Brigham and Women Faulkner Hospital
Brigham and Women's Faulkner Hospital in Jamaica Plain, MA charges 3.8x the Medicare reimbursement rate across 78 analyzed procedures at this nonprofit facility.
Jamaica Plain, MA 02130 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.78x
Charge / Medicare rate
Max markup
6.17x
Worst procedure
Procedures analyzed
78
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 | $76,735 | $38,367 | — | 6.2x |
| HEADACHES WITHOUT MCC | 103 | $33,836 | $16,918 | — | 5.6x |
| CHEST PAIN | 313 | $27,662 | $13,831 | — | 5.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $109,748 | $54,874 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,360 | $19,180 | — | 5.3x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $40,782 | $20,391 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $36,357 | $18,178 | — | 5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $38,949 | $19,475 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,805 | $14,402 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,773 | $13,387 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,421 | $15,211 | — | 4.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $32,652 | $16,326 | — | 4.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $35,458 | $17,729 | — | 4.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $30,700 | $15,350 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,529 | $13,765 | — | 4.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $31,447 | $15,724 | — | 4.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $46,326 | $23,163 | — | 4.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,001 | $14,000 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,659 | $15,830 | — | 4.4x |
| CELLULITIS WITHOUT MCC | 603 | $28,366 | $14,183 | — | 4.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $66,384 | $33,192 | — | 4.3x |
| DIABETES WITH CC | 638 | $30,389 | $15,194 | — | 4.3x |
| RENAL FAILURE WITH CC | 683 | $29,602 | $14,801 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $39,822 | $19,911 | — | 4.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $40,498 | $20,249 | — | 4.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $29,177 | $14,588 | — | 4.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $26,769 | $13,384 | — | 4.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $58,200 | $29,100 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,915 | $12,457 | — | 4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,852 | $10,926 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $48,303 | $24,151 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $52,284 | $26,142 | — | 3.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $105,932 | $52,966 | — | 3.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $46,022 | $23,011 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,232 | $14,116 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,750 | $18,375 | — | 3.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,919 | $11,459 | — | 3.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,696 | $11,848 | — | 3.7x |
| SEIZURES WITHOUT MCC | 101 | $25,321 | $12,661 | — | 3.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $25,769 | $12,884 | — | 3.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,561 | $18,280 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $30,796 | $15,398 | — | 3.6x |
| SYNCOPE AND COLLAPSE | 312 | $23,429 | $11,715 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $53,755 | $26,877 | — | 3.5x |
| CELLULITIS WITH MCC | 602 | $41,217 | $20,609 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $50,410 | $25,205 | — | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $46,947 | $23,473 | — | 3.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $36,606 | $18,303 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $57,646 | $28,823 | — | 3.5x |
| DIABETES WITH MCC | 637 | $40,390 | $20,195 | — | 3.5x |
Showing 50 of 78 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