▸ Hospital · MA · CCN 221990

CHESTNUT HILL BENEVOLENT ASSOCIATION

910 BOYLSTON STREET, CHESTNUT HILL, MA, 02467-2404

20 beds1

Compliance grade

96/100

Procedures tracked

173

of 209 target codes

Payers

with negotiated rates

Rates published

48,368

last crawl 2026-05-24

▸ Compare with other hospitals All MA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.templehealth.org/sites/default/files/file/2026-04/883577015_temple-health--chestnut-hill-hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	18	—	—	$12,785	$13,464	$28,084
Psychiatric diagnostic evaluation	CPT	90791	19	$2,796	—	$35.7	$375.2	$2,740.08
Psychiatric eval with medical services	CPT	90792	19	$716	—	$90	$191.47	$1,261.26
Psychotherapy 30 minutes	CPT	90832	19	$866	—	$31.2	$200.59	$1,261.26
Psychotherapy 45 minutes	CPT	90834	19	$1,958	—	$46.8	$274.12	$1,918.84
Psychotherapy 60 minutes	CPT	90837	19	$1,958	—	$62.4	$209.71	$1,918.84
Crisis psychotherapy 60 minutes	CPT	90839	19	$1,958	—	$136.76	$209.71	$1,918.84
emergency
ED visit level 1	CPT	99281	19	$1,590	—	$50	$116.95	$1,558.2
ED visit level 2	CPT	99282	19	$2,317	—	$46.17	$212.96	$2,270.66
ED visit level 3	CPT	99283	19	$3,644	—	$79.31	$305.7	$3,571.12
ED visit level 4	CPT	99284	19	$5,987	—	$133.46	$456.54	$5,867.26
ED visit level 5	CPT	99285	19	$10,731	—	$194.24	$639.36	$10,516
Critical care, first hour	CPT	99291	19	$14,882	—	$212.28	$869.85	$14,584
imaging
CT head without contrast	CPT	70450	19	$6,129	—	$97.68	$134.5	$6,006.42
CT head with contrast	CPT	70460	19	$6,805	—	$108.8	$189.21	$6,668.9
CT head with and without contrast	CPT	70470	19	$8,856	—	$136	$198.52	$8,678.88
CT neck with contrast	CPT	70491	19	$6,805	—	$112.2	$190.86	$6,668.9
MRI brain without contrast	CPT	70551	19	$10,444	—	$187.36	$385.6	$10,235
MRI brain with contrast	CPT	70552	19	$11,813	—	$275.62	$415.28	$11,577
MRI brain with and without contrast	CPT	70553	19	$20,881	—	$311.94	$415.28	$20,463
Chest X-ray single view	CPT	71045	19	$1,048	—	$11.03	$92.99	$1,252
Chest X-ray 2 views	CPT	71046	19	$1,535	—	$20.2	$92.99	$1,504.3
Chest X-ray 3 views	CPT	71047	19	$1,097	—	$25.7	$92.99	$1,252
CT chest without contrast	CPT	71250	19	$6,129	—	$107.41	$144.6	$6,006.42
CT chest with contrast	CPT	71260	19	$6,806	—	$119	$191.92	$6,669.88
CT chest with and without contrast	CPT	71270	19	$8,861	—	$140.76	$205.83	$8,683.78
MRI chest without contrast	CPT	71550	19	$10,444	—	$245.13	$399.43	$10,235
MRI chest with contrast	CPT	71551	19	$11,813	—	$424.59	$845.64	$11,577
MRI chest with and without contrast	CPT	71552	19	$20,881	—	$358.42	$617.26	$20,463
Lumbosacral spine X-ray	CPT	72100	19	$1,113	—	$30.6	$111.17	$1,252
CT cervical spine without contrast	CPT	72125	19	$6,129	—	$107.41	$144.6	$6,006.42
CT thoracic spine without contrast	CPT	72128	19	$6,129	—	$107.41	$148.51	$6,006.42
CT lumbar spine without contrast	CPT	72131	19	$6,129	—	$107.41	$146.64	$6,006.42
MRI cervical spine without contrast	CPT	72141	19	$10,444	—	$179.34	$385.6	$10,235
MRI thoracic spine without contrast	CPT	72146	19	$10,444	—	$178.87	$303.89	$10,235
MRI lumbar spine without contrast	CPT	72148	19	$10,444	—	$179.81	$300.77	$10,235
MRI lumbar spine with and without contrast	CPT	72149	19	$11,813	—	$275.62	$415.28	$11,577
MRI cervical spine with and without contrast	CPT	72156	19	$20,881	—	$313.81	$415.28	$20,463
MRI lumbar spine with contrast	CPT	72158	19	$18,653	—	$312.88	$415.28	$18,280
CT pelvis without contrast	CPT	72192	19	$6,129	—	$91.8	$131.95	$6,006.42
CT pelvis with contrast	CPT	72193	19	$6,805	—	$117.64	$195.38	$6,668.9
