Brown University Health Saint Anne's Hospital: charges and Medicare payments

Brown University Health Saint Anne's Hospital reported 1,825 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 2.25 times what it was paid — among the higher ratios in Massachusetts, number 17 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: 184 stays at an average charge of $46,028, 51% below the national average. It also billed 3,166 outpatient services, charging 4 times what Medicare paid.

1Medicare inpatient stays 1,825
2Charge ÷ paid, inpatient 2.25×
3Rank in MA (highest ratio = 1) 17 of 52
4CMS price-transparency actions 0

Average charge per stay at Brown University Health Saint Anne's Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 60 DRGs that can be compared with the national average, Brown University Health Saint Anne's Hospital 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...	184	$46,028	-51%	$16,163
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	116	$34,425	-62%	$15,988
177 Respiratory Infections and Inflammations with MCC	114	$27,508	-61%	$13,739
193 Simple Pneumonia and Pleurisy with MCC	91	$24,846	-58%	$11,127
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	80	$15,523	-61%	$6,748
291 Heart Failure and Shock with MCC	71	$20,983	-63%	$10,710
603 Cellulitis without MCC	55	$17,202	-54%	$7,602
190 Chronic Obstructive Pulmonary Disease with MCC	54	$22,922	-55%	$9,425
280 Acute Myocardial Infarction, Discharged Alive with MCC	53	$25,455	-66%	$13,358
689 Kidney and Urinary Tract Infections with MCC	46	$19,188	-63%	$9,822
312 Syncope and Collapse	43	$15,524	-66%	$7,231
884 Organic Disturbances and Intellectual Disability	38	$17,173	-72%	$12,784
552 Medical Back Problems without MCC	35	$15,401	-68%	$8,150
378 Gastrointestinal Hemorrhage with CC	34	$21,124	-56%	$8,597
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$12,467	-66%	$6,508
638 Diabetes with CC	33	$19,502	-53%	$8,195
690 Kidney and Urinary Tract Infections without MCC	32	$14,593	-61%	$6,921
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$12,310	-66%	$6,362
683 Renal Failure with CC	26	$13,157	-68%	$7,619
377 Gastrointestinal Hemorrhage with MCC	25	$28,738	-66%	$14,416
149 Dysequilibrium	23	$13,370	-70%	$6,385
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	23	$129,743	-36%	$37,562
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$17,531	-71%	$10,963
178 Respiratory Infections and Inflammations with CC	22	$22,956	-49%	$8,460
194 Simple Pneumonia and Pleurisy with CC	22	$14,016	-63%	$7,451
637 Diabetes with MCC	22	$23,569	-65%	$11,700
682 Renal Failure with MCC	22	$18,653	-72%	$12,251
948 Signs and Symptoms without MCC	22	$16,076	-58%	$6,836
483 Major Joint or Limb Reattachment Procedures of Upper...	21	$52,459	-58%	$21,610
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$17,475	-69%	$9,946
853 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$97,028	-58%	$41,595
189 Pulmonary Edema and Respiratory Failure	17	$18,234	-68%	$11,603
287 Circulatory Disorders except AMI, with Cardiac...	17	$25,990	-59%	$9,304
313 Chest Pain	17	$15,704	-61%	$6,184
602 Cellulitis with MCC	17	$24,147	-60%	$12,642
917 Poisoning and Toxic Effects of Drugs with MCC	17	$29,764	-60%	$13,515
191 Chronic Obstructive Pulmonary Disease with CC	16	$18,309	-54%	$7,228
394 Other Digestive System Diagnoses with CC	16	$16,982	-64%	$7,710
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	16	$13,586	-63%	$7,302
305 Hypertension without MCC	15	$12,215	-70%	$6,384
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$13,792	-52%	$4,832
698 Other Kidney and Urinary Tract Diagnoses with MCC	15	$22,329	-70%	$13,131
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	14	$16,724	-70%	$8,536
202 Bronchitis and Asthma with CC/MCC	14	$20,494	-56%	$8,454
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$25,495	-58%	$10,704
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$14,693	-66%	$7,564
057 Degenerative Nervous System Disorders without MCC	13	$16,491	-71%	$11,306
388 Gastrointestinal Obstruction with MCC	13	$22,114	-68%	$14,644
433 Cirrhosis and Alcoholic Hepatitis with CC	13	$18,833	-64%	$8,742
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	13	$23,590	-58%	$8,896
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$15,542	-67%	$8,762
100 Seizures with MCC	11	$26,891	-72%	$15,930
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$19,903	-69%	$11,973
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$44,102	-68%	$22,897
372 Major Gastrointestinal Disorders and Peritoneal Infections...	11	$22,106	-53%	$8,843
389 Gastrointestinal Obstruction with CC	11	$16,075	-59%	$6,798
432 Cirrhosis and Alcoholic Hepatitis with MCC	11	$21,516	-78%	$16,361
454 Combined Anterior and Posterior Spinal Fusion with CC	11	$145,189	-48%	$52,847
713 Transurethral Prostatectomy with CC/MCC	11	$19,494	-75%	$12,237
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	11	$23,737	-52%	$8,707

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	526	$7,665	$2,473
Level 2 Urology and Related Services	285	$1,800	$734
Level 3 Urology and Related Services	273	$8,096	$2,149
Level 4 Urology and Related Services	235	$9,995	$3,744
Level 2 Excision/ Biopsy/ Incision and Drainage	224	$6,584	$1,717
Level 1 Nerve Procedures	155	$6,877	$2,047
Level 3 Musculoskeletal Procedures	152	$9,696	$3,440
Level 2 Musculoskeletal Procedures	150	$6,599	$1,709
Level 4 Musculoskeletal Procedures	143	$22,916	$7,512
Level 5 Urology and Related Services	124	$16,551	$5,548
Level 2 Upper GI Procedures	118	$5,680	$2,043
Level 1 Endovascular Procedures	89	$11,418	$3,505
Comprehensive Observation Services	79	$11,087	$2,910
Level 1 Laparoscopy and Related Services	76	$20,599	$6,132
Level 3 Lower GI Procedures	71	$6,011	$2,857
Level 5 Musculoskeletal Procedures	62	$42,324	$13,810
Level 3 Intraocular Procedures	55	$16,773	$5,613
Level 3 Excision/ Biopsy/ Incision and Drainage	48	$8,179	$2,924
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	44	$13,174	$3,716
Level 4 Gynecologic Procedures	35	$10,850	$3,358
Level 1 Breast/Lymphatic Surgery and Related Procedures	27	$10,656	$4,094
Level 3 Vascular Procedures	26	$12,895	$3,423
Level 3 Pacemaker and Similar Procedures	23	$54,717	$11,454
Level 3 Endovascular Procedures	20	$54,016	$11,799
Level 2 Pacemaker and Similar Procedures	20	$38,978	$9,120

Against the Massachusetts average

For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Brown University Health Saint Anne's Hospital charged $46,028 on average, 6% more than the Massachusetts average of $43,575, and was paid $16,163 against a state average of $17,875. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Brown University Health Saint Anne's Hospital charged $34,425 on average, 24% less than the Massachusetts average of $45,229, and was paid $15,988 against a state average of $19,536. For Respiratory Infections and Inflammations with MCC (DRG 177), Brown University Health Saint Anne's Hospital charged $27,508 on average, 26% less than the Massachusetts average of $37,072, and was paid $13,739 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Brown University Health Saint Anne's Hospital charged $24,846 on average, 12% less than the Massachusetts average of $28,077, and was paid $11,127 against a state average of $12,627. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,665 was 7% above the state average of $7,172. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,800 was 31% below the state average of $2,606. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,096 was 5% above the state average of $7,692. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $9,995 was 24% below the state average of $13,103.

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.