Massachusetts / Brigham and Women's Faulkner Hospital
CMS certification 220119 · Boston, MA · 1 entry in CMS's price-transparency list
Brigham and Women's Faulkner Hospital: charges and Medicare payments
Brigham and Women's Faulkner Hospital reported 2,600 Medicare inpatient stays across 75 DRGs in 2024. Across them it charged 2.82 times what it was paid — among the higher ratios in Massachusetts, number 8 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: 248 stays at an average charge of $56,318, 38% below the national average. It also billed 4,753 outpatient services, charging 3.74 times what Medicare paid.
- 1Medicare inpatient stays 2,600
- 2Charge ÷ paid, inpatient 2.82×
- 3Rank in MA (highest ratio = 1) 8 of 52
- 4CMS price-transparency actions 1
Inpatient stays
For the 75 DRGs that can be compared with the national average, Brigham and Women's Faulkner Hospital charged more than the national average in 2 (3%). 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 | 248 | $56,318 | -38% | $19,208 |
| 291 Heart Failure and Shock with MCC | 204 | $43,870 | -22% | $13,244 |
| 177 Respiratory Infections and Inflammations with MCC | 143 | $43,675 | -38% | $16,858 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 93 | $26,658 | -34% | $8,405 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 88 | $45,547 | -51% | $19,074 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 82 | $50,731 | -33% | $15,458 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $34,502 | -42% | $13,085 |
| 690 Kidney and Urinary Tract Infections without MCC | 59 | $22,697 | -40% | $8,205 |
| 682 Renal Failure with MCC | 52 | $47,208 | -28% | $15,509 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 52 | $45,608 | -38% | $16,822 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $35,458 | -41% | $13,183 |
| 603 Cellulitis without MCC | 50 | $23,791 | -36% | $9,901 |
| 683 Renal Failure with CC | 48 | $23,185 | -43% | $8,884 |
| 689 Kidney and Urinary Tract Infections with MCC | 48 | $30,865 | -40% | $11,401 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $36,375 | -40% | $12,909 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $31,356 | -38% | $10,919 |
| 312 Syncope and Collapse | 37 | $25,614 | -44% | $8,641 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $31,482 | -36% | $10,085 |
| 178 Respiratory Infections and Inflammations with CC | 35 | $27,214 | -40% | $9,623 |
| 884 Organic Disturbances and Intellectual Disability | 35 | $34,307 | -45% | $15,588 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $51,031 | -40% | $17,424 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $23,018 | -38% | $7,738 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $28,669 | -21% | $7,775 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $27,501 | -43% | $10,602 |
| 813 Coagulation Disorders | 31 | $39,531 | -51% | $15,650 |
| 638 Diabetes with CC | 30 | $27,014 | -35% | $9,191 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 29 | $27,959 | -43% | $10,513 |
| 552 Medical Back Problems without MCC | 28 | $28,470 | -42% | $9,982 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 27 | $22,928 | -38% | $8,184 |
| 202 Bronchitis and Asthma with CC/MCC | 26 | $27,436 | -41% | $9,911 |
| 314 Other Circulatory System Diagnoses with MCC | 26 | $55,061 | -42% | $19,690 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 25 | $38,275 | -3% | $9,988 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $23,762 | -50% | $10,039 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $56,442 | -67% | $34,362 |
| 091 Other Disorders of Nervous System with MCC | 23 | $40,321 | -51% | $17,055 |
| 394 Other Digestive System Diagnoses with CC | 23 | $21,624 | -54% | $9,496 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 23 | $66,855 | -47% | $24,727 |
| 637 Diabetes with MCC | 23 | $42,207 | -37% | $13,865 |
| 389 Gastrointestinal Obstruction with CC | 22 | $21,864 | -44% | $8,057 |
| 811 Red Blood Cell Disorders with MCC | 22 | $48,855 | -28% | $14,251 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 22 | $36,156 | -54% | $18,913 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 21 | $54,145 | +1% | $12,457 |
| 393 Other Digestive System Diagnoses with MCC | 21 | $34,699 | -55% | $15,310 |
| 643 Endocrine Disorders with MCC | 21 | $37,309 | -50% | $15,238 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $66,821 | +18% | $16,429 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $43,913 | -33% | $13,861 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $40,132 | -28% | $10,380 |
| 386 Inflammatory Bowel Disease with CC | 18 | $39,679 | -18% | $9,938 |
| 542 Pathological Fractures and Musculoskeletal and Connective... | 18 | $38,297 | -52% | $17,429 |
| 602 Cellulitis with MCC | 18 | $36,146 | -40% | $14,060 |
| 644 Endocrine Disorders with CC | 18 | $26,994 | -44% | $11,342 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $24,830 | -35% | $9,023 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $47,394 | -16% | $12,146 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $22,639 | -47% | $8,756 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $80,160 | -65% | $41,231 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $89,825 | -10% | $17,776 |
| 092 Other Disorders of Nervous System with CC | 16 | $29,523 | -43% | $10,064 |
| 252 Other Vascular Procedures with MCC | 16 | $81,942 | -52% | $33,047 |
| 299 Peripheral Vascular Disorders with MCC | 16 | $38,488 | -49% | $14,954 |
| 056 Degenerative Nervous System Disorders with MCC | 15 | $57,867 | -40% | $22,737 |
Showing the 60 most frequent of 75 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Brigham and Women's Faulkner Hospital charged $56,318 on average, 25% more than the Massachusetts average of $45,229, and was paid $19,208 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Brigham and Women's Faulkner Hospital charged $43,870 on average, 44% more than the Massachusetts average of $30,373, and was paid $13,244 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Brigham and Women's Faulkner Hospital charged $43,675 on average, 18% more than the Massachusetts average of $37,072, and was paid $16,858 against a state average of $15,861. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Brigham and Women's Faulkner Hospital charged $26,658 on average, 35% more than the Massachusetts average of $19,729, and was paid $8,405 against a state average of $7,932. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,260 was 5% below the state average of $14,010. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $34,573 was 3% below the state average of $35,549. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $15,656 was 37% below the state average of $24,918. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $3,566 was 46% below the state average of $6,596.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Brigham and Women's Faulkner Hospital in Boston, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-10 (CMS case 3698)
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.