Massachusetts / New England Baptist Hospital
CMS certification 220088 · Boston, MA · 2 entries in CMS's price-transparency list
New England Baptist Hospital: charges and Medicare payments
New England Baptist Hospital reported 1,638 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 2.25 times what it was paid — mid-range in Massachusetts, number 18 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: 882 stays at an average charge of $36,463, 61% below the national average. It also billed 2,307 outpatient services, charging 2.4 times what Medicare paid.
- 1Medicare inpatient stays 1,638
- 2Charge ÷ paid, inpatient 2.25×
- 3Rank in MA (highest ratio = 1) 18 of 52
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, New England Baptist 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... | 882 | $36,463 | -61% | $16,418 |
| 460 Spinal Fusion except Cervical without MCC | 121 | $79,644 | -53% | $33,607 |
| 467 Revision of Hip or Knee Replacement with CC | 117 | $63,651 | -60% | $28,597 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 91 | $57,764 | -54% | $22,411 |
| 457 Spinal Fusion except Cervical with Spinal Curvature,... | 66 | $145,183 | -50% | $59,486 |
| 469 Major Hip and Knee Joint Replacement or Reattachment of... | 66 | $57,372 | -62% | $26,271 |
| 472 Cervical Spinal Fusion with CC | 49 | $61,687 | -57% | $25,894 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 41 | $85,304 | -70% | $52,175 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 35 | $44,999 | -57% | $16,638 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 34 | $52,252 | -58% | $22,668 |
| 456 Spinal Fusion except Cervical with Spinal Curvature,... | 31 | $192,792 | -55% | $87,401 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 26 | $79,768 | -61% | $40,619 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 18 | $38,822 | -62% | $16,982 |
| 448 Multiple Level Spinal Fusion except Cervical without MCC | 16 | $107,324 | -46% | $45,631 |
| 488 Knee Procedures without Principal Diagnosis of Infection... | 12 | $38,515 | -60% | $16,204 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 11 | $77,112 | -59% | $36,578 |
| 459 Spinal Fusion except Cervical with MCC | 11 | $126,567 | -56% | $58,104 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 11 | $32,326 | -59% | $12,923 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 1,432 | $28,062 | $14,017 |
| Level 6 Musculoskeletal Procedures | 302 | $43,498 | $19,906 |
| Level 4 Musculoskeletal Procedures | 206 | $20,018 | $7,543 |
| Level 1 Nerve Procedures | 184 | $8,096 | $2,058 |
| Level 3 Musculoskeletal Procedures | 84 | $10,830 | $2,905 |
| Level 2 Musculoskeletal Procedures | 74 | $4,921 | $1,635 |
| Level 3 Lower GI Procedures | 14 | $5,233 | $2,886 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $9,691 | $3,052 |
Against the Massachusetts average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), New England Baptist Hospital charged $36,463 on average, 16% less than the Massachusetts average of $43,575, and was paid $16,418 against a state average of $17,875. For Spinal Fusion except Cervical without MCC (DRG 460), New England Baptist Hospital charged $79,644 on average, 15% less than the Massachusetts average of $93,491, and was paid $33,607 against a state average of $38,411. For Revision of Hip or Knee Replacement with CC (DRG 467), New England Baptist Hospital charged $63,651 on average, 28% less than the Massachusetts average of $88,108, and was paid $28,597 against a state average of $32,763. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), New England Baptist Hospital charged $57,764 on average, 13% less than the Massachusetts average of $66,348, and was paid $22,411 against a state average of $24,844. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $28,062 was 21% below the state average of $35,549. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $43,498 was 18% below the state average of $52,806. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $20,018 was 20% below the state average of $25,145. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,096 was 2% below the state average of $8,267.
Price-transparency record
CMS's enforcement list records these actions for a hospital named New England Baptist 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 — 2021-09-02 (CMS case 518)
- Met Requirements — 2025-09-09 (CMS case 6525)
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.