Hospital · CCN 220105
Winchester Hospital
41 Highland Avenue, Winchester, MA 01890 · Middlesex County
Part of Beth Israel Lahey Health · 182 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
89 admission types 46 outpatient services
Billed per dollar paid, all admissions
1.90×
$75.4M billed against $39.8M paid across 3,636 Medicare discharges; the national figure is 5.03×.
1.1%
of adults in Middlesex County have medical debt in collections
2.4%
uninsured in the county · state 2.9%
$123K
median household income
2.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
23.8%
obesity in the countyⓘ
8.5%
diagnosed diabetes (PLACES)
4.9%
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
327
$29,921
$15,314
2.0× st 2.3×
291
Heart failure and shock with mcc
221
$19,317
$10,275
1.9× st 2.3×
177
Respiratory infections and inflammations with mcc
209
$25,568
$13,070
2.0× st 2.3×
193
Simple pneumonia and pleurisy with mcc
158
$19,957
$10,472
1.9× st 2.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
127
$12,759
$6,516
2.0× st 2.5×
683
Renal failure with cc
92
$14,545
$8,839
1.6× st 2.2×
689
Kidney and urinary tract infections with mcc
86
$14,734
$9,283
1.6× st 2.3×
189
Pulmonary edema and respiratory failure
84
$17,287
$10,577
1.6× st 2.3×
603
Cellulitis without mcc
83
$10,612
$7,421
1.4× st 2.1×
690
Kidney and urinary tract infections without mcc
77
$12,751
$6,477
2.0× st 2.4×
280
Acute myocardial infarction, discharged alive with mcc
75
$24,069
$12,801
1.9× st 2.5×
682
Renal failure with mcc
74
$19,830
$11,878
1.7× st 2.3×
698
Other kidney and urinary tract diagnoses with mcc
73
$23,422
$12,573
1.9× st 2.3×
194
Simple pneumonia and pleurisy with cc
68
$12,674
$6,587
1.9× st 2.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
64
$31,714
$16,109
2.0× st 2.4×
312
Syncope and collapse
63
$13,414
$7,022
1.9× st 2.6×
552
Medical back problems without mcc
61
$10,616
$7,950
1.3× st 2.4×
178
Respiratory infections and inflammations with cc
54
$17,166
$8,901
1.9× st 2.6×
378
Gastrointestinal hemorrhage with cc
52
$19,636
$7,725
2.5× st 2.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
52
$11,899
$6,184
1.9× st 2.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
51
$19,416
$8,836
2.2× st 2.4×
377
Gastrointestinal hemorrhage with mcc
49
$30,821
$14,374
2.1× st 2.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
49
$14,396
$8,643
1.7× st 2.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
43
$12,556
$7,333
1.7× st 2.3×
202
Bronchitis and asthma with cc/mcc
42
$14,186
$7,766
1.8× st 2.3×
190
Chronic obstructive pulmonary disease with mcc
42
$18,082
$9,589
1.9× st 2.2×
313
Chest pain
39
$12,938
$6,244
2.1× st 3.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
38
$18,669
$11,591
1.6× st 2.7×
813
Coagulation disorders
36
$27,037
$12,604
2.1× st 2.6×
309
Cardiac arrhythmia and conduction disorders with cc
36
$15,296
$6,873
2.2× st 2.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
36
$18,937
$10,309
1.8× st 2.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
34
$17,153
$9,896
1.7× st 2.4×
149
Dysequilibrium
31
$10,453
$6,326
1.7× st 2.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
30
$53,859
$36,293
1.5× st 2.4×
394
Other digestive system diagnoses with cc
30
$18,299
$7,638
2.4× st 2.6×
308
Cardiac arrhythmia and conduction disorders with mcc
30
$18,168
$10,043
1.8× st 2.6×
393
Other digestive system diagnoses with mcc
29
$18,668
$13,147
1.4× st 2.7×
699
Other kidney and urinary tract diagnoses with cc
28
$14,891
$7,906
1.9× st 2.4×
811
Red blood cell disorders with mcc
27
$26,547
$11,565
2.3× st 2.6×
638
Diabetes with cc
27
$17,039