Shoulder X-ray	CPT	73030	19	$1,929	—	$22.44	$107.29	$1,890.42
Humerus X-ray	CPT	73060	19	$967	—	$15.64	$93.88	$1,252
Hand X-ray 3 views	CPT	73130	19	$1,792	—	$15.64	$93.88	$1,756.16
MRI upper extremity joint without contrast	CPT	73221	19	$10,444	—	$183.85	$366.77	$10,235
MRI upper extremity joint with and without contrast	CPT	73223	19	$11,813	—	$268.81	$564.51	$11,577
Knee X-ray 1-2 views	CPT	73560	19	$872	—	$22.44	$93.88	$1,252
Ankle X-ray 3 views	CPT	73610	19	$1,792	—	$25.47	$93.88	$1,756.16
MRI lower extremity joint without contrast	CPT	73721	19	$20,881	—	$183.85	$366.77	$20,463
MRI lower extremity joint with and without contrast	CPT	73723	19	$10,444	—	$268.81	$564.51	$10,235
CT abdomen without contrast	CPT	74150	19	$6,129	—	$105.4	$141.85	$6,006.42
CT abdomen with contrast	CPT	74160	19	$6,805	—	$122.4	$196.42	$6,668.9
CT abdomen with and without contrast	CPT	74170	19	$8,861	—	$151.64	$218.42	$8,683.78
CT abdomen and pelvis without contrast	CPT	74176	19	$6,129	—	$137.46	$257.39	$6,006.42
CT abdomen and pelvis with contrast	CPT	74177	19	$6,805	—	$262.11	$376.34	$6,668.9
CT abdomen and pelvis with and without contrast	CPT	74178	19	$8,861	—	$346.39	$407.58	$8,683.78
MRI abdomen without contrast	CPT	74181	19	$10,444	—	$188.3	$385.57	$10,235
MRI abdomen with and without contrast	CPT	74183	19	$20,881	—	$346.83	$616.83	$20,463
Abdominal ultrasound complete	CPT	76700	19	$3,240	—	$78.2	$118.62	$3,175.2
Abdominal ultrasound limited	CPT	76705	19	$2,335	—	$51	$117.08	$2,288.3
Retroperitoneal ultrasound complete	CPT	76770	19	$3,240	—	$66.64	$113.44	$3,175.2
Obstetric ultrasound first trimester	CPT	76801	19	$3,468	—	$52.21	$114.39	$3,398.64
Obstetric ultrasound after first trimester	CPT	76805	19	$4,175	—	$63.24	$158.06	$4,091.5
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$4,175	—	$124.33	$257.57	$4,091.5
Transvaginal ultrasound	CPT	76830	19	$2,516	—	$63.24	$114.39	$2,465.68
Pelvic ultrasound complete	CPT	76856	19	$2,516	—	$63.24	$112.78	$2,465.68
Scrotal ultrasound	CPT	76870	19	$2,727	—	$59.84	$112.78	$2,672.46
Diagnostic mammography unilateral	CPT	77065	14	$1,081	—	$96.57	$270.25	$1,059.38
Diagnostic mammography bilateral	CPT	77066	14	$1,346	—	$123.53	$336.5	$1,319.08
Screening mammography bilateral	CPT	77067	14	$1,197	—	$102.03	$299.25	$1,173.06
EKG tracing only	CPT	93005	19	$1,293	—	$12.55	$66.67	$1,267.14
Transthoracic echocardiogram complete	CPT	93306	19	$10,200	—	$133.47	$589.44	$9,996
Transthoracic echocardiogram	CPT	93307	19	$6,454	—	$129.2	$267.19	$6,324.92
Stress echocardiogram	CPT	93350	19	$6,198	—	$63.24	$597.86	$6,074.04
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$18,349	$19,266	$39,631
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$9,247.28	$9,813.55	$20,260
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$6,264.31	$6,735.12	$13,713
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$14,303	$15,031	$32,206
COPD w MCC	MS-DRG	190	17	—	—	$10,139	$10,734	$22,374
COPD w CC	MS-DRG	191	17	—	—	$7,715.98	$8,233.26	$17,116
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$5,876.23	$6,334.62	$12,894
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$7,376.4	$7,882.81	$16,337
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$5,752.66	$6,207.12	$12,406
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$14,682	$15,423	$32,702
AMI discharged alive w CC	MS-DRG	281	17	—	—	$8,412.52	$8,952.1	$18,365
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$6,618.53	$7,100.69	$14,446
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$11,751	$12,397	$25,996
