29/100
#1,907 nationally
Metrowest Medical Center
115 Lincoln Street, Framingham, MA 01701 · (508) 383-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Metrowest Medical Center billed $5.63 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 58
- inpatient and outpatient combined
- Rank in MA
- #50
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 33% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 38% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
316 | $83,991 | $18,634 | +29% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
294 | $32,897 | $2,940 | +69% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
130 | $22,597 | $2,489 | +92% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
122 | $17,602 | $2,044 | +50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
112 | $61,323 | $12,331 | +41% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
100 | $24,419 | $3,480 | -3% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
74 | $73,738 | $15,658 | +34% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
62 | $57,063 | $12,781 | +22% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
62 | $43,068 | $3,744 | +109% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
62 | $44,431 | $5,426 | +62% |
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 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$43,068 | $3,744 | +109% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$25,747 | $2,108 | +99% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$63,339 | $8,066 | +96% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$22,597 | $2,489 | +92% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$43,361 | $3,716 | +86% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$91,028 | $11,454 | +77% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$60,266 | $6,197 | +72% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$93,223 | $13,289 | +71% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$143,748 | $44,637 | -19% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$67,690 | $17,789 | -14% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$63,881 | $16,641 | -10% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$31,185 | $6,138 | -10% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$21,027 | $4,113 | -4% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$24,419 | $3,480 | -3% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$52,188 | $12,820 | about average |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$45,380 | $8,738 | +4% |
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.