Cape Cod Hospital
Cape Cod Hospital in Hyannis, MA charges 2.3x the Medicare reimbursement rate across 166 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals in the region.
Hyannis, MA 02601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
B
Good
Avg markup vs Medicare
2.34x
Charge / Medicare rate
Max markup
5.69x
Worst procedure
Procedures analyzed
166
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $98,486 | $49,243 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $92,698 | $46,349 | — | 5.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $28,566 | $14,283 | — | 4.8x |
| CHEST PAIN | 313 | $28,033 | $14,017 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $39,841 | $19,920 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $22,779 | $11,389 | — | 4.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $68,384 | $34,192 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $113,970 | $56,985 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $109,930 | $54,965 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,552 | $7,776 | — | 3.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $29,211 | $14,606 | — | 3.8x |
| DYSEQUILIBRIUM | 149 | $23,067 | $11,533 | — | 3.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $79,728 | $39,864 | — | 3.6x |
| HYPERTENSION WITHOUT MCC | 305 | $22,132 | $11,066 | — | 3.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $23,068 | $11,534 | — | 3.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $109,956 | $54,978 | — | 3.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,231 | $7,116 | — | 3.3x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,901 | $16,951 | — | 3.3x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $15,920 | $7,960 | — | 3.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,028 | $12,514 | — | 3.2x |
| HYPERTENSION WITH MCC | 304 | $30,300 | $15,150 | — | 3.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $21,512 | $10,756 | — | 3.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $20,256 | $10,128 | — | 3.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,152 | $9,076 | — | 3.1x |
| SYNCOPE AND COLLAPSE | 312 | $21,478 | $10,739 | — | 3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $76,039 | $38,019 | — | 3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $18,881 | $9,440 | — | 2.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,607 | $12,804 | — | 2.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $19,895 | $9,948 | — | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $25,265 | $12,632 | — | 2.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,022 | $9,511 | — | 2.9x |
| SEIZURES WITHOUT MCC | 101 | $21,828 | $10,914 | — | 2.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $42,651 | $21,326 | — | 2.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $26,696 | $13,348 | — | 2.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $25,973 | $12,986 | — | 2.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $20,189 | $10,095 | — | 2.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $24,750 | $12,375 | — | 2.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $25,534 | $12,767 | — | 2.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,771 | $19,886 | — | 2.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $23,784 | $11,892 | — | 2.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,712 | $8,856 | — | 2.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $31,065 | $15,533 | — | 2.7x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $25,023 | $12,512 | — | 2.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $88,230 | $44,115 | — | 2.6x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 987 | $85,177 | $42,589 | — | 2.6x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $99,021 | $49,510 | — | 2.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $15,867 | $7,934 | — | 2.6x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $20,481 | $10,240 | — | 2.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $23,554 | $11,777 | — | 2.6x |
| DIABETES WITH CC | 638 | $18,405 | $9,203 | — | 2.6x |
Showing 50 of 166 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