Winchester Hospital
Winchester Hospital in Winchester, MA charges 2.2x the Medicare reimbursement rate across 78 analyzed procedures, positioning this nonprofit-private facility near the middle range of hospital pricing.
Winchester, MA 01890 · Acute Care Hospitals · CMS Rating: 3/5
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
B
Good
Avg markup vs Medicare
2.21x
Charge / Medicare rate
Max markup
4.66x
Worst procedure
Procedures analyzed
78
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,764 | $5,882 | — | 4.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $55,039 | $27,519 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,849 | $6,925 | — | 3.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $16,632 | $8,316 | — | 3.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $18,746 | $9,373 | — | 3.2x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $15,988 | $7,994 | — | 3.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $16,730 | $8,365 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $15,416 | $7,708 | — | 3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $13,478 | $6,739 | — | 2.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $18,979 | $9,490 | — | 2.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $12,670 | $6,335 | — | 2.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $18,190 | $9,095 | — | 2.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $17,091 | $8,545 | — | 2.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $8,711 | $4,355 | — | 2.7x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $22,915 | $11,457 | — | 2.7x |
| DYSEQUILIBRIUM | 149 | $9,978 | $4,989 | — | 2.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $12,727 | $6,364 | — | 2.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $12,625 | $6,313 | — | 2.6x |
| HYPERTENSION WITHOUT MCC | 305 | $12,006 | $6,003 | — | 2.6x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $15,482 | $7,741 | — | 2.5x |
| SYNCOPE AND COLLAPSE | 312 | $13,314 | $6,657 | — | 2.5x |
| CHEST PAIN | 313 | $9,659 | $4,830 | — | 2.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $11,548 | $5,774 | — | 2.4x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $11,033 | $5,517 | — | 2.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $13,693 | $6,846 | — | 2.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $12,305 | $6,152 | — | 2.4x |
| DIABETES WITH CC | 638 | $12,956 | $6,478 | — | 2.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $23,943 | $11,971 | — | 2.3x |
| RENAL FAILURE WITH CC | 683 | $13,671 | $6,836 | — | 2.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $29,451 | $14,726 | — | 2.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $16,271 | $8,135 | — | 2.3x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $24,184 | $12,092 | — | 2.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $19,850 | $9,925 | — | 2.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $15,709 | $7,854 | — | 2.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $11,684 | $5,842 | — | 2.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $11,869 | $5,935 | — | 2.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $10,836 | $5,418 | — | 2.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $16,302 | $8,151 | — | 2.2x |
| ENDOCRINE DISORDERS WITH CC | 644 | $14,921 | $7,460 | — | 2.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $32,053 | $16,027 | — | 2.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $12,257 | $6,128 | — | 2.1x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $11,393 | $5,696 | — | 2.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $18,541 | $9,270 | — | 2.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $18,182 | $9,091 | — | 2.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $13,365 | $6,682 | — | 2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $16,232 | $8,116 | — | 2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $17,768 | $8,884 | — | 2x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $22,722 | $11,361 | — | 1.9x |
| COAGULATION DISORDERS | 813 | $21,997 | $10,998 | — | 1.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $26,668 | $13,334 | — | 1.9x |
Showing 50 of 78 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