Lahey Hospital & Medical Center, Burlington: charges and Medicare payments

Lahey Hospital & Medical Center, Burlington reported 7,899 Medicare inpatient stays across 186 DRGs in 2024. Across them it charged 1.92 times what it was paid — among the lower ratios in Massachusetts, number 35 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: 819 stays at an average charge of $38,279, 58% below the national average. It also billed 11,317 outpatient services, charging 3.39 times what Medicare paid.

1Medicare inpatient stays 7,899
2Charge ÷ paid, inpatient 1.92×
3Rank in MA (highest ratio = 1) 35 of 52
4CMS price-transparency actions 0

Average charge per stay at Lahey Hospital & Medical Center, Burlington, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 186 DRGs that can be compared with the national average, Lahey Hospital & Medical Center, Burlington 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
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	819	$38,279	-58%	$22,024
291 Heart Failure and Shock with MCC	381	$25,717	-54%	$14,513
177 Respiratory Infections and Inflammations with MCC	203	$30,607	-57%	$17,830
280 Acute Myocardial Infarction, Discharged Alive with MCC	133	$35,402	-53%	$17,762
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	132	$42,382	-58%	$21,206
853 Infectious and Parasitic Diseases with O.R. Procedures with...	127	$105,827	-54%	$55,108
189 Pulmonary Edema and Respiratory Failure	126	$22,943	-60%	$13,591
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	123	$20,656	-58%	$11,313
698 Other Kidney and Urinary Tract Diagnoses with MCC	122	$30,761	-58%	$18,186
683 Renal Failure with CC	118	$19,294	-53%	$10,333
309 Cardiac Arrhythmia and Conduction Disorders with CC	117	$16,137	-55%	$8,433
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	103	$16,082	-60%	$8,860
267 Endovascular Cardiac Valve Replacement and Supplement...	102	$96,104	-57%	$48,818
274 Percutaneous and Other Intracardiac Procedures without MCC	100	$69,518	-56%	$32,389
378 Gastrointestinal Hemorrhage with CC	97	$23,673	-51%	$10,695
329 Major Small and Large Bowel Procedures with MCC	91	$68,924	-68%	$47,509
682 Renal Failure with MCC	91	$33,725	-49%	$17,716
193 Simple Pneumonia and Pleurisy with MCC	90	$23,879	-60%	$14,725
330 Major Small and Large Bowel Procedures with CC	82	$40,915	-66%	$26,503
470 Major Hip and Knee Joint Replacement or Reattachment of...	79	$32,856	-65%	$21,308
266 Endovascular Cardiac Valve Replacement and Supplement...	78	$116,434	-59%	$63,431
322 Percutaneous Cardiovascular Procedures with Intraluminal...	77	$68,136	-41%	$20,558
481 Hip and Femur Procedures except Major Joint with CC	76	$42,320	-58%	$21,240
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	75	$24,408	-56%	$10,758
552 Medical Back Problems without MCC	65	$23,019	-53%	$10,510
394 Other Digestive System Diagnoses with CC	64	$17,587	-63%	$10,282
689 Kidney and Urinary Tract Infections with MCC	64	$21,725	-58%	$13,182
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	63	$109,056	-73%	$76,411
025 Craniotomy and Endovascular Intracranial Procedures with MCC	62	$104,081	-55%	$52,062
281 Acute Myocardial Infarction, Discharged Alive with CC	60	$27,870	-45%	$10,481
286 Circulatory Disorders except AMI, with Cardiac...	60	$49,358	-56%	$25,036
314 Other Circulatory System Diagnoses with MCC	60	$42,264	-55%	$22,802
389 Gastrointestinal Obstruction with CC	60	$16,144	-59%	$9,097
377 Gastrointestinal Hemorrhage with MCC	58	$52,169	-39%	$21,498
699 Other Kidney and Urinary Tract Diagnoses with CC	58	$23,491	-51%	$11,451
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$27,697	-54%	$14,329
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	56	$17,987	-51%	$8,806
308 Cardiac Arrhythmia and Conduction Disorders with MCC	55	$20,708	-63%	$12,920
057 Degenerative Nervous System Disorders without MCC	54	$27,699	-51%	$14,481
480 Hip and Femur Procedures except Major Joint with MCC	54	$65,174	-53%	$32,324
603 Cellulitis without MCC	54	$17,331	-54%	$10,616
178 Respiratory Infections and Inflammations with CC	51	$21,571	-52%	$11,177
690 Kidney and Urinary Tract Infections without MCC	51	$16,468	-56%	$9,233
811 Red Blood Cell Disorders with MCC	50	$32,484	-52%	$15,356
321 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$90,559	-45%	$32,773
393 Other Digestive System Diagnoses with MCC	49	$40,434	-47%	$20,054
091 Other Disorders of Nervous System with MCC	48	$46,494	-44%	$22,098
870 Septicemia or Severe Sepsis with MV >96 Hours	46	$159,254	-51%	$76,898
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	45	$33,091	-49%	$16,744
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	45	$54,636	-37%	$23,849
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	44	$12,478	-57%	$6,352
163 Major Chest Procedures with MCC	43	$81,188	-61%	$46,429
812 Red Blood Cell Disorders without MCC	43	$24,354	-45%	$10,428
092 Other Disorders of Nervous System with CC	41	$20,781	-60%	$11,361
164 Major Chest Procedures with CC	40	$43,947	-65%	$25,932
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$34,424	-44%	$17,713
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	40	$42,258	-59%	$22,033
638 Diabetes with CC	40	$18,539	-56%	$9,866
194 Simple Pneumonia and Pleurisy with CC	38	$16,831	-56%	$9,238
445 Disorders of The Biliary Tract with CC	38	$26,619	-54%	$11,915

