CostGrade
C

47/100

#1,344 nationally

Brigham And Women's Hospital

75 Francis Street, Boston, MA 02115 · (617) 732-5500

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Brigham And Women's Hospital billed $4.05 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
4.0x
volume-weighted across all its priced work
Procedures priced
320
inpatient and outpatient combined
Rank in MA
#48
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 18.1/35

Better than 52% of U.S. hospitals.

Outpatient charge markup 17.5/25

Better than 70% of U.S. hospitals.

Price level vs national median 9.3/30

Better than 31% of U.S. hospitals.

Price consistency 2.3/10

Better than 23% 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 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

1,552 $6,429 $1,723 -36%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,113 $19,420 $2,906 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

873 $16,195 $3,412 -15%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

694 $9,687 $2,015 -18%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

516 $8,815 $2,076 -32%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

473 $30,753 $3,473 +22%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

447 $103,252 $25,223 -22%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

408 $22,325 $3,975 about average
Sepsis (severe)

MS-DRG 871 · Inpatient stay

382 $128,876 $28,764 +98%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

381 $10,549 $2,065 -7%

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
Psychoses

MS-DRG 885 · Inpatient stay

$155,814 $32,451 +332%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

$112,653 $30,238 +126%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

$194,760 $36,500 +121%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

$147,584 $35,779 +120%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

$213,848 $46,130 +117%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

$94,327 $18,556 +117%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

$87,541 $17,196 +115%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

$140,679 $19,357 +109%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Combined Anterior and Posterior Spinal Fusion with Major Complications

MS-DRG 453 · Inpatient stay

$227,274 $98,262 -49%
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with

MS-DRG 427 · Inpatient stay

$165,043 $84,177 -47%
Level 1 Icd and Similar Procedures

APC 5231 · Hospital outpatient visit

$51,896 $25,244 -45%
Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications

MS-DRG 579 · Inpatient stay

$108,507 $36,149 -43%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

$166,059 $70,122 -42%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$86,074 $35,221 -42%
Level 3 Neurostimulator and Related Procedures

APC 5463 · Hospital outpatient visit

$34,367 $14,603 -41%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

$56,410 $20,874 -41%

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.