93/100
#42 nationally
Winchester Hospital
41 Highland Avenue, Winchester, MA 01890 · (781) 729-9000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Winchester Hospital billed $2.00 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
- 2.0x
- volume-weighted across all its priced work
- Procedures priced
- 114
- inpatient and outpatient combined
- Rank in MA
- #14
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 91% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% 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 |
327 | $29,921 | $15,314 | -54% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
283 | $25,945 | $14,022 | -58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
247 | $4,807 | $1,724 | -52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
221 | $19,317 | $10,275 | -56% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
209 | $25,568 | $13,070 | -54% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
177 | $10,447 | $2,876 | -46% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
158 | $19,957 | $10,472 | -57% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
151 | $7,730 | $2,049 | -32% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
148 | $6,973 | $2,022 | -41% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
146 | $5,056 | $1,702 | -55% |
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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,456 | $1,700 | -25% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,730 | $2,049 | -32% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$59,771 | $16,416 | -32% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
$47,093 | $12,067 | -36% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$15,456 | $4,510 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$6,973 | $2,022 | -41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$23,135 | $7,565 | -42% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$38,747 | $11,799 | -43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
$10,647 | $9,038 | -77% |
|
Urinary Stones without Major Complications
MS-DRG 694 · Inpatient stay |
$9,749 | $6,281 | -75% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$48,126 | $31,904 | -74% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
$10,453 | $6,326 | -73% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$12,790 | $10,172 | -73% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$10,616 | $7,950 | -73% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$9,383 | $6,375 | -71% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$18,668 | $13,147 | -71% |
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.