Showing the 60 most frequent of 186 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,577	$2,898	$732
Level 1 Intraocular Procedures	1,526	$4,319	$2,499
Level 3 Urology and Related Services	907	$5,386	$2,170
Level 2 Excision/ Biopsy/ Incision and Drainage	725	$4,852	$1,731
Level 1 Nerve Procedures	518	$10,458	$2,054
Level 2 Upper GI Procedures	494	$8,223	$2,016
Level 1 Endovascular Procedures	423	$12,806	$3,479
Comprehensive Observation Services	380	$13,065	$2,884
Level 3 Electrophysiologic Procedures	359	$79,946	$25,017
Level 5 Urology and Related Services	281	$13,394	$5,502
Level 4 Urology and Related Services	269	$9,677	$3,722
Level 3 Excision/ Biopsy/ Incision and Drainage	262	$8,817	$2,998
Level 3 Vascular Procedures	243	$8,307	$3,387
Level 4 Musculoskeletal Procedures	210	$19,482	$7,683
Level 5 Musculoskeletal Procedures	199	$22,587	$13,923
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	193	$8,454	$3,716
Level 2 Musculoskeletal Procedures	171	$5,289	$1,713
Level 3 Musculoskeletal Procedures	170	$8,171	$3,427
Level 2 Intraocular Procedures	163	$8,006	$4,290
Level 4 Airway Endoscopy	150	$16,399	$3,987
Level 3 Lower GI Procedures	142	$9,337	$3,015
Level 1 Laparoscopy and Related Services	138	$12,720	$6,103
Level 3 Extraocular, Repair, and Plastic Eye Procedures	136	$4,230	$2,510
Level 3 Airway Endoscopy	116	$5,888	$1,823
Level 3 Pacemaker and Similar Procedures	105	$46,854	$11,454

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lahey Hospital & Medical Center, Burlington charged $38,279 on average, 15% less than the Massachusetts average of $45,229, and was paid $22,024 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Lahey Hospital & Medical Center, Burlington charged $25,717 on average, 15% less than the Massachusetts average of $30,373, and was paid $14,513 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Lahey Hospital & Medical Center, Burlington charged $30,607 on average, 17% less than the Massachusetts average of $37,072, and was paid $17,830 against a state average of $15,861. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lahey Hospital & Medical Center, Burlington charged $35,402 on average, 13% less than the Massachusetts average of $40,483, and was paid $17,762 against a state average of $16,045. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,898 was 11% above the state average of $2,606. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,319 was 40% below the state average of $7,172. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,386 was 30% below the state average of $7,692. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,852 was 26% below the state average of $6,596.

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.