Boston Medical Center
Boston Medical Center, a nonprofit hospital in Boston, MA, charges 2.1x the Medicare reimbursement rate across 75 analyzed procedures.
Boston, MA 02118 · Acute Care Hospitals · CMS Rating: 3/5
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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Pricing grade
B
Good
Avg markup vs Medicare
2.08x
Charge / Medicare rate
Max markup
3.5x
Worst procedure
Procedures analyzed
75
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 |
|---|---|---|---|---|---|
| PSYCHOSES | 885 | $72,529 | $36,265 | — | 3.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $103,203 | $51,602 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,746 | $22,873 | — | 3.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $68,283 | $34,142 | — | 3.1x |
| RENAL FAILURE WITH MCC | 682 | $59,434 | $29,717 | — | 2.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $183,800 | $91,900 | — | 2.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $101,344 | $50,672 | — | 2.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $78,826 | $39,413 | — | 2.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $32,663 | $16,331 | — | 2.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $90,762 | $45,381 | — | 2.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $46,040 | $23,020 | — | 2.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,984 | $36,992 | — | 2.5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $55,372 | $27,686 | — | 2.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $149,257 | $74,629 | — | 2.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $179,261 | $89,631 | — | 2.5x |
| SEIZURES WITHOUT MCC | 101 | $33,725 | $16,862 | — | 2.4x |
| DIABETES WITH MCC | 637 | $49,045 | $24,522 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $67,690 | $33,845 | — | 2.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $55,709 | $27,854 | — | 2.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $76,502 | $38,251 | — | 2.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $88,086 | $44,043 | — | 2.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $50,769 | $25,385 | — | 2.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $43,207 | $21,604 | — | 2.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $249,983 | $124,992 | — | 2.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $82,225 | $41,113 | — | 2.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $73,240 | $36,620 | — | 2.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $32,163 | $16,082 | — | 2.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $44,061 | $22,031 | — | 2.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $178,709 | $89,354 | — | 2.2x |
| PNEUMOTHORAX WITH CC | 200 | $32,149 | $16,074 | — | 2.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $33,458 | $16,729 | — | 2.2x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $47,667 | $23,833 | — | 2.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $30,779 | $15,389 | — | 2.1x |
| RENAL FAILURE WITH CC | 683 | $27,250 | $13,625 | — | 2.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $32,238 | $16,119 | — | 2.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,190 | $14,095 | — | 2x |
| SYNCOPE AND COLLAPSE | 312 | $26,002 | $13,001 | — | 2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $53,835 | $26,917 | — | 2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $178,991 | $89,496 | — | 2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,435 | $11,218 | — | 2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,259 | $17,630 | — | 2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,386 | $18,193 | — | 2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,105 | $11,553 | — | 2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,835 | $11,418 | — | 2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,185 | $13,593 | — | 2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $26,128 | $13,064 | — | 2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $24,148 | $12,074 | — | 2x |
| SEIZURES WITH MCC | 100 | $62,046 | $31,023 | — | 2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $79,868 | $39,934 | — | 1.9x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $58,178 | $29,089 | — | 1.9x |
Showing 50 of 75 procedures
How BOSTON MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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