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.
- 1Medicare inpatient stays 1,982
- 2Charge ÷ paid, inpatient 1.96×
- 3Rank in MA (highest ratio = 1) 31 of 52
- 4CMS price-transparency actions 0
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.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 160 | $71,542 | -21% | $36,169 |
| 291 Heart Failure and Shock with MCC | 152 | $38,089 | -32% | $23,713 |
| 885 Psychoses | 66 | $78,853 | +79% | $31,411 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 56 | $88,710 | -11% | $37,001 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $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 MCC | 39 | $55,788 | -24% | $30,177 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $30,800 | -39% | $20,886 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $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 MCC | 32 | $36,715 | -39% | $25,272 |
| 057 Degenerative Nervous System Disorders without MCC | 31 | $71,503 | +26% | $31,151 |
| 101 Seizures without MCC | 31 | $34,921 | -28% | $17,061 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $47,956 | -37% | $28,000 |
| 683 Renal Failure with CC | 31 | $22,364 | -45% | $16,849 |
| 682 Renal Failure with MCC | 30 | $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 CC | 29 | $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 MCC | 28 | $27,285 | -44% | $19,488 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 28 | $35,419 | -4% | $17,946 |
| 100 Seizures with MCC | 27 | $54,927 | -42% | $32,846 |
| 252 Other Vascular Procedures with MCC | 27 | $71,972 | -58% | $49,901 |
| 314 Other Circulatory System Diagnoses with MCC | 26 | $50,416 | -47% | $33,559 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $293,738 | -9% | $146,245 |
| 552 Medical Back Problems without MCC | 23 | $37,620 | -23% | $18,101 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 22 | $57,244 | -48% | $35,515 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $31,971 | -11% | $15,797 |
| 603 Cellulitis without MCC | 22 | $20,736 | -44% | $16,968 |
| 812 Red Blood Cell Disorders without MCC | 22 | $49,440 | +11% | $22,036 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 22 | $86,978 | +16% | $42,241 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $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 CC | 20 | $32,522 | -28% | $18,536 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 20 | $21,078 | -47% | $16,706 |
| 312 Syncope and Collapse | 20 | $38,543 | -15% | $17,712 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $59,672 | -48% | $28,941 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $39,163 | -24% | $21,384 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $19,725 | -48% | $15,871 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 18 | $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 MCC | 16 | $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 MCC | 16 | $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 Pulmonale | 15 | $65,680 | +1% | $26,978 |
| 389 Gastrointestinal Obstruction with CC | 15 | $22,996 | -41% | $16,683 |
| 472 Cervical Spinal Fusion with CC | 15 | $71,352 | -50% | $43,970 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 15 | $131,488 | -24% | $61,048 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $30,236 | -36% | $20,546 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $73,753 | -14% | $34,390 |
| 638 Diabetes with CC | 14 | $31,000 | -26% | $18,380 |
| 884 Organic Disturbances and Intellectual Disability | 14 | $64,003 | +3% | $35,387 |
| 180 Respiratory Neoplasms with MCC | 13 | $91,187 | +4% | $37,598 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $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.