Hospital · CCN 220036
St Elizabeth's Medical Center
736 Cambridge Street, Brighton, MA 02135 · Suffolk County
Part of Steward Health Care System · 244 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
54 admission types 48 outpatient services 2 Medicare-file findings
Billed per dollar paid, all admissions
2.05×
$78.5M billed against $38.4M paid across 1,227 Medicare discharges; the national figure is 5.03×.
0.9%
of adults in Suffolk County have medical debt in collections
3.1%
uninsured in the county · state 2.9%
$91K
median household income
3.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (14 in the inpatient or outpatient file)ⓘ
24.2%
obesity in the countyⓘ
9.3%
diagnosed diabetes (PLACES)
4.8%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
88
$45,955
$22,959
2.0× st 2.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
71
$251,969
$77,136
3.3× st 2.6×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
51
$13,435
$18,264
0.7× st 1.1×
291
Heart failure and shock with mcc
51
$22,174
$15,233
1.5× st 2.3×
235
Coronary bypass without cardiac catheterization with mcc
37
$110,219
$65,389
1.7× st 2.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
36
$297,033
$98,329
3.0× st 2.8×
100
Seizures with mcc
35
$41,039
$25,544
1.6× st 2.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
29
$13,829
$10,652
1.3× st 2.1×
280
Acute myocardial infarction, discharged alive with mcc
28
$44,063
$20,450
2.2× st 2.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
28
$35,487
$25,067
1.4× st 3.3×
236
Coronary bypass without cardiac catheterization without mcc
28
$74,671
$49,991
1.5× st 2.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
27
$47,804
$21,739
2.2× st 2.4×
177
Respiratory infections and inflammations with mcc
27
$23,190
$18,218
1.3× st 2.3×
481
Hip and femur procedures except major joint with cc
26
$41,770
$22,948
1.8× st 2.7×
025
Craniotomy and endovascular intracranial procedures with mcc
24
$68,937
$50,993
1.4× st 2.8×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
23
$159,956
$89,983
1.8× st 3.0×
274
Percutaneous and other intracardiac procedures without mcc
22
$95,459
$35,229
2.7× st 2.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$30,439
$23,221
1.3× st 2.6×
552
Medical back problems without mcc
21
$13,795
$11,735
1.2× st 2.4×
690
Kidney and urinary tract infections without mcc
20
$12,442
$9,870
1.3× st 2.4×
270
Other major cardiovascular procedures with mcc
20
$120,332
$62,432
1.9× st 3.1×
698
Other kidney and urinary tract diagnoses with mcc
20
$28,946
$18,460
1.6× st 2.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$14,654
$9,399
1.6× st 2.4×
193
Simple pneumonia and pleurisy with mcc
19
$15,194
$14,564
1.0× st 2.2×
253
Other vascular procedures with cc
19
$43,694
$28,432
1.5× st 3.2×
243
Permanent cardiac pacemaker implant with cc
19
$54,970
$25,189
2.2× st 2.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$20,450
$12,613
1.6× st 3.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$17,223
$12,565
1.4× st 2.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
18
$21,411
$15,141
1.4× st 2.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$120,782
$67,584
1.8× st 2.4×
312
Syncope and collapse
18
$13,945
$10,663
1.3× st 2.6×
689
Kidney and urinary tract infections with mcc
18
$16,047
$12,878
1.2× st 2.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
17
$15,621
$10,021
1.6× st 2.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$56,642
$22,208
2.6× st 4.0×
683
Renal failure with cc
16
$16,364
$11,279
1.5× st 2.2×
394
Other digestive system diagnoses with cc
