Massachusetts / Newton-Wellesley Hospital
CMS certification 220101 · Newton, MA · 1 entry in CMS's price-transparency list
Newton-Wellesley Hospital: charges and Medicare payments
Newton-Wellesley Hospital reported 5,906 Medicare inpatient stays across 141 DRGs in 2024. Across them it charged 2.8 times what it was paid — among the higher ratios in Massachusetts, number 9 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 426 stays at an average charge of $49,339, 45% below the national average. It also billed 6,004 outpatient services, charging 3.77 times what Medicare paid.
- 1Medicare inpatient stays 5,906
- 2Charge ÷ paid, inpatient 2.8×
- 3Rank in MA (highest ratio = 1) 9 of 52
- 4CMS price-transparency actions 1
Inpatient stays
For the 141 DRGs that can be compared with the national average, Newton-Wellesley Hospital charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 426 | $49,339 | -45% | $17,673 |
| 291 Heart Failure and Shock with MCC | 420 | $37,872 | -33% | $11,746 |
| 177 Respiratory Infections and Inflammations with MCC | 228 | $38,629 | -45% | $14,220 |
| 690 Kidney and Urinary Tract Infections without MCC | 145 | $22,361 | -41% | $7,368 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 140 | $20,269 | -50% | $7,430 |
| 193 Simple Pneumonia and Pleurisy with MCC | 136 | $36,018 | -40% | $11,954 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 132 | $46,608 | -50% | $17,517 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 123 | $37,533 | -49% | $14,234 |
| 689 Kidney and Urinary Tract Infections with MCC | 118 | $27,758 | -46% | $10,161 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 103 | $47,624 | -37% | $14,690 |
| 603 Cellulitis without MCC | 99 | $20,185 | -46% | $7,893 |
| 178 Respiratory Infections and Inflammations with CC | 89 | $29,427 | -35% | $9,019 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 88 | $27,440 | -44% | $9,434 |
| 552 Medical Back Problems without MCC | 88 | $25,675 | -47% | $8,591 |
| 813 Coagulation Disorders | 88 | $29,629 | -63% | $14,997 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 82 | $20,712 | -43% | $7,140 |
| 884 Organic Disturbances and Intellectual Disability | 82 | $42,206 | -32% | $16,423 |
| 683 Renal Failure with CC | 72 | $23,551 | -42% | $7,837 |
| 682 Renal Failure with MCC | 71 | $38,652 | -41% | $13,225 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 69 | $38,703 | -36% | $12,092 |
| 194 Simple Pneumonia and Pleurisy with CC | 68 | $21,808 | -43% | $7,662 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 68 | $24,513 | -48% | $9,260 |
| 378 Gastrointestinal Hemorrhage with CC | 65 | $24,667 | -49% | $9,381 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 62 | $28,812 | -53% | $11,868 |
| 394 Other Digestive System Diagnoses with CC | 62 | $22,598 | -52% | $8,624 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $19,925 | -46% | $6,958 |
| 312 Syncope and Collapse | 60 | $23,540 | -48% | $8,142 |
| 057 Degenerative Nervous System Disorders without MCC | 56 | $26,413 | -53% | $11,619 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $55,995 | -44% | $18,248 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 53 | $25,436 | -50% | $9,910 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 53 | $34,397 | -39% | $11,579 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $27,067 | -45% | $9,367 |
| 330 Major Small and Large Bowel Procedures with CC | 52 | $54,814 | -54% | $20,880 |
| 389 Gastrointestinal Obstruction with CC | 50 | $20,284 | -48% | $7,413 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 50 | $64,151 | -37% | $19,513 |
| 638 Diabetes with CC | 46 | $24,957 | -40% | $8,240 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $116,572 | -49% | $43,066 |
| 643 Endocrine Disorders with MCC | 42 | $36,929 | -50% | $13,899 |
| 202 Bronchitis and Asthma with CC/MCC | 38 | $25,311 | -45% | $8,901 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 38 | $26,314 | -38% | $7,907 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 37 | $47,189 | -53% | $16,266 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 37 | $37,775 | -32% | $8,896 |
| 092 Other Disorders of Nervous System with CC | 37 | $35,187 | -32% | $9,169 |
| 305 Hypertension without MCC | 37 | $19,430 | -52% | $7,093 |
| 393 Other Digestive System Diagnoses with MCC | 37 | $35,173 | -54% | $14,707 |
| 542 Pathological Fractures and Musculoskeletal and Connective... | 37 | $39,179 | -51% | $14,917 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $43,274 | -49% | $15,592 |
| 472 Cervical Spinal Fusion with CC | 35 | $69,066 | -52% | $28,616 |
| 644 Endocrine Disorders with CC | 34 | $22,452 | -53% | $9,176 |
| 329 Major Small and Large Bowel Procedures with MCC | 33 | $111,909 | -48% | $47,830 |
| 467 Revision of Hip or Knee Replacement with CC | 33 | $76,281 | -52% | $28,735 |
| 602 Cellulitis with MCC | 33 | $32,901 | -45% | $12,502 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 32 | $22,360 | -44% | $7,408 |
| 811 Red Blood Cell Disorders with MCC | 31 | $43,304 | -36% | $15,021 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 30 | $44,994 | -48% | $15,470 |
| 460 Spinal Fusion except Cervical without MCC | 30 | $82,766 | -51% | $33,472 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 30 | $48,588 | -61% | $24,848 |
| 056 Degenerative Nervous System Disorders with MCC | 29 | $60,752 | -37% | $19,579 |
| 149 Dysequilibrium | 29 | $24,761 | -44% | $6,821 |
| 184 Major Chest Trauma with CC | 29 | $27,496 | -50% | $9,647 |
Showing the 60 most frequent of 141 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newton-Wellesley Hospital charged $49,339 on average, 9% more than the Massachusetts average of $45,229, and was paid $17,673 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Newton-Wellesley Hospital charged $37,872 on average, 25% more than the Massachusetts average of $30,373, and was paid $11,746 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Newton-Wellesley Hospital charged $38,629 on average, 4% more than the Massachusetts average of $37,072, and was paid $14,220 against a state average of $15,861. For Kidney and Urinary Tract Infections without MCC (DRG 690), Newton-Wellesley Hospital charged $22,361 on average, 21% more than the Massachusetts average of $18,511, and was paid $7,368 against a state average of $7,869. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,821 was 1% below the state average of $14,010. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,683 was 8% below the state average of $35,549. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,437 was 33% below the state average of $6,596. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $7,247 was 5% above the state average of $6,876.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Newton-Wellesley Hospital in Newton, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-28 (CMS case 6403)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.