Massachusetts / Beth Israel Deaconess Medical Center
CMS certification 220086 · Boston, MA · 7 entries in CMS's price-transparency list
Beth Israel Deaconess Medical Center: charges and Medicare payments
Beth Israel Deaconess Medical Center reported 9,345 Medicare inpatient stays across 242 DRGs in 2024. Across them it charged 1.9 times what it was paid — among the lower ratios in Massachusetts, number 36 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 481 stays at an average charge of $60,344, 33% below the national average. It also billed 9,471 outpatient services, charging 4.48 times what Medicare paid.
- 1Medicare inpatient stays 9,345
- 2Charge ÷ paid, inpatient 1.9×
- 3Rank in MA (highest ratio = 1) 36 of 52
- 4CMS price-transparency actions 7
Inpatient stays
For the 242 DRGs that can be compared with the national average, Beth Israel Deaconess Medical Center charged more than the national average in 2 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 481 | $60,344 | -33% | $29,116 |
| 291 Heart Failure and Shock with MCC | 396 | $40,476 | -28% | $19,693 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 245 | $126,615 | -43% | $58,364 |
| 177 Respiratory Infections and Inflammations with MCC | 175 | $40,275 | -43% | $22,902 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 127 | $44,355 | -42% | $23,071 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 125 | $68,415 | -31% | $33,221 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 122 | $163,644 | -29% | $87,441 |
| 683 Renal Failure with CC | 120 | $24,432 | -40% | $12,714 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 113 | $21,894 | -45% | $11,111 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 106 | $39,063 | -47% | $22,643 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 101 | $79,342 | -29% | $38,201 |
| 378 Gastrointestinal Hemorrhage with CC | 101 | $25,469 | -48% | $13,387 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 99 | $108,876 | -31% | $41,355 |
| 481 Hip and Femur Procedures except Major Joint with CC | 92 | $46,062 | -54% | $26,325 |
| 330 Major Small and Large Bowel Procedures with CC | 89 | $45,408 | -62% | $30,854 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 87 | $101,993 | -56% | $62,642 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 87 | $31,722 | -43% | $14,292 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 81 | $39,399 | -58% | $23,807 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 80 | $35,602 | -42% | $18,890 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 76 | $35,590 | -41% | $18,474 |
| 253 Other Vascular Procedures with CC | 75 | $79,100 | -40% | $35,009 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 75 | $27,168 | -43% | $14,690 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 75 | $30,276 | -38% | $15,181 |
| 057 Degenerative Nervous System Disorders without MCC | 69 | $29,134 | -49% | $17,506 |
| 300 Peripheral Vascular Disorders with CC | 67 | $24,258 | -51% | $14,020 |
| 682 Renal Failure with MCC | 66 | $42,759 | -35% | $23,137 |
| 377 Gastrointestinal Hemorrhage with MCC | 65 | $58,501 | -31% | $27,324 |
| 314 Other Circulatory System Diagnoses with MCC | 64 | $50,543 | -47% | $30,982 |
| 690 Kidney and Urinary Tract Infections without MCC | 64 | $23,103 | -39% | $11,781 |
| 189 Pulmonary Edema and Respiratory Failure | 63 | $38,624 | -33% | $17,766 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 63 | $83,196 | -49% | $40,142 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 63 | $51,699 | -55% | $25,110 |
| 193 Simple Pneumonia and Pleurisy with MCC | 62 | $32,849 | -45% | $19,375 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 60 | $80,717 | -62% | $49,984 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 60 | $27,471 | -46% | $12,381 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 60 | $28,762 | -55% | $14,185 |
| 312 Syncope and Collapse | 60 | $20,660 | -55% | $11,712 |
| 164 Major Chest Procedures with CC | 59 | $45,028 | -65% | $32,018 |
| 394 Other Digestive System Diagnoses with CC | 59 | $25,585 | -46% | $13,361 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $32,289 | -37% | $17,391 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 58 | $50,940 | -46% | $26,192 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 56 | $182,078 | -36% | $91,617 |
| 329 Major Small and Large Bowel Procedures with MCC | 54 | $95,672 | -55% | $60,661 |
| 552 Medical Back Problems without MCC | 53 | $24,642 | -50% | $13,094 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $20,120 | -46% | $10,673 |
| 919 Complications of Treatment with MCC | 53 | $46,622 | -47% | $25,568 |
| 603 Cellulitis without MCC | 52 | $18,596 | -50% | $13,301 |
| 885 Psychoses | 52 | $36,120 | -18% | $23,825 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 51 | $53,441 | -52% | $27,691 |
| 252 Other Vascular Procedures with MCC | 51 | $99,095 | -42% | $51,551 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 51 | $75,446 | -46% | $40,957 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 51 | $32,293 | -52% | $18,320 |
| 163 Major Chest Procedures with MCC | 50 | $96,891 | -54% | $59,910 |
| 393 Other Digestive System Diagnoses with MCC | 50 | $41,314 | -46% | $22,463 |
| 813 Coagulation Disorders | 50 | $48,181 | -40% | $25,716 |
| 092 Other Disorders of Nervous System with CC | 49 | $36,602 | -29% | $14,150 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 49 | $156,530 | -28% | $79,967 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 48 | $54,155 | -37% | $28,279 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 47 | $108,817 | -63% | $69,510 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 47 | $109,824 | -32% | $54,681 |
Showing the 60 most frequent of 242 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Beth Israel Deaconess Medical Center charged $60,344 on average, 33% more than the Massachusetts average of $45,229, and was paid $29,116 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Beth Israel Deaconess Medical Center charged $40,476 on average, 33% more than the Massachusetts average of $30,373, and was paid $19,693 against a state average of $12,996. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Beth Israel Deaconess Medical Center charged $126,615 on average, 9% less than the Massachusetts average of $139,600, and was paid $58,364 against a state average of $53,890. For Respiratory Infections and Inflammations with MCC (DRG 177), Beth Israel Deaconess Medical Center charged $40,275 on average, 9% more than the Massachusetts average of $37,072, and was paid $22,902 against a state average of $15,861. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,149 was 21% above the state average of $2,606. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,318 was 12% below the state average of $8,334. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,061 was 7% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,718 was 17% above the state average of $6,596.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Beth Israel Deaconess Medical Center in Boston, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 517)
- Closure Notice — 2022-06-29 (CMS case 517)
- Warning Notice — 2024-11-20 (CMS case 2945)
- CAP Request — 2025-02-26 (CMS case 2945)
- Closure Notice — 2025-03-20 (CMS case 2945)
- Warning Notice — 2026-05-20 (CMS case 7430)
- Closure Notice — 2026-07-15 (CMS case 7430)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.