Massachusetts / Beth Israel Deaconess Hospital-Milton Inc
CMS certification 220108 · Milton, MA
Beth Israel Deaconess Hospital-Milton Inc: charges and Medicare payments
Beth Israel Deaconess Hospital-Milton Inc reported 2,387 Medicare inpatient stays across 62 DRGs in 2024. Across them it charged 1.68 times what it was paid — among the lower ratios in Massachusetts, number 45 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 330 stays at an average charge of $26,351, 72% below the national average. It also billed 1,074 outpatient services, charging 2.47 times what Medicare paid.
- 1Medicare inpatient stays 2,387
- 2Charge ÷ paid, inpatient 1.68×
- 3Rank in MA (highest ratio = 1) 45 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 62 DRGs that can be compared with the national average, Beth Israel Deaconess Hospital-Milton Inc charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 330 | $26,351 | -72% | $15,289 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 268 | $26,740 | -70% | $15,118 |
| 291 Heart Failure and Shock with MCC | 198 | $15,647 | -72% | $10,078 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 98 | $11,215 | -72% | $6,401 |
| 177 Respiratory Infections and Inflammations with MCC | 97 | $19,164 | -73% | $12,796 |
| 193 Simple Pneumonia and Pleurisy with MCC | 95 | $18,874 | -68% | $10,123 |
| 690 Kidney and Urinary Tract Infections without MCC | 71 | $10,223 | -73% | $6,505 |
| 689 Kidney and Urinary Tract Infections with MCC | 65 | $13,944 | -73% | $9,180 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 58 | $14,366 | -71% | $8,352 |
| 683 Renal Failure with CC | 57 | $12,667 | -69% | $7,225 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 43 | $9,704 | -74% | $6,082 |
| 603 Cellulitis without MCC | 41 | $8,653 | -77% | $6,899 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $14,431 | -76% | $10,254 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 35 | $15,807 | -78% | $12,640 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $19,284 | -67% | $9,905 |
| 467 Revision of Hip or Knee Replacement with CC | 33 | $80,270 | -49% | $28,636 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $10,198 | -72% | $6,046 |
| 312 Syncope and Collapse | 29 | $11,499 | -75% | $6,983 |
| 178 Respiratory Infections and Inflammations with CC | 28 | $13,820 | -70% | $7,597 |
| 682 Renal Failure with MCC | 28 | $17,003 | -74% | $11,453 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $18,444 | -64% | $8,654 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $17,578 | -77% | $12,223 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $12,946 | -79% | $10,444 |
| 552 Medical Back Problems without MCC | 27 | $13,041 | -73% | $7,763 |
| 884 Organic Disturbances and Intellectual Disability | 27 | $22,545 | -64% | $12,985 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $15,827 | -72% | $7,871 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $17,730 | -63% | $7,849 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 22 | $9,838 | -77% | $7,117 |
| 813 Coagulation Disorders | 20 | $18,597 | -77% | $12,267 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $39,732 | -83% | $37,541 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $9,887 | -79% | $8,391 |
| 057 Degenerative Nervous System Disorders without MCC | 18 | $12,242 | -78% | $10,104 |
| 149 Dysequilibrium | 18 | $11,855 | -73% | $6,049 |
| 389 Gastrointestinal Obstruction with CC | 18 | $12,061 | -69% | $6,380 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $33,348 | -67% | $17,028 |
| 811 Red Blood Cell Disorders with MCC | 18 | $24,142 | -65% | $11,298 |
| 202 Bronchitis and Asthma with CC/MCC | 17 | $14,738 | -68% | $7,915 |
| 637 Diabetes with MCC | 17 | $18,033 | -73% | $10,951 |
| 948 Signs and Symptoms without MCC | 17 | $14,467 | -62% | $6,501 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $7,634 | -73% | $4,530 |
| 313 Chest Pain | 16 | $7,954 | -80% | $5,851 |
| 069 Transient Ischemia without Thrombolytic | 15 | $12,911 | -74% | $6,527 |
| 394 Other Digestive System Diagnoses with CC | 15 | $11,087 | -76% | $7,677 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $29,945 | -70% | $16,275 |
| 602 Cellulitis with MCC | 15 | $18,737 | -69% | $11,180 |
| 638 Diabetes with CC | 15 | $12,653 | -70% | $7,338 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $23,131 | -76% | $16,297 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $29,280 | -71% | $15,593 |
| 056 Degenerative Nervous System Disorders with MCC | 13 | $16,877 | -82% | $16,208 |
| 253 Other Vascular Procedures with CC | 13 | $32,323 | -75% | $21,121 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 13 | $14,765 | -69% | $8,410 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 13 | $10,777 | -78% | $8,416 |
| 554 Bone Diseases and Arthropathies without MCC | 13 | $9,062 | -76% | $6,718 |
| 643 Endocrine Disorders with MCC | 13 | $15,673 | -79% | $12,835 |
| 812 Red Blood Cell Disorders without MCC | 13 | $18,306 | -59% | $7,428 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $14,560 | -62% | $6,610 |
| 252 Other Vascular Procedures with MCC | 12 | $25,479 | -85% | $27,411 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $12,078 | -79% | $9,446 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $25,255 | -70% | $13,838 |
| 092 Other Disorders of Nervous System with CC | 11 | $12,161 | -76% | $8,305 |
Showing the 60 most frequent of 62 DRGs.
Outpatient services
Against the Massachusetts average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Beth Israel Deaconess Hospital-Milton Inc charged $26,351 on average, 40% less than the Massachusetts average of $43,575, and was paid $15,289 against a state average of $17,875. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Beth Israel Deaconess Hospital-Milton Inc charged $26,740 on average, 41% less than the Massachusetts average of $45,229, and was paid $15,118 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Beth Israel Deaconess Hospital-Milton Inc charged $15,647 on average, 48% less than the Massachusetts average of $30,373, and was paid $10,078 against a state average of $12,996. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Beth Israel Deaconess Hospital-Milton Inc charged $11,215 on average, 43% less than the Massachusetts average of $19,729, and was paid $6,401 against a state average of $7,932. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $6,550 was 53% below the state average of $14,010. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $6,000 was 13% below the state average of $6,876. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $6,014 was 54% below the state average of $13,103. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $8,112 was 58% below the state average of $19,105.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.