Heart failure & shock w CC	MS-DRG	292	17	—	—	$7,770.9	$8,289.92	$17,158
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$5,180.6	$5,616.75	$10,932
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$11,020	$11,643	$24,025
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$6,733.86	$7,219.71	$14,729
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$5,181.51	$5,617.69	$11,147
GI hemorrhage w CC	MS-DRG	378	17	—	—	$8,976.35	$9,533.96	$19,642
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$5,770.05	$6,225.04	$12,685
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$7,135.68	$7,634.39	$15,546
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$14,349	$15,079	$30,381
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$10,620	$11,230	$23,316
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$7,409.35	$7,916.82	$15,990
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$17,732	$18,619	$39,091
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$9,366.26	$9,936.35	$20,541
lab
Basic metabolic panel (BMP)	CPT	80048	19	$1,113	—	$5.84	$11.7	$1,090.74
General health panel	CPT	80050	14	$1,182	—	$28.35	$197.42	$1,158.36
Electrolyte panel	CPT	80051	19	$554	—	$4.84	$8.75	$542.92
Comprehensive metabolic panel	CPT	80053	19	$2,537	—	$7.28	$14.61	$2,486.26
Lipid panel	CPT	80061	19	$1,549	—	$9.23	$17.5	$1,518.02
Renal function panel	CPT	80069	19	$1,197	—	$5.98	$12	$1,173.06
Hepatic function panel	CPT	80076	19	$755	—	$5.63	$11.29	$739.9
Urinalysis non-automated	CPT	81002	19	$8	—	$2.4	$3.71	$40
Urinalysis automated	CPT	81003	19	$372	—	$1.54	$4.87	$364.56
Glucose quantitative	CPT	82947	19	$441	—	$2.71	$5.95	$432.18
Hemoglobin A1c	CPT	83036	19	$1,010	—	$6.7	$10.35	$989.8
Thyroid stimulating hormone (TSH)	CPT	84443	19	$1,293	—	$11.59	$26.53	$1,267.14
Complete blood count with automated differential	CPT	85025	19	$620	—	$5.36	$9.32	$607.6
Complete blood count without differential	CPT	85027	19	$457	—	$4.47	$9.4	$447.86
Urine culture bacterial	CPT	87086	19	$642	—	$5.57	$10	$629.16
Urine culture identification	CPT	87088	19	$1,452	—	$5.58	$10	$1,422.96
Tissue exam by pathologist level IV	CPT	88305	19	$3,062	—	$12.24	$58.89	$3,000.76
maternity
Fetal non-stress test	CPT	59025	19	$3,208	—	$6.42	$226.4	$3,143.84
office
Office visit, new patient, 15-29 min	CPT	99202	14	$310	—	$14.02	$74.19	$303.8
Office visit, new patient, 30-44 minutes	CPT	99203	14	$440	—	$20.93	$109.5	$431.2
Office visit, new patient, 45-59 min	CPT	99204	14	$716	—	$33.12	$180.74	$1,261.26
Office visit, new patient, 60-74 min	CPT	99205	14	$891	—	$42.24	$222.75	$873.18
Office visit, established patient, 5 min	CPT	99211	14	$420	—	$1.4	$22.75	$411.6
Office visit, established patient, 10-19 min	CPT	99212	14	$480	—	$3.17	$30.25	$470.4
Office visit, established patient, 20-29 minutes	CPT	99213	14	$519	—	$13.82	$128.6	$508.62
Office visit, established patient, 30-39 minutes	CPT	99214	14	$716	—	$20.74	$160.27	$1,261.26
Office visit, established patient, 40-54 min	CPT	99215	14	$891	—	$28.8	$222.6	$1,261.26
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$3,937	—	$150.26	$989.2	$5,350
Upper GI endoscopy with biopsy	CPT	43239	19	$6,328	—	$208.01	$1,003.17	$6,201.44
Sigmoidoscopy diagnostic	CPT	45330	19	$3,468	—	$74.41	$1,017.5	$5,350
Sigmoidoscopy with biopsy	CPT	45331	19	$3,468	—	$89.14	$1,017.5	$5,350
Colonoscopy diagnostic	CPT	45378	19	$4,197	—	$252.7	$1,017.5	$5,350
Colonoscopy with biopsy	CPT	45380	19	$6,996	—	$315.59	$1,290.85	$6,856.08
