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.
Better than 52% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 31% of U.S. hospitals.
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.