How many shoppable procedure prices are published for Brigham and Women Faulkner Hospital?

Brigham and Women Faulkner Hospital in Jamaica Plain, MA currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Brigham and Women Faulkner Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Brigham and Women Faulkner Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Brigham and Women Faulkner Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Brigham and Women Faulkner Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 147 Beds · rural Updated: 2026-03-27

Brigham and Women Faulkner Hospital

1153 Centre Street, Jamaica Plain, MA 02130 · 90 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.44×vs. Fair Market Price

Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 13% of the Time

File Completeness60

Price Logic98

Peer Alignment60

Clean Billing63

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.44× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Brigham and Women Faulkner Hospital prices routine shoppable procedures near 1.7× Medicare (p50 1.13×) while skewing captive emergency, lab, and upper-quartile codes to 5.8× Medicare (p75 2.37×, +110% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#35 of 53 in MA · 64th State Percentile#2,537 of 3,385 in U.S. · 74th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 13% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 72% patient recommendation (67/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (39.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.44× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (1.8×) services average 3.41× higher multiples than routine shoppable care (1.7×)
Upper-quartile procedures (Q75 2.37×) jump +110% above the median procedure ratio (Q50 1.13×)
Unnegotiated chargemaster list prices average 7.8× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER3.41× Divergence

5.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+110% Upper Tail

Q25 0.94× · Q50 1.13× · Q75 2.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

13% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 67/100Fair

Procedure Prices at Brigham and Women Faulkner Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$39,899	$29,481	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	—	$19,087	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$35,342	$18,643	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,024	$7,367	$8,223	0.9×
Breast lump removal CPT Code: `19120`	$4,979	$3,682	$3,875	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,765	$1,372	$1,256	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,467	$1,208	$1,021	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,686	$1,113	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,722	$1,072	$981	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,843	$651	$583	1.1×
Blood transfusion CPT Code: `36430`	$701	$532	$498	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$295	$485	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$393	$485	$181	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,754	$416	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,116	$424	$511	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$509	$399	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$431	$338	$123	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,550	$287	$272	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$473	$312	$185	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,098	$281	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,792	$281	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$3,160	$281	$343	0.8×
X-ray, hand CPT Code: `73130`	$311	$241	$93	2.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$215	$237	$201	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$3,037	$256	$369	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$519	$242	$86	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$200	$254	$35	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,393	$211	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,784	$207	$258	0.8×
X-ray, ankle CPT Code: `73610`	$314	$174	$93	1.9×
X-ray, foot CPT Code: `73630`	$310	$172	$92	1.9×
Group therapy session CPT Code: `90853`	$100	$119	$100	1.2×
X-ray, pelvis CPT Code: `72170`	$218	$126	$110	1.1×
X-ray, chest (single view) CPT Code: `71045`	$216	$105	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$288	$105	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$294	$105	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$371	$105	$93	1.1×
X-ray, hip CPT Code: `73502`	$291	$105	$93	1.1×
X-ray, lower back CPT Code: `72110`	$544	$126	$112	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$500	$124	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$573	$126	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$528	$126	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$620	$126	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,106	$126	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,370	$124	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,465	$125	$167	0.7×
Physical therapy (gait training) CPT Code: `97116`	$113	$83	$33	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$168	$85	$64	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$101	$99	$86	1.2×
CT scan, sinuses CPT Code: `70486`	$1,522	$124	$166	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,460	$124	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,460	$124	$169	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$130	$102	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$136	$106	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$107	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$140	$104	$38	unverified
Blood test, vitamin D CPT Code: `82306`	$262	$207	$31	unverified
Blood test, vitamin B12 CPT Code: `82607`	$130	$103	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$148	$128	$18	unverified
Blood antibody screen CPT Code: `86850`	$112	$87	$46	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$58	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$90	$70	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$64	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$95	$89	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$117	$93	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$84	$66	$10	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$90	$19	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$114	$90	$20	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$119	$61	$34	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$25	$60	$49	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$25	$54	$48	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$25	$55	$49	1.1×
Hepatitis C antibody test CPT Code: `86803`	$78	$62	$15	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$24	$3	unverified
Blood test, amylase CPT Code: `82150`	$44	$35	$7	unverified
Blood test, calcium CPT Code: `82310`	$45	$36	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$55	$8	unverified
Culture, bacterial CPT Code: `87070`	$75	$59	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$26	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$28	$4	unverified
Blood test, lipase CPT Code: `83690`	$61	$48	$7	unverified
Blood test, magnesium CPT Code: `83735`	$47	$44	$7	unverified
Culture, blood CPT Code: `87040`	$78	$62	$11	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$16	$25	0.6×
Blood test, potassium CPT Code: `84132`	$33	$30	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$20	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$20	$16	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$21	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$36	$6	unverified

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 39.5%

Audit a Bill or Quote at Brigham and Women Faulkner Hospital (Zero PHI Required)

CMS CCN: 220119

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $39,899

Insurer Median $29,481

1. Amount on Your Bill or Quote ($) Pre-filled with Brigham and Women Faulkner Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $21,024 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,024

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (39.5% of gross = $21,024).

Step 2 · Cash vs. Insurance Arbitrage Save $13,300 Paying Cash

Self-Pay Cash Rate ($39,899) Beats Your Bill

Brigham and Women Faulkner Hospital's published 45 CFR § 180 self-pay cash rate is $39,899 (vs. $29,481 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$22,424 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($53,199) is $22,424 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 042768256

Filing Period: 201011

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (39.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait255 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (536 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Brigham and Women Faulkner Hospital.

Price Index: 1.18× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Harvard Pilgrim

-54.8%

Median Household Income$92,859U.S. Census ACS

Local Uninsured Share3.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 77/100 · Corroborated CMS CCN 220119 EIN 042768256

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (042768256_Brigham-and-Womens-Faulkner-Hospital_StandardCharges.zip!042768256_Brigham-and-Womens-Faulkner-Hospital_StandardCharges.csv) Verify on CMS Medicare.gov (CCN 220119) ↗ Verify IRS Form 990 (EIN 042768256) ↗ CMS HCRIS Cost Reports ↗

Published MRF File042768256_Brigham-and-Womens-Faulkner-Hospital_StandardCharges.zip!042768256_Brigham-and-Womens-Faulkner-Hospital_StandardCharges.csv

Publication / Vintage2026-03-27 · 0.95 MB

Validated Rate Rows756 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220119

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy