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BOSTON MEDICAL CENTER-BRIGHTON

BRIGHTON, MA 02135 · Acute Care Hospitals

73 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

73

With CMS pricing data

Avg Charge-to-Medicare Ratio

1.9x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Proprietary

Above 90th Percentile

0%

Compared to MA hospitals

Understanding Your Costs

When you receive a bill from BOSTON MEDICAL CENTER-BRIGHTON, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BOSTON MEDICAL CENTER-BRIGHTON lists chargemaster rates that average 1.9x the corresponding Medicare reimbursement amount across 73 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in MA has a chargemaster-to-Medicare ratio of 2.3x, with ratios across the state ranging from 1.2x to 5.6x. At 1.9x, this facility’s average ratio is below the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at BOSTON MEDICAL CENTER-BRIGHTON is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC (DRG 267). The listed chargemaster rate is $254,995, while Medicare reimburses $78,072 for the same procedure — a ratio of 3.3x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

BOSTON MEDICAL CENTER-BRIGHTON is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$254,995$78,0723.3x
1th
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$160,485$51,6603.1x
1th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$58,515$19,3593.0x
0th
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$293,196$97,5113.0x
1th
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$243,557$85,2362.9x
1th
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$97,846$35,0082.8x
0th
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KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$30,047$10,7632.8x
0th
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$58,806$21,1312.8x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$24,957$9,4772.6x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$42,273$16,7732.5x
0th
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$50,012$20,4182.5x
0th
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DIGESTIVE MALIGNANCY WITH MCC374$45,724$19,0612.4x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$104,633$44,1372.4x
0th
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ATHEROSCLEROSIS WITHOUT MCC303$15,543$6,7002.3x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$42,780$18,6302.3x
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COAGULATION DISORDERS813$39,872$17,3972.3x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$90,344$39,9992.3x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$50,744$22,4062.3x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$73,736$32,8322.3x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$70,578$31,6182.2x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$14,569$6,7262.2x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$36,312$16,8622.1x
0th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$38,044$17,8612.1x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$81,620$38,3382.1x
0th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$19,418$9,2402.1x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$21,127$10,0392.1x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$26,229$12,7692.0x
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OTHER VASCULAR PROCEDURES WITH CC253$61,185$29,9622.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$41,835$20,6762.0x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$38,266$19,6791.9x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$106,192$55,6031.9x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$23,950$12,7081.9x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$126,311$67,7031.9x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$46,024$24,7011.9x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$32,691$17,8691.8x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$68,038$37,3151.8x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$107,077$59,4101.8x
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OTHER VASCULAR PROCEDURES WITH MCC252$61,688$34,6131.8x
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RENAL FAILURE WITH CC683$15,306$8,6501.8x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$79,385$44,9121.8x
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HEART FAILURE AND SHOCK WITH MCC291$22,372$12,6401.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$19,122$10,8591.8x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA894$9,788$5,5501.8x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$59,928$34,5991.7x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$12,393$7,2101.7x
0th
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$85,945$50,4081.7x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$137,663$81,2281.7x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$138,098$82,2211.7x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$26,580$15,8231.7x
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SEIZURES WITHOUT MCC101$13,831$8,8441.6x
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Showing 50 of 73 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across MA hospitals

1.2x
Median: 2.3x
5.6x
1.9x

54 hospitals in MA report pricing data to CMS. This facility's average ratio of 1.9x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About BOSTON MEDICAL CENTER-BRIGHTON

How much does BOSTON MEDICAL CENTER-BRIGHTON charge compared to Medicare?

According to CMS IPPS data, BOSTON MEDICAL CENTER-BRIGHTON's listed chargemaster rates average 1.9x the Medicare reimbursement amount across 73 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at BOSTON MEDICAL CENTER-BRIGHTON?

The procedure with the highest chargemaster-to-Medicare ratio at BOSTON MEDICAL CENTER-BRIGHTON is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC (DRG 267), with a listed charge of $254,995 compared to Medicare reimbursement of $78,072 — a ratio of 3.3x. Source: CMS IPPS Provider Summary.

Is BOSTON MEDICAL CENTER-BRIGHTON expensive compared to other MA hospitals?

BOSTON MEDICAL CENTER-BRIGHTON's average chargemaster-to-Medicare ratio is 1.9x. Ratios vary significantly across MA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for BOSTON MEDICAL CENTER-BRIGHTON come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from BOSTON MEDICAL CENTER-BRIGHTON is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does BOSTON MEDICAL CENTER-BRIGHTON in BRIGHTON, MA accept Medicare?

BOSTON MEDICAL CENTER-BRIGHTON is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BOSTON MEDICAL CENTER-BRIGHTON directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.