16
$15,776
$11,546
1.4× st 2.6×
445
Disorders of the biliary tract with cc
16
$19,201
$13,308
1.4× st 3.0×
682
Renal failure with mcc
16
$18,194
$17,605
1.0× st 2.3×
056
Degenerative nervous system disorders with mcc
16
$24,397
$25,553
1.0× st 2.3×
101
Seizures without mcc
16
$13,516
$10,793
1.3× st 2.9×
252
Other vascular procedures with mcc
15
$45,238
$37,080
1.2× st 2.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$98,761
$38,597
2.6× st 3.7×
377
Gastrointestinal hemorrhage with mcc
14
$33,113
$20,171
1.6× st 2.7×
467
Revision of hip or knee replacement with cc
14
$81,234
$38,445
2.1× st 2.7×
242
Permanent cardiac pacemaker implant with mcc
14
$65,836
$36,584
1.8× st 2.7×
378
Gastrointestinal hemorrhage with cc
13
$14,710
$11,638
1.3× st 2.6×
314
Other circulatory system diagnoses with mcc
13
$27,240
$23,837
1.1× st 2.7×
057
Degenerative nervous system disorders without mcc
13
$25,883
$17,344
1.5× st 2.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$113,030
$59,612
1.9× st 2.7×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$26,688
$14,448
1.8× st 2.6×
894
Alcohol, drug abuse or dependence, left ama
11
$9,437
$7,093
1.3× st 1.1×
536
Fractures of hip and pelvis without mcc
11
$12,665
$9,461
1.3× st 2.2×
194
Simple pneumonia and pleurisy with cc
11
$11,846
$9,713
1.2× st 2.4×
454
Combined anterior and posterior spinal fusion with cc
11
$229,389
$82,180
2.8× st 2.1×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5191
Level 1 Endovascular Procedures
129
$11,285
$3,505
3.2×
5213
Level 3 Electrophysiologic Procedures
125
$75,289
$25,246
3.0×
5223
Level 3 Pacemaker and Similar Procedures
91
$45,159
$11,454
3.9×
8011
Comprehensive Observation Services
79
$10,638
$2,880
3.7×
5431
Level 1 Nerve Procedures
69
$5,451
$2,074
2.6×
5302
Level 2 Upper GI Procedures
65
$6,550
$1,978
3.3×
5193
Level 3 Endovascular Procedures
63
$45,627
$11,638
3.9×
5183
Level 3 Vascular Procedures
42
$13,383
$3,423
3.9×
5232
Level 2 ICD and Similar Procedures
41
$137,252
$35,221
3.9×
5375
Level 5 Urology and Related Services
35
$14,574
$5,557
2.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
34
$5,806
$1,741
3.3×
5115
Level 5 Musculoskeletal Procedures
30
$40,392
$13,698
2.9×
5153
Level 3 Airway Endoscopy
29
$6,259
$1,773
3.5×
5361
Level 1 Laparoscopy and Related Services
28
$22,337
$5,668
3.9×
5154
Level 4 Airway Endoscopy
26
$14,715
$3,899
3.8×
5114
Level 4 Musculoskeletal Procedures
26
$18,543
$7,683
2.4×
5222
Level 2 Pacemaker and Similar Procedures
24
$36,956
$9,120
4.1×
5373
Level 3 Urology and Related Services
24
$7,148
$2,142
3.3×
5192
Level 2 Endovascular Procedures
22
$20,127
$5,999
3.4×
5313
Level 3 Lower GI Procedures
22
$5,789
$2,898
2.0×
5155
Level 5 Airway Endoscopy
21
$14,033
$7,351
1.9×
5374
Level 4 Urology and Related Services
20
$8,857
$3,744
2.4×
5113
Level 3 Musculoskeletal Procedures
16
$7,456
$3,303
2.3×
5194
Level 4 Endovascular Procedures
15
$65,863
$17,536
3.8×
5303
Level 3 Upper GI Procedures
15
$9,847
$3,895
2.5×
5224
Level 4 Pacemaker and Similar Procedures
15
$100,254
$20,874
4.8×
5465
Level 5 Neurostimulator and Related Procedures
12
$111,075
$33,246
3.3×
5182
Level 2 Vascular Procedures
12
$3,568
$1,720
2.1×
5414
Level 4 Gynecologic Procedures
12
$11,513
$3,358
3.4×
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 056
info
inp_payment_exceeds_charge
total payment $25,553 exceeds the average charge $24,397
MS-DRG 895
info
inp_payment_exceeds_charge
total payment $18,264 exceeds the average charge $13,435
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.