Brigham and Women's Hospital
Brigham and Women's Hospital in Boston charges 5.2x the Medicare reimbursement rate on average across 276 analyzed procedures at this nonprofit facility.
Boston, MA 02115 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.23x
Charge / Medicare rate
Max markup
10.46x
Worst procedure
Procedures analyzed
276
With pricing data
Outlier procedures
5.1%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $333,016 | $166,508 | — | 10.5x |
| LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | 822 | $90,610 | $45,305 | — | 9.1x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $119,592 | $59,796 | — | 8.3x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $50,492 | $25,246 | — | 8.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | 250 | $231,998 | $115,999 | — | 8x |
| DIABETES WITH MCC | 637 | $108,631 | $54,316 | — | 7.9x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $164,414 | $82,207 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $81,334 | $40,667 | — | 7.6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $59,584 | $29,792 | — | 7.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $112,538 | $56,269 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $194,028 | $97,014 | — | 7.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $62,350 | $31,175 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $65,477 | $32,739 | — | 7.2x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $62,088 | $31,044 | — | 7.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $244,575 | $122,288 | — | 7.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $54,950 | $27,475 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $31,116 | $15,558 | — | 7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $79,472 | $39,736 | — | 7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $88,762 | $44,381 | — | 6.9x |
| RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | 815 | $73,242 | $36,621 | — | 6.9x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $106,731 | $53,366 | — | 6.8x |
| DYSEQUILIBRIUM | 149 | $47,560 | $23,780 | — | 6.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $106,592 | $53,296 | — | 6.8x |
| HYPERTENSION WITHOUT MCC | 305 | $42,309 | $21,155 | — | 6.7x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $114,044 | $57,022 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $84,160 | $42,080 | — | 6.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $123,862 | $61,931 | — | 6.7x |
| CHEST PAIN | 313 | $44,101 | $22,050 | — | 6.7x |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $64,659 | $32,329 | — | 6.7x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $48,343 | $24,172 | — | 6.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $59,887 | $29,944 | — | 6.6x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $197,168 | $98,584 | — | 6.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $61,269 | $30,634 | — | 6.6x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $57,019 | $28,509 | — | 6.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $82,893 | $41,447 | — | 6.5x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $144,769 | $72,385 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,493 | $29,746 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $115,920 | $57,960 | — | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $53,164 | $26,582 | — | 6.5x |
| DIABETES WITH CC | 638 | $51,735 | $25,868 | — | 6.5x |
| EXTRACRANIAL PROCEDURES WITH MCC | 037 | $226,157 | $113,078 | — | 6.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $65,565 | $32,783 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,674 | $21,837 | — | 6.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $49,838 | $24,919 | — | 6.4x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $145,209 | $72,604 | — | 6.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $88,129 | $44,064 | — | 6.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $64,797 | $32,399 | — | 6.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $85,596 | $42,798 | — | 6.4x |
| SEIZURES WITHOUT MCC | 101 | $54,248 | $27,124 | — | 6.3x |
| URINARY STONES WITHOUT MCC | 694 | $45,543 | $22,772 | — | 6.3x |
Showing 50 of 276 procedures
How BRIGHAM AND WOMEN'S HOSPITAL 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