All published prices at Boston Medical Center
123 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
928 | $14,523 | $2,927 | -25% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
384 | $2,367 | $727 | -25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
201 | $7,281 | $1,720 | -28% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
183 | $8,519 | $2,492 | -28% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
160 | $71,542 | $36,169 | +10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
152 | $38,089 | $23,713 | -12% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
151 | $4,088 | $1,763 | -78% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
125 | $6,322 | $2,161 | -51% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
107 | $13,842 | $3,000 | -22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
80 | $11,566 | $3,389 | -39% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
66 | $78,853 | $31,411 | +119% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
64 | $19,590 | $6,240 | -43% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
59 | $9,197 | $2,899 | -55% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
57 | $13,426 | $3,505 | -47% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
57 | $73,111 | $25,436 | -45% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
56 | $88,710 | $37,001 | +16% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
56 | $20,864 | $6,109 | -41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
56 | $17,836 | $5,478 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
54 | $42,997 | $13,879 | -31% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
54 | $41,700 | $11,800 | -38% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
54 | $10,566 | $3,744 | -49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
52 | $23,287 | $7,566 | -42% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
50 | $13,327 | $4,367 | -36% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
49 | $6,896 | $2,043 | -41% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
48 | $47,665 | $29,633 | -13% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
46 | $180,648 | $86,003 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
45 | $7,600 | $1,726 | -32% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
43 | $15,218 | $4,022 | -33% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
43 | $19,371 | $6,138 | -44% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
42 | $11,118 | $4,094 | -53% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
41 | $4,579 | $1,823 | -60% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
40 | $83,863 | $39,075 | -5% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
39 | $30,881 | $23,462 | -36% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
39 | $55,788 | $30,177 | about average |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
37 | $30,800 | $20,886 | -26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
35 | $27,912 | $18,392 | -32% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
35 | $35,578 | $11,043 | -40% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
34 | $44,833 | $18,066 | about average |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
34 | $4,449 | $1,493 | -30% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $36,715 | $25,272 | -21% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
31 | $71,503 | $31,151 | +49% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $34,921 | $17,061 | -14% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
31 | $47,956 | $28,000 | -22% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
31 | $22,364 | $16,849 | -32% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
31 | $9,403 | $3,716 | -60% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
30 | $49,872 | $27,317 | -6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
30 | $5,052 | $2,074 | -55% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
29 | $23,765 | $16,288 | -26% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
29 | $68,648 | $32,924 | -18% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
28 | $180,338 | $89,881 | -21% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $27,285 | $19,488 | -30% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
28 | $35,419 | $17,946 | +9% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
28 | $29,153 | $9,120 | -23% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
27 | $54,927 | $32,846 | -32% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
27 | $71,972 | $49,901 | -50% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
27 | $24,853 | $11,454 | -52% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
26 | $50,417 | $33,559 | -36% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
26 | $5,776 | $1,720 | -33% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
26 | $9,254 | $3,358 | -49% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
26 | $11,072 | $2,433 | -23% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
25 | $293,738 | $146,245 | +9% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
23 | $37,620 | $18,101 | -4% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
22 | $57,244 | $35,515 | -39% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
22 | $31,971 | $15,797 | +4% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
22 | $20,736 | $16,969 | -32% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
22 | $49,440 | $22,036 | +33% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
22 | $86,978 | $42,241 | +28% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
21 | $38,957 | $22,676 | -20% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
21 | $23,434 | $15,436 | -23% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
21 | $168,350 | $80,778 | -8% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
21 | $27,495 | $7,003 | -30% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
21 | $22,325 | $5,340 | -38% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
20 | $32,523 | $18,536 | -13% |
|
Fainting
MS-DRG 312 · Inpatient stay |
20 | $38,543 | $17,712 | +5% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
20 | $21,078 | $16,706 | -37% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
20 | $37,150 | $21,608 | -57% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
19 | $59,672 | $28,941 | -41% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
19 | $39,163 | $21,384 | -4% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
19 | $19,725 | $15,871 | -34% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
19 | $5,802 | $3,015 | -65% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
18 | $271,797 | $107,482 | +41% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
17 | $74,681 | $38,737 | -27% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
17 | $89,718 | $35,221 | -40% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
16 | $28,784 | $22,828 | -44% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
16 | $69,903 | $30,715 | +24% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
16 | $51,677 | $29,796 | -35% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
16 | $141,056 | $59,839 | +46% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
16 | $33,724 | $19,776 | -19% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
16 | $41,044 | $27,716 | -37% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
16 | $57,617 | $18,788 | -40% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
15 | $65,680 | $26,978 | +20% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
15 | $22,996 | $16,683 | -27% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
15 | $131,488 | $61,048 | -15% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
15 | $30,236 | $20,546 | -20% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
15 | $71,352 | $43,970 | -40% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
15 | $15,725 | $5,613 | -35% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
14 | $73,753 | $34,390 | +4% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
14 | $31,000 | $18,380 | -10% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
14 | $64,003 | $35,387 | +28% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
13 | $23,402 | $16,846 | -26% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.