{"hospital_name":"Beth Israel Deaconess Medical Center","last_updated_on":"2026-04-01","version":"3.0.0","location_name":["Beth Israel Deaconess Medical Center"],"hospital_address":["330 Brookline Avenue, Boston, MA 02215"],"license_information":{"license_number":"2069","state":"MA"},"type_2_npi":["1548202641"],"attestation":{"attestation":"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.","confirm_attestation":true,"attester_name":"Mary Beth Remorenko"},"modifier_information":[{"description":"Modifier description not available","code":"SPE","modifier_payer_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"Aetna","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Other Commercial Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH QHP Exchange","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"HMO","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"PPO","description":"The modified price is presented in the standard charge value."},{"payer_name":"Cigna","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"Commonwealth Care Alliance","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Fallon Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Fallon Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Harvard Pilgrim Healthcare","plan_name":"Self Insured Non LCU All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"MassHealth","plan_name":"ACO Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Medex","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"Behavioral Health Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"VA Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Senior Whole Health","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Unicare","plan_name":"GIC Wellpoint All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care - Behavioral Health","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"USFHP","plan_name":"Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"QHP Government Exchange","description":"The modified price is presented in the standard charge value."}]},{"description":"Investigational clinical service provided in a clinical research study that is in an approved clinical research study","code":"Q0","modifier_payer_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"Aetna","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Other Commercial Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH QHP Exchange","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"HMO","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"PPO","description":"The modified price is presented in the standard charge value."},{"payer_name":"Cigna","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"Commonwealth Care Alliance","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Fallon Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Fallon Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Harvard Pilgrim Healthcare","plan_name":"Self Insured Non LCU All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"MassHealth","plan_name":"ACO Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Medex","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"Behavioral Health Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"VA Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Senior Whole Health","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Unicare","plan_name":"GIC Wellpoint All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care - Behavioral Health","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"USFHP","plan_name":"Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"QHP Government Exchange","description":"The modified price is presented in the standard charge value."}]},{"description":"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a test is billed, typically by hospitals, imaging centers, or independent diagnostic testing facilities","code":"TC","modifier_payer_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"Aetna","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH Other Commercial Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"Anthem NH QHP Exchange","description":"The modified price is presented in the standard charge value."},{"payer_name":"BCBS","plan_name":"HMO","description":"The modified price is presented in the 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Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"MassHealth","plan_name":"ACO Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Medex","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"Behavioral Health Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Optum","plan_name":"VA Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Senior Whole Health","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Tufts Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Unicare","plan_name":"GIC Wellpoint All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"All Commercial Plans","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care - Behavioral Health","description":"The modified price is presented in the standard charge value."},{"payer_name":"UnitedHealthCare","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"USFHP","plan_name":"Government","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicaid Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"Medicare Managed Care Plan","description":"The modified price is presented in the standard charge value."},{"payer_name":"Wellsense Health Plan","plan_name":"QHP Government Exchange","description":"The modified price is presented in the standard charge value."