Beth Israel Deaconess Hospital - Milton
Beth Israel Deaconess Hospital - Milton in Milton, MA charges 2.0x the Medicare reimbursement rate across 56 analyzed procedures, reflecting this federal government hospital's pricing structure.
Milton, MA 02186 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — government-federal
Federal Government Hospitals (VA/DoD) in our dataset show distinct billing patterns compared to other ownership types. These 14 facilities demonstrate an average markup of 4.1x Medicare rates, which falls within the mid-range compared to other hospital categories. VA and DoD hospitals typically operate under federal pricing structures that may differ significantly from private healthcare facilities. Patients should be aware that while these hospitals serve specific populations (veterans and military families), their charge patterns can still vary considerably from Medicare benchmarks. The billing structure at federal facilities often reflects government healthcare pricing models, which may include different cost accounting methods and reimbursement frameworks. Veterans eligible for VA care and military beneficiaries using DoD facilities should verify their coverage status and understand any potential differences between posted charges and their actual financial responsibility under federal healthcare programs.
Pricing grade
B
Good
Avg markup vs Medicare
2.05x
Charge / Medicare rate
Max markup
3.53x
Worst procedure
Procedures analyzed
56
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $18,986 | $9,493 | — | 3.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $20,627 | $10,314 | — | 3.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $15,643 | $7,822 | — | 3.2x |
| DYSEQUILIBRIUM | 149 | $13,185 | $6,593 | — | 3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $19,969 | $9,984 | — | 3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $21,504 | $10,752 | — | 2.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $8,192 | $4,096 | — | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $16,301 | $8,150 | — | 2.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $11,441 | $5,721 | — | 2.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $68,866 | $34,433 | — | 2.6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $13,211 | $6,606 | — | 2.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $15,267 | $7,633 | — | 2.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $20,144 | $10,072 | — | 2.3x |
| SEIZURES WITHOUT MCC | 101 | $13,988 | $6,994 | — | 2.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $10,418 | $5,209 | — | 2.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $11,001 | $5,501 | — | 2.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $21,853 | $10,927 | — | 2.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $18,044 | $9,022 | — | 2.2x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $14,656 | $7,328 | — | 2.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $11,465 | $5,733 | — | 2.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $14,728 | $7,364 | — | 2.1x |
| CHEST PAIN | 313 | $9,074 | $4,537 | — | 2.1x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $14,490 | $7,245 | — | 2.1x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $10,264 | $5,132 | — | 2.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $10,738 | $5,369 | — | 2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $10,447 | $5,224 | — | 2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $17,568 | $8,784 | — | 2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $11,882 | $5,941 | — | 2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $29,622 | $14,811 | — | 2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $25,877 | $12,938 | — | 1.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $23,873 | $11,937 | — | 1.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $25,987 | $12,993 | — | 1.9x |
| DIABETES WITH CC | 638 | $11,581 | $5,791 | — | 1.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $9,217 | $4,608 | — | 1.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $14,350 | $7,175 | — | 1.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $12,361 | $6,180 | — | 1.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $11,786 | $5,893 | — | 1.8x |
| SYNCOPE AND COLLAPSE | 312 | $10,358 | $5,179 | — | 1.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $17,048 | $8,524 | — | 1.8x |
| RENAL FAILURE WITH CC | 683 | $10,769 | $5,385 | — | 1.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $13,380 | $6,690 | — | 1.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $26,002 | $13,001 | — | 1.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $14,570 | $7,285 | — | 1.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $22,083 | $11,042 | — | 1.6x |
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $16,366 | $8,183 | — | 1.6x |
| RENAL FAILURE WITH MCC | 682 | $15,259 | $7,630 | — | 1.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $11,071 | $5,535 | — | 1.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $10,042 | $5,021 | — | 1.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $16,245 | $8,123 | — | 1.5x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $15,355 | $7,678 | — | 1.4x |
Showing 50 of 56 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use