have the resources to pay for care they need, and we are committed to providing assistance and financial counseling. If you have limited or no insurance coverage, you may qualify for help through MassHealth, Commonwealth Care or Health Safety Net. Check our financial assistance policy for more information.
Certain physicians are not covered under our financial assistance policies. A financial counselor can provide more information.