}]}],"standard_charge_information":[{"description":"DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"65219-464-05","type":"NDC"}],"standard_charges":[{"gross_charge":6.5,"discounted_cash":6.5,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC ESSEX CENTER | NDC EA = 1 ML"}]},{"description":"LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"63323-201-10","type":"NDC"}],"standard_charges":[{"gross_charge":8.0,"discounted_cash":8.0,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Bedford | NDC EA = 1 ML"},{"gross_charge":7.81,"discounted_cash":7.81,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Boylston | NDC EA = 1 ML"},{"gross_charge":6.79,"discounted_cash":6.79,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Boylston | NDC EA = 1 ML"},{"gross_charge":7.52,"discounted_cash":7.52,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Boylston | NDC EA = 1 ML"},{"gross_charge":7.81,"discounted_cash":7.81,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Brookline Place | NDC EA = 1 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[663]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"5026886011","type":"NDC"}],"standard_charges":[{"gross_charge":0.46,"discounted_cash":0.46,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 EACH"}]},{"description":"SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [128039]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0338-9159-30","type":"NDC"}],"standard_charges":[{"gross_charge":6.93,"discounted_cash":6.93,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 41 MALL ROAD | NDC EA = 1 ML"},{"gross_charge":10.4,"discounted_cash":10.4,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 620 Washington | NDC EA = 1 ML"},{"gross_charge":10.56,"discounted_cash":10.56,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Bedford | NDC 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[180321]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0093-3334-06","type":"NDC"}],"standard_charges":[{"gross_charge":0.14,"discounted_cash":0.14,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 EACH"}]},{"description":"IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [10323]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0407-1414-88","type":"NDC"}],"standard_charges":[{"gross_charge":1274.0,"discounted_cash":1274.0,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Boylston | NDC EA = 1 ML"}]},{"description":"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE 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[2350]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0409-7419-14","type":"NDC"}],"standard_charges":[{"gross_charge":94.25,"discounted_cash":94.25,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"}]},{"description":"SODIUM CHLORIDE 0.9 % IV BOLUS [400291]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0264-7800-10","type":"NDC"}],"standard_charges":[{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 330 Mount Auburn | NDC EA = 1 ML"},{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 41 MALL ROAD | NDC EA = 1 ML"},{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 620 Washington | NDC EA = 1 ML"},{"gross_charge":7.59,"discounted_cash":7.59,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Bedford | NDC EA = 1 ML"},{"gross_charge":9.31,"discounted_cash":9.31,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Boylston | NDC EA = 1 ML"},{"gross_charge":7.59,"discounted_cash":7.59,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Broadway | NDC EA = 1 ML"},{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Brookline Place | NDC EA = 1 ML"},{"gross_charge":9.10,"discounted_cash":9.10,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Cancer Center Needham | NDC EA = 1 ML"},{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Cancer Center Needham | NDC EA = 1 ML"},{"gross_charge":6.77,"discounted_cash":6.77,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"},{"gross_charge":11.38,"discounted_cash":11.38,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"},{"gross_charge":8.33,"discounted_cash":8.33,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"}]},{"description":"LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION [4452]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0409-4276-01","type":"NDC"}],"standard_charges":[{"gross_charge":4.3,"discounted_cash":4.3,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Bedford | NDC EA = 1 ML"},{"gross_charge":4.67,"discounted_cash":4.67,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Bowdoin Street Health Center | NDC EA = 1 ML"},{"gross_charge":4.3,"discounted_cash":4.3,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Brookline Place | NDC EA = 1 ML"},{"gross_charge":4.33,"discounted_cash":4.33,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Brookline Place | NDC EA = 1 ML"},{"gross_charge":4.68,"discounted_cash":4.68,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"},{"gross_charge":8.44,"discounted_cash":8.44,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"}]},{"description":"WATER FOR INJECTION, STERILE INJECTION SOLUTION [11671]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"0409-4887-23","type":"NDC"}],"standard_charges":[{"gross_charge":4.16,"discounted_cash":4.16,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 41 MALL ROAD | NDC EA = 1 ML"},{"gross_charge":4.16,"discounted_cash":4.16,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC ESSEX CENTER | NDC EA = 1 ML"},{"gross_charge":4.16,"discounted_cash":4.16,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"},{"gross_charge":4.21,"discounted_cash":4.21,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"}]},{"description":"CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION [17378]","drug_information":{"unit":1.0,"type":"EA"},"code_information":[{"code":"23155-216-31","type":"NDC"}],"standard_charges":[{"gross_charge":1951.53,"discounted_cash":1951.53,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC 41 MALL ROAD | NDC EA = 1 ML"},{"gross_charge":1951.53,"discounted_cash":1951.53,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC ESSEX CENTER | NDC EA = 1 ML"},{"gross_charge":1974.45,"discounted_cash":1974.45,"setting":"both","billing_class":"facillity","additional_generic_notes":"Gross Charge Type: BIDMC Main Campus | NDC EA = 1 ML"}]},{"description":"LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE 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