47/100
#1,353 nationally
Massachusetts General Hospital
55 Fruit Street, Boston, MA 02114 · (617) 726-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Massachusetts General Hospital billed $4.08 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
- 4.1x
- volume-weighted across all its priced work
- Procedures priced
- 350
- inpatient and outpatient combined
- Rank in MA
- #49
- 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 53% of U.S. hospitals.
Better than 66% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 25% 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 |
2,507 | $19,776 | $2,927 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
1,339 | $8,054 | $1,725 | -20% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
846 | $8,210 | $2,028 | -30% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
760 | $108,829 | $25,280 | -18% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
650 | $43,344 | $7,608 | +9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
640 | $107,566 | $26,691 | +65% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
638 | $14,608 | $3,004 | -17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
624 | $50,594 | $14,010 | -19% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
502 | $30,021 | $3,476 | +19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
473 | $35,831 | $6,134 | about average |
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 |
$117,766 | $25,028 | +226% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$131,370 | $27,321 | +163% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$8,225 | $664 | +162% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications
MS-DRG 564 · Inpatient stay |
$167,000 | $36,808 | +160% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$79,526 | $15,272 | +144% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$80,541 | $8,638 | +139% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
$117,271 | $17,261 | +135% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$114,158 | $28,186 | +122% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major
MS-DRG 020 · Inpatient stay |
$143,467 | $96,855 | -59% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$19,124 | $3,373 | -47% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$52,557 | $25,244 | -44% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$33,268 | $15,416 | -41% |
|
Allogeneic Bone Marrow Transplant
MS-DRG 014 · Inpatient stay |
$292,942 | $145,239 | -41% |
|
Ventricular Shunt Procedures with Major Complications
MS-DRG 031 · Inpatient stay |
$161,482 | $47,598 | -40% |
|
Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications
MS-DRG 579 · Inpatient stay |
$120,226 | $35,557 | -37% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$62,931 | $20,874 | -34% |
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.