Massachusetts General Hospital
Massachusetts General Hospital in Boston charges 5.1x the Medicare reimbursement rate across 295 analyzed procedures, with only 5% classified as pricing outliers.
Boston, MA 02114 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.11x
Charge / Medicare rate
Max markup
10x
Worst procedure
Procedures analyzed
295
With pricing data
Outlier procedures
4.7%
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 |
|---|---|---|---|---|---|
| HYPERTENSION WITH MCC | 304 | $155,127 | $77,563 | — | 10x |
| NEUROLOGICAL EYE DISORDERS | 123 | $112,497 | $56,249 | — | 9.3x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $144,808 | $72,404 | — | 9.3x |
| KIDNEY TRANSPLANT | 652 | $266,660 | $133,330 | — | 8.7x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $83,820 | $41,910 | — | 7.9x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $156,586 | $78,293 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,412 | $23,706 | — | 7.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $85,014 | $42,507 | — | 7.8x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $72,093 | $36,047 | — | 7.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $150,759 | $75,379 | — | 7.6x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $68,229 | $34,114 | — | 7.6x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $41,930 | $20,965 | — | 7.5x |
| SEIZURES WITHOUT MCC | 101 | $62,981 | $31,491 | — | 7.5x |
| HYPERTENSION WITHOUT MCC | 305 | $70,853 | $35,426 | — | 7.4x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $200,712 | $100,356 | — | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $51,535 | $25,767 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $77,120 | $38,560 | — | 7.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $86,301 | $43,151 | — | 7.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $123,407 | $61,703 | — | 7.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $60,475 | $30,238 | — | 7.2x |
| ACUTE LEUKEMIA WITH CC | 835 | $159,868 | $79,934 | — | 7.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $74,005 | $37,003 | — | 7.1x |
| DIABETES WITH MCC | 637 | $103,906 | $51,953 | — | 7x |
| VIRAL ILLNESS WITHOUT MCC | 866 | $62,444 | $31,222 | — | 6.9x |
| WOUND DEBRIDEMENTS FOR INJURIES WITH CC | 902 | $161,308 | $80,654 | — | 6.9x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $110,171 | $55,085 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,356 | $23,678 | — | 6.9x |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $76,340 | $38,170 | — | 6.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $178,654 | $89,327 | — | 6.8x |
| CONNECTIVE TISSUE DISORDERS WITH CC | 546 | $78,943 | $39,472 | — | 6.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $63,330 | $31,665 | — | 6.7x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $312,342 | $156,171 | — | 6.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $49,821 | $24,911 | — | 6.5x |
| PSYCHOSES | 885 | $103,423 | $51,712 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $84,607 | $42,303 | — | 6.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $51,117 | $25,558 | — | 6.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $97,174 | $48,587 | — | 6.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $112,537 | $56,269 | — | 6.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $151,250 | $75,625 | — | 6.4x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $99,864 | $49,932 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,145 | $29,572 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $91,950 | $45,975 | — | 6.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $33,527 | $16,763 | — | 6.4x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $51,271 | $25,635 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $75,194 | $37,597 | — | 6.2x |
| VIRAL ILLNESS WITH MCC | 865 | $121,149 | $60,574 | — | 6.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $54,399 | $27,200 | — | 6.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $45,578 | $22,789 | — | 6.2x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $100,781 | $50,390 | — | 6.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $80,353 | $40,177 | — | 6.2x |
Showing 50 of 295 procedures
How MASSACHUSETTS GENERAL 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