Healthcare Pricing Data: BOSTON, MA
8 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
8
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
3.1x
Across all procedures
vs National Average
-14%
Chargemaster rates
About This Data
BOSTON, MA has 8 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in BOSTON is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $252,022 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $79,696 | 6 | 3.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $62,957 | 6 | 3.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $55,676 | 6 | 2.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $51,518 | 6 | 2.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $49,070 | 6 | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,091 | 6 | 3.0x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,460 | 6 | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $252,022 | 5 | 3.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $213,945 | 5 | 3.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $188,417 | 5 | 3.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $168,768 | 5 | 2.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $153,131 | 5 | 3.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $150,272 | 5 | 3.0x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $140,681 | 5 | 3.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $128,057 | 5 | 2.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $114,876 | 5 | 4.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $106,663 | 5 | 1.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $106,163 | 5 | 3.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $98,150 | 5 | 2.0x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $95,647 | 5 | 2.6x |
| SEIZURES WITH MCC | 100 | $92,946 | 5 | 3.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $92,670 | 5 | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $86,098 | 5 | 3.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $82,972 | 5 | 2.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $82,207 | 5 | 3.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,266 | 5 | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $77,158 | 5 | 3.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $77,138 | 5 | 3.0x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $76,141 | 5 | 2.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $73,305 | 5 | 2.8x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in BOSTON With Pricing Data
BETH ISRAEL DEACONESS MEDICAL CENTER
237 procedures with pricing data
BOSTON MEDICAL CENTER
75 procedures with pricing data
BRIGHAM AND WOMEN'S HOSPITAL
276 procedures with pricing data
CARNEY HOSPITAL
7 procedures with pricing data
MASSACHUSETTS EYE AND EAR INFIRMARY -
7 procedures with pricing data
MASSACHUSETTS GENERAL HOSPITAL
295 procedures with pricing data
NEW ENGLAND BAPTIST HOSPITAL
18 procedures with pricing data
TUFTS MEDICAL CENTER
108 procedures with pricing data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error