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BRIGHAM AND WOMEN'S HOSPITAL

BOSTON, MA 02115 · Acute Care Hospitals

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

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

276

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.2x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

5%

Compared to MA hospitals

Understanding Your Costs

When you receive a bill from BRIGHAM AND WOMEN'S HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BRIGHAM AND WOMEN'S HOSPITAL lists chargemaster rates that average 5.2x the corresponding Medicare reimbursement amount across 276 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 5.2x, this facility’s average ratio is above 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 BRIGHAM AND WOMEN'S HOSPITAL is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $333,016, while Medicare reimburses $31,848 for the same procedure — a ratio of 10.5x (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.

14 of 276 procedures (5%) at this facility have listed rates above the 90th percentile compared to other MA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

BRIGHAM AND WOMEN'S HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 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
KIDNEY TRANSPLANT652$333,016$31,84810.5x
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LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC822$90,610$9,9389.1x
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SIGNS AND SYMPTOMS WITH MCC947$119,592$14,3768.3x
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ATHEROSCLEROSIS WITHOUT MCC303$50,492$6,2758.1x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC250$231,998$28,9488.0x
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DIABETES WITH MCC637$108,631$13,8477.8x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$164,414$21,4657.7x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$81,334$10,6477.6x
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HEART FAILURE AND SHOCK WITH CC292$59,584$7,9967.5x
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EXTRACRANIAL PROCEDURES WITH CC038$112,538$15,1867.4x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$194,028$26,5287.3x
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SIGNS AND SYMPTOMS WITHOUT MCC948$62,350$8,5557.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$65,477$9,0437.2x
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INFLAMMATORY BOWEL DISEASE WITH CC386$62,088$8,6007.2x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$244,575$34,1797.2x
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FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$54,950$7,7507.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$31,116$4,4597.0x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$79,472$11,4327.0x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$88,762$12,8526.9x
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RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC815$73,242$10,6306.9x
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$106,731$15,6846.8x
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DYSEQUILIBRIUM149$47,560$7,0026.8x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$106,592$15,7626.8x
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HYPERTENSION WITHOUT MCC305$42,309$6,3016.7x
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INTERSTITIAL LUNG DISEASE WITH MCC196$114,044$17,0426.7x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$123,862$18,5596.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$84,160$12,6246.7x
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CHEST PAIN313$44,101$6,6246.7x
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NERVOUS SYSTEM NEOPLASMS WITHOUT MCC055$64,659$9,7046.7x
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SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC556$48,343$7,2946.6x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$59,887$9,0726.6x
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MAJOR BLADDER PROCEDURES WITH CC654$197,168$29,9486.6x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$61,269$9,3536.5x
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NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC068$57,019$8,7096.5x
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BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC520$82,893$12,6836.5x
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ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$144,769$22,1616.5x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$59,493$9,1236.5x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$115,920$17,8636.5x
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EXTRACRANIAL PROCEDURES WITH MCC037$226,157$34,9106.5x
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DIABETES WITH CC638$51,735$7,9826.5x
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SYNCOPE AND COLLAPSE312$53,164$8,2026.5x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$65,565$10,1866.4x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$43,674$6,7886.4x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC240$145,209$22,6516.4x
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PULMONARY EMBOLISM WITHOUT MCC176$49,838$7,7726.4x
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HEART FAILURE AND SHOCK WITH MCC291$88,129$13,7986.4x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$64,797$10,1516.4x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$85,596$13,4686.4x
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SEIZURES WITHOUT MCC101$54,248$8,5616.3x
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URINARY STONES WITHOUT MCC694$45,543$7,1826.3x
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Showing 50 of 276 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
5.2x

54 hospitals in MA report pricing data to CMS. This facility's average ratio of 5.2x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

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 BRIGHAM AND WOMEN'S HOSPITAL

How much does BRIGHAM AND WOMEN'S HOSPITAL charge compared to Medicare?

According to CMS IPPS data, BRIGHAM AND WOMEN'S HOSPITAL's listed chargemaster rates average 5.2x the Medicare reimbursement amount across 276 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 BRIGHAM AND WOMEN'S HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at BRIGHAM AND WOMEN'S HOSPITAL is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $333,016 compared to Medicare reimbursement of $31,848 — a ratio of 10.5x. Source: CMS IPPS Provider Summary.

Is BRIGHAM AND WOMEN'S HOSPITAL expensive compared to other MA hospitals?

BRIGHAM AND WOMEN'S HOSPITAL's average chargemaster-to-Medicare ratio is 5.2x. 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 BRIGHAM AND WOMEN'S HOSPITAL 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 BRIGHAM AND WOMEN'S HOSPITAL 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 BRIGHAM AND WOMEN'S HOSPITAL in BOSTON, MA accept Medicare?

BRIGHAM AND WOMEN'S HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BRIGHAM AND WOMEN'S HOSPITAL directly or check with your insurance provider.

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