MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114 · Acute Care Hospitals
295 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
295
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.1x
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 MASSACHUSETTS GENERAL HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MASSACHUSETTS GENERAL HOSPITAL lists chargemaster rates that average 5.1x the corresponding Medicare reimbursement amount across 295 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 5.1x, 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 MASSACHUSETTS GENERAL HOSPITAL is HYPERTENSION WITH MCC (DRG 304). The listed chargemaster rate is $155,127, while Medicare reimburses $15,510 for the same procedure — a ratio of 10.0x (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 295 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).
MASSACHUSETTS GENERAL 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
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.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| HYPERTENSION WITH MCC | 304 | $155,127 | $15,510 | 10.0x | 1th | Compare your bill |
| NEUROLOGICAL EYE DISORDERS | 123 | $112,497 | $12,061 | 9.3x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $144,808 | $15,638 | 9.3x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $266,660 | $30,838 | 8.7x | 0th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $83,820 | $10,556 | 7.9x | 1th | Compare your bill |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $156,586 | $19,844 | 7.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,412 | $6,045 | 7.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $85,014 | $10,910 | 7.8x | 1th | Compare your bill |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $72,093 | $9,317 | 7.7x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $150,759 | $19,876 | 7.6x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $68,229 | $9,015 | 7.6x | 1th | Compare your bill |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $41,930 | $5,579 | 7.5x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $62,981 | $8,446 | 7.5x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $200,712 | $27,088 | 7.4x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $70,853 | $9,563 | 7.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $51,535 | $7,039 | 7.3x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $77,120 | $10,555 | 7.3x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $86,301 | $11,909 | 7.3x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $123,407 | $17,241 | 7.2x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $60,475 | $8,456 | 7.2x | 1th | Compare your bill |
| ACUTE LEUKEMIA WITH CC | 835 | $159,868 | $22,620 | 7.1x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $74,005 | $10,496 | 7.0x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $103,906 | $14,940 | 7.0x | 1th | Compare your bill |
| WOUND DEBRIDEMENTS FOR INJURIES WITH CC | 902 | $161,308 | $23,292 | 6.9x | 1th | Compare your bill |
| VIRAL ILLNESS WITHOUT MCC | 866 | $62,444 | $9,006 | 6.9x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $110,171 | $15,966 | 6.9x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,356 | $6,906 | 6.9x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $76,340 | $11,181 | 6.8x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $178,654 | $26,443 | 6.8x | 1th | Compare your bill |
| CONNECTIVE TISSUE DISORDERS WITH CC | 546 | $78,943 | $11,767 | 6.7x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $63,330 | $9,488 | 6.7x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $312,342 | $46,912 | 6.7x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $49,821 | $7,691 | 6.5x | 1th | Compare your bill |
| PSYCHOSES | 885 | $103,423 | $15,998 | 6.5x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $84,607 | $13,120 | 6.5x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $51,117 | $7,924 | 6.5x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $97,174 | $15,079 | 6.4x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $112,537 | $17,502 | 6.4x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $151,250 | $23,512 | 6.4x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $99,864 | $15,654 | 6.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,145 | $9,266 | 6.4x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $91,950 | $14,440 | 6.4x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $33,527 | $5,270 | 6.4x | 1th | Compare your bill |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $51,271 | $8,129 | 6.3x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $75,194 | $12,071 | 6.2x | 1th | Compare your bill |
| VIRAL ILLNESS WITH MCC | 865 | $121,149 | $19,484 | 6.2x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $45,578 | $7,345 | 6.2x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $54,399 | $8,766 | 6.2x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $100,781 | $16,256 | 6.2x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $80,353 | $13,038 | 6.2x | 1th | Compare your bill |
Showing 50 of 295 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
54 hospitals in MA report pricing data to CMS. This facility's average ratio of 5.1x 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.
Upload your billRequest 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 howCheck for Common Errors
Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.
How it worksData: 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.
Frequently Asked Questions About MASSACHUSETTS GENERAL HOSPITAL
How much does MASSACHUSETTS GENERAL HOSPITAL charge compared to Medicare?
According to CMS IPPS data, MASSACHUSETTS GENERAL HOSPITAL's listed chargemaster rates average 5.1x the Medicare reimbursement amount across 295 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 MASSACHUSETTS GENERAL HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at MASSACHUSETTS GENERAL HOSPITAL is HYPERTENSION WITH MCC (DRG 304), with a listed charge of $155,127 compared to Medicare reimbursement of $15,510 — a ratio of 10.0x. Source: CMS IPPS Provider Summary.
Is MASSACHUSETTS GENERAL HOSPITAL expensive compared to other MA hospitals?
MASSACHUSETTS GENERAL HOSPITAL's average chargemaster-to-Medicare ratio is 5.1x. 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 MASSACHUSETTS GENERAL 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 MASSACHUSETTS GENERAL 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 MASSACHUSETTS GENERAL HOSPITAL in BOSTON, MA accept Medicare?
MASSACHUSETTS GENERAL HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MASSACHUSETTS GENERAL HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.