CostGrade
A

80/100

#338 nationally

Brigham And Women Faulkner Hospital

1153 Centre Street, Jamaica Plain, MA 02130 · (617) 983-7000

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Brigham And Women Faulkner Hospital billed $2.96 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
3.0x
volume-weighted across all its priced work
Procedures priced
109
inpatient and outpatient combined
Rank in MA
#38
lower markup ranks higher
CMS quality stars
5/5
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 26.3/35

Better than 75% of U.S. hospitals.

Outpatient charge markup 23.5/25

Better than 94% of U.S. hospitals.

Price level vs national median 22.3/30

Better than 74% of U.S. hospitals.

Price consistency 7.5/10

Better than 75% 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

775 $13,260 $2,919 -32%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

552 $34,573 $13,999 -45%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

365 $15,656 $6,112 -55%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

318 $3,566 $1,737 -65%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

281 $16,648 $4,082 -30%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

248 $56,318 $19,208 -14%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

244 $12,378 $3,683 -40%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

232 $6,709 $2,022 -43%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

204 $43,870 $13,244 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

181 $9,843 $2,160 -24%

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
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

$66,821 $16,429 +40%
Stroke (severe)

MS-DRG 064 · Inpatient stay

$89,825 $17,776 +18%
COPD (with complications)

MS-DRG 191 · Inpatient stay

$38,275 $9,988 +15%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

$54,145 $12,457 +14%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

$74,236 $18,933 +8%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

$43,870 $13,244 about average
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

$47,394 $12,146 about average
Inflammatory Bowel Disease with Complications

MS-DRG 386 · Inpatient stay

$39,679 $9,938 about average

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

$3,566 $1,737 -65%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

$29,622 $17,767 -63%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

$25,646 $11,799 -62%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

$56,442 $34,362 -61%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

$38,252 $18,788 -60%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

$80,160 $41,231 -55%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

$48,984 $25,185 -55%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

$15,656 $6,112 -55%

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.