Massachusetts / Boston Medical Center Corporation-

CMS certification 220031 · Boston, MA

Boston Medical Center Corporation-: charges and Medicare payments

Boston Medical Center Corporation- reported 1,982 Medicare inpatient stays across 78 DRGs in 2024. Across them it charged 1.96 times what it was paid — mid-range in Massachusetts, number 31 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: 160 stays at an average charge of $71,542, 21% below the national average. It also billed 3,473 outpatient services, charging 4.11 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,982
  2. 2Charge ÷ paid, inpatient 1.96×
  3. 3Rank in MA (highest ratio = 1) 31 of 52
  4. 4CMS price-transparency actions 0
DRG 871$71,542DRG 291$38,089DRG 885$78,853DRG 064$88,710DRG 177$47,665DRG 853$180,648DRG 286$83,863DRG 640$30,881DRG 698$55,788DRG 190$30,800
Average charge per stay at Boston Medical Center Corporation-, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 78 DRGs that can be compared with the national average, Boston Medical Center Corporation- charged more than the national average in 12 (15%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC160$71,542-21%$36,169
291 Heart Failure and Shock with MCC152$38,089-32%$23,713
885 Psychoses66$78,853+79%$31,411
064 Intracranial Hemorrhage or Cerebral Infarction with MCC56$88,710-11%$37,001
177 Respiratory Infections and Inflammations with MCC48$47,665-32%$29,633
853 Infectious and Parasitic Diseases with O.R. Procedures with...46$180,648-21%$86,003
286 Circulatory Disorders except AMI, with Cardiac...40$83,863-25%$39,075
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...39$30,881-49%$23,462
698 Other Kidney and Urinary Tract Diagnoses with MCC39$55,788-24%$30,177
190 Chronic Obstructive Pulmonary Disease with MCC37$30,800-39%$20,886
378 Gastrointestinal Hemorrhage with CC35$27,912-43%$18,392
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...34$44,833-20%$18,066
193 Simple Pneumonia and Pleurisy with MCC32$36,715-39%$25,272
057 Degenerative Nervous System Disorders without MCC31$71,503+26%$31,151
101 Seizures without MCC31$34,921-28%$17,061
280 Acute Myocardial Infarction, Discharged Alive with MCC31$47,956-37%$28,000
683 Renal Failure with CC31$22,364-45%$16,849
682 Renal Failure with MCC30$49,872-24%$27,317
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$23,765-41%$16,288
481 Hip and Femur Procedures except Major Joint with CC29$68,648-32%$32,924
023 Craniotomy with Major Device Implant or Acute Complex Cns...28$180,338-36%$89,881
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC28$27,285-44%$19,488
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...28$35,419-4%$17,946
100 Seizures with MCC27$54,927-42%$32,846
252 Other Vascular Procedures with MCC27$71,972-58%$49,901
314 Other Circulatory System Diagnoses with MCC26$50,416-47%$33,559
870 Septicemia or Severe Sepsis with MV >96 Hours25$293,738-9%$146,245
552 Medical Back Problems without MCC23$37,620-23%$18,101
243 Permanent Cardiac Pacemaker Implant with CC22$57,244-48%$35,515
309 Cardiac Arrhythmia and Conduction Disorders with CC22$31,971-11%$15,797
603 Cellulitis without MCC22$20,736-44%$16,968
812 Red Blood Cell Disorders without MCC22$49,440+11%$22,036
917 Poisoning and Toxic Effects of Drugs with MCC22$86,978+16%$42,241
189 Pulmonary Edema and Respiratory Failure21$38,957-32%$22,676
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$23,434-37%$15,436
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...21$168,350-22%$80,778
178 Respiratory Infections and Inflammations with CC20$32,522-28%$18,536
191 Chronic Obstructive Pulmonary Disease with CC20$21,078-47%$16,706
312 Syncope and Collapse20$38,543-15%$17,712
322 Percutaneous Cardiovascular Procedures with Intraluminal...19$59,672-48%$28,941
689 Kidney and Urinary Tract Infections with MCC19$39,163-24%$21,384
690 Kidney and Urinary Tract Infections without MCC19$19,725-48%$15,871
025 Craniotomy and Endovascular Intracranial Procedures with MCC18$271,797+17%$107,482
493 Lower Extremity and Humerus Procedures except Hip, Foot and...17$74,681-37%$38,737
082 Traumatic Stupor and Coma >1 Hour with MCC16$141,056+22%$59,839
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$28,784-53%$22,828
470 Major Hip and Knee Joint Replacement or Reattachment of...16$51,677-45%$29,796
543 Pathological Fractures and Musculoskeletal and Connective...16$33,724-31%$19,776
637 Diabetes with MCC16$69,903+5%$30,714
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...16$41,044-47%$27,716
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale15$65,680+1%$26,978
389 Gastrointestinal Obstruction with CC15$22,996-41%$16,683
472 Cervical Spinal Fusion with CC15$71,352-50%$43,970
673 Other Kidney and Urinary Tract Procedures with MCC15$131,488-24%$61,048
699 Other Kidney and Urinary Tract Diagnoses with CC15$30,236-36%$20,546
377 Gastrointestinal Hemorrhage with MCC14$73,753-14%$34,390
638 Diabetes with CC14$31,000-26%$18,380
884 Organic Disturbances and Intellectual Disability14$64,003+3%$35,387
180 Respiratory Neoplasms with MCC13$91,187+4%$37,598
194 Simple Pneumonia and Pleurisy with CC13$23,402-39%$16,846

Showing the 60 most frequent of 78 DRGs.

Outpatient services

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Boston Medical Center Corporation- charged $71,542 on average, 58% more than the Massachusetts average of $45,229, and was paid $36,169 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Boston Medical Center Corporation- charged $38,089 on average, 25% more than the Massachusetts average of $30,373, and was paid $23,713 against a state average of $12,996. For Psychoses (DRG 885), Boston Medical Center Corporation- charged $78,853 on average, 81% more than the Massachusetts average of $43,581, and was paid $31,411 against a state average of $15,957. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Boston Medical Center Corporation- charged $88,710 on average, 62% more than the Massachusetts average of $54,716, and was paid $37,001 against a state average of $21,503. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,523 was 4% above the state average of $14,010. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,367 was 9% below the state average of $2,606. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,281 was 10% above the state average of $6,596. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,519 was 19% above the state average of $7,172.

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.