Colonoscopy with polyp removal	CPT	45385	19	$6,691	—	$375.31	$1,290.85	$6,557.18
surgery
Total shoulder arthroplasty	CPT	23472	18	—	—	$1,342	$18,374	$57,395
Total hip replacement	CPT	27130	18	—	—	$1,645	$13,520	$42,026
Total knee replacement	CPT	27447	18	—	—	$1,645	$13,520	$42,026
Knee revision arthroplasty single component	CPT	27486	18	—	—	$1,645	$13,520	$42,026
Shoulder arthroscopy with decompression	CPT	29826	8	—	—	$154.38	$2,466	$5,350
Shoulder arthroscopy with rotator cuff repair	CPT	29827	18	—	—	$1,342	$7,603.85	$23,752
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$760.9	$3,445.56	$10,710
ACL reconstruction	CPT	29888	18	—	—	$1,342	$7,603.85	$23,752
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$41,608	$43,689	$91,486
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$21,823	$22,914	$47,093
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$15,397	$16,167	$32,893
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$15,475	$16,249	$33,041
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$12,501	$13,172	$26,251
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$30,908	$32,454	$70,319
Laparoscopic appendectomy	CPT	44970	18	—	—	$1,000	$6,335.15	$19,789
Major joint replacement w MCC	MS-DRG	469	17	—	—	$27,544	$28,922	$65,123
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$17,610	$18,491	$37,565
Laparoscopic cholecystectomy	CPT	47562	18	—	—	$1,342	$6,366.21	$19,789
Lap cholecystectomy with cholangiography	CPT	47563	18	—	—	$1,342	$6,366.21	$19,789
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$26,457	$27,780	$58,594
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$19,100	$20,055	$41,339
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$14,929	$15,677	$31,606
Lap inguinal hernia repair	CPT	49650	18	—	—	$1,342	$6,335.15	$19,789
Total abdominal hysterectomy	CPT	58150	8	—	—	$975.83	$2,354	$6,434.4
Lap salpingo-oophorectomy	CPT	58661	18	—	—	$1,342	$6,335.15	$19,789
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$26,233	$27,544	$54,321
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$14,648	$15,387	$31,817
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$13,806	$14,519	$29,124
Complex cataract surgery	CPT	66982	18	—	—	$1,100	$2,477.67	$7,554.38
Cataract surgery with lens implant	CPT	66984	18	—	—	$843.54	$2,465.81	$7,554.38
Vitrectomy mechanical	CPT	67042	18	—	—	$1,100	$4,416.37	$13,530
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$11,356	$11,990	$23,882
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$18,691	$19,626	$38,930
PCI single major coronary artery	CPT	92920	19	$14,095	—	$787	$6,051.95	$18,631
PCI with drug-eluting stent	CPT	92928	19	$21,404	—	$787	$12,097	$37,788
PCI bypass graft	CPT	92937	19	$21,404	—	$787	$12,097	$37,788
Left heart catheterization	CPT	93452	19	$30,821	—	$1,055.36	$4,314.94	$30,205
Coronary angiography with cath	CPT	93455	19	$28,479	—	$1,055.36	$3,597.08	$27,909
Coronary angiography with bypass cath	CPT	93458	19	$20,754	—	$1,055.36	$3,497.16	$20,339

Payer mix (top 20)

Payer	Codes covered	Median rate
Aetna	173	$1,328.7
Blue Cross Blue Shield	173	$755.44
Cigna	173	$372.76
geisinger	173	$585.53
health partners plans	173	$257.39
keystone first	173	$516.69
pennsylvania health and wellness	173	$376.34
UnitedHealthcare	173	$403.5
point comfort	171	$286.4
gateway health plan	171	$376.34
upmc health plan	171	$257.39
innovage	171	$250.03
sunrise	158	$394.26
vibra	158	$365.59
naphcare	158	$537.63
elder health	158	$430.1
Humana	158	$369.17
occunet	128	$273.52
devon health	113	$1,756.16
optum	1	$12,823