CostGrade
A

85/100

#181 nationally

Berkshire Medical Center

725 North Street, Pittsfield, MA 01201 · (413) 447-2000

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Berkshire Medical Center billed $2.23 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
2.2x
volume-weighted across all its priced work
Procedures priced
136
inpatient and outpatient combined
Rank in MA
#34
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 32.2/35

Better than 92% of U.S. hospitals.

Outpatient charge markup 21.9/25

Better than 88% of U.S. hospitals.

Price level vs national median 25.3/30

Better than 84% of U.S. hospitals.

Price consistency 5.9/10

Better than 59% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

1,034 $923 $771 -71%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

758 $15,418 $3,068 -21%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

471 $35,838 $21,682 -45%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

367 $22,230 $14,422 -49%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

355 $6,232 $2,178 -45%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

341 $7,943 $1,829 -21%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

329 $5,849 $2,297 -55%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

314 $12,021 $2,130 about average
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

249 $4,683 $1,808 -58%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

199 $9,669 $3,566 -49%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Complex GI Procedures

APC 5331 · Hospital outpatient visit

$45,215 $6,428 +51%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

$38,273 $7,714 +46%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

$47,933 $6,385 +40%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

$20,572 $3,205 +16%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

$6,975 $1,720 +9%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

$25,113 $3,902 +8%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

$23,019 $4,320 +5%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

$85,868 $20,967 +3%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy

MS-DRG 895 · Inpatient stay

$8,686 $17,032 -75%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

$923 $771 -71%
Lymphoma and Non-acute Leukemia with Major Complications

MS-DRG 840 · Inpatient stay

$43,429 $33,142 -70%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

$11,475 $6,199 -68%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

$49,428 $26,712 -63%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

$15,143 $10,509 -62%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

$26,495 $18,660 -61%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

$13,977 $8,136 -61%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.