91/100
#68 nationally
Lahey Hospital & Medical Center, Burlington
41 & 45 Mall Road, Burlington, MA 01803 · (781) 744-5100
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Lahey Hospital & Medical Center, Burlington billed $2.12 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
- 2.1x
- volume-weighted across all its priced work
- Procedures priced
- 242
- inpatient and outpatient combined
- Rank in MA
- #22
- 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.
Better than 90% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 84% 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 |
1,577 | $2,898 | $732 | -8% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,526 | $4,319 | $2,499 | -63% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
907 | $5,386 | $2,170 | -58% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
819 | $38,279 | $22,024 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
725 | $4,852 | $1,731 | -52% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
518 | $10,458 | $2,054 | -8% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
494 | $8,223 | $2,016 | -30% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
423 | $12,806 | $3,479 | -49% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
381 | $25,717 | $14,513 | -41% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
380 | $13,065 | $2,884 | -33% |
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 |
|---|---|---|---|
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$7,999 | $1,638 | +25% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$100,757 | $23,428 | +7% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$37,277 | $9,120 | about average |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,898 | $732 | -8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,458 | $2,054 | -8% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$46,854 | $11,454 | -9% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$134,532 | $35,221 | -9% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$18,700 | $4,063 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Peritoneal Adhesiolysis with Major Complications
MS-DRG 335 · Inpatient stay |
$43,318 | $40,457 | -75% |
|
Kidney and Ureter Procedures for Neoplasm with Major Complications
MS-DRG 656 · Inpatient stay |
$46,271 | $35,354 | -74% |
|
Combined Anterior and Posterior Spinal Fusion with Major Complications
MS-DRG 453 · Inpatient stay |
$119,080 | $88,981 | -73% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
$31,221 | $24,317 | -73% |
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit |
$10,861 | $4,553 | -72% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
$21,501 | $16,225 | -72% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$4,230 | $2,510 | -71% |
|
Other Digestive System Diagnoses without Complications/mcc
MS-DRG 395 · Inpatient stay |
$11,428 | $6,981 | -68% |
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.