Metrowest Medical Center
METROWEST MEDICAL CENTER in Framingham, MA charges 5.6x the Medicare reimbursement rate across 50 analyzed procedures, positioning this nonprofit hospital above typical regional pricing patterns.
Framingham, MA 01701 · Acute Care Hospitals · CMS Rating: 1/5
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.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
5.56x
Charge / Medicare rate
Max markup
8.67x
Worst procedure
Procedures analyzed
50
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 |
|---|---|---|---|---|---|
| DIABETES WITH CC | 638 | $63,010 | $31,505 | — | 8.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $67,095 | $33,548 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,276 | $25,638 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $47,638 | $23,819 | — | 7.8x |
| DYSEQUILIBRIUM | 149 | $42,555 | $21,277 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $190,328 | $95,164 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $55,368 | $27,684 | — | 6.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $46,649 | $23,324 | — | 6.8x |
| SYNCOPE AND COLLAPSE | 312 | $44,900 | $22,450 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,338 | $19,169 | — | 6.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $201,482 | $100,741 | — | 6.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,675 | $22,338 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,811 | $16,905 | — | 6.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $39,297 | $19,648 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $66,699 | $33,349 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $48,926 | $24,463 | — | 6.1x |
| CELLULITIS WITHOUT MCC | 603 | $43,565 | $21,782 | — | 6.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $48,411 | $24,205 | — | 6x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $88,213 | $44,106 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $54,978 | $27,489 | — | 5.9x |
| CHEST PAIN | 313 | $33,593 | $16,797 | — | 5.7x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $44,937 | $22,468 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $111,149 | $55,574 | — | 5.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $55,695 | $27,847 | — | 5.7x |
| RENAL FAILURE WITH CC | 683 | $40,887 | $20,444 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $55,873 | $27,937 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $52,484 | $26,242 | — | 5.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $63,816 | $31,908 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $78,131 | $39,066 | — | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,508 | $48,254 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $55,629 | $27,814 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $47,091 | $23,545 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $71,788 | $35,894 | — | 5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $59,135 | $29,567 | — | 5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $55,708 | $27,854 | — | 5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $68,609 | $34,305 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $54,750 | $27,375 | — | 4.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $47,899 | $23,949 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $37,925 | $18,963 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $59,905 | $29,953 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $119,298 | $59,649 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,891 | $35,945 | — | 4.3x |
| RENAL FAILURE WITH MCC | 682 | $56,645 | $28,323 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $66,790 | $33,395 | — | 4.3x |
| DIABETES WITH MCC | 637 | $53,375 | $26,688 | — | 4.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $168,039 | $84,019 | — | 4.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $52,901 | $26,450 | — | 3.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $86,480 | $43,240 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $58,049 | $29,025 | — | 3.7x |
| SEIZURES WITH MCC | 100 | $50,055 | $25,028 | — | 3.1x |
Got a bill from METROWEST MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Metrowest Medical Center?
Free guides to help you take action
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