$8,004
2.1× st 2.4×
389
Gastrointestinal obstruction with cc
26
$12,007
$6,443
1.9× st 2.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
26
$15,558
$6,993
2.2× st 2.1×
812
Red blood cell disorders without mcc
24
$20,535
$7,366
2.8× st 2.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
24
$32,666
$16,599
2.0× st 2.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$23,223
$14,462
1.6× st 2.6×
481
Hip and femur procedures except major joint with cc
23
$34,958
$16,626
2.1× st 2.7×
191
Chronic obstructive pulmonary disease with cc
23
$14,102
$6,927
2.0× st 2.4×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
22
$15,501
$7,925
2.0× st 2.5×
281
Acute myocardial infarction, discharged alive with cc
21
$16,194
$7,094
2.3× st 3.2×
305
Hypertension without mcc
20
$11,260
$6,078
1.9× st 2.5×
176
Pulmonary embolism without mcc
20
$19,836
$6,678
3.0× st 2.8×
057
Degenerative nervous system disorders without mcc
20
$12,790
$10,172
1.3× st 2.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
19
$24,171
$13,947
1.7× st 2.7×
069
Transient ischemia without thrombolytic
19
$14,304
$6,486
2.2× st 2.9×
884
Organic disturbances and intellectual disability
19
$15,084
$11,393
1.3× st 2.5×
602
Cellulitis with mcc
19
$16,799
$10,954
1.5× st 2.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$13,733
$8,087
1.7× st 2.5×
195
Simple pneumonia and pleurisy without cc/mcc
17
$12,212
$5,510
2.2× st 2.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$18,025
$8,131
2.2× st 2.8×
644
Endocrine disorders with cc
17
$15,975
$8,478
1.9× st 2.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$49,248
$23,125
2.1× st 2.7×
314
Other circulatory system diagnoses with mcc
17
$31,853
$17,962
1.8× st 2.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$15,456
$4,510
3.4× st 2.5×
660
Kidney and ureter procedures for non-neoplasm with cc
16
$23,905
$10,912
2.2× st 2.7×
074
Cranial and peripheral nerve disorders without mcc
16
$13,965
$8,445
1.7× st 3.0×
948
Signs and symptoms without mcc
15
$9,383
$6,375
1.5× st 3.1×
870
Septicemia or severe sepsis with mv >96 hours
15
$105,544
$57,276
1.8× st 2.6×
329
Major small and large bowel procedures with mcc
15
$62,257
$37,527
1.7× st 2.4×
694
Urinary stones without mcc
14
$9,749
$6,281
1.6× st 2.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$48,126
$31,904
1.5× st 2.8×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$59,771
$16,416
3.6× st 3.0×
637
Diabetes with mcc
14
$20,447
$11,249
1.8× st 2.5×
315
Other circulatory system diagnoses with cc
13
$17,602
$7,626
2.3× st 3.1×
643
Endocrine disorders with mcc
13
$24,259
$12,470
1.9× st 2.5×
330
Major small and large bowel procedures with cc
13
$42,642
$17,810
2.4× st 2.7×
554
Bone diseases and arthropathies without mcc
13
$14,202
$6,767
2.1× st 2.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$36,956
$14,908
2.5× st 2.7×
439
Disorders of pancreas except malignancy with cc
12
$11,678
$7,968
1.5× st 2.6×
480
Hip and femur procedures except major joint with mcc
12
$39,966
$21,968
1.8× st 2.6×
565
Other musculoskeletal system and connective tissue diagnoses with cc
12
$17,084
$8,228
2.1× st 2.3×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
12
$47,093
$12,067
3.9× st 3.7×
103
Headaches without mcc
12
$10,647
$9,038
1.2× st 2.8×
184
Major chest trauma with cc
12
$16,737
$8,554
2.0× st 2.6×
536
Fractures of hip and pelvis without mcc
12
$12,780
$6,435
2.0× st 2.2×
551
Medical back problems with mcc
12
$21,281
$12,099
1.8× st 2.6×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
12
$24,762
$12,587
2.0× st 2.7×
092
Other disorders of nervous system with cc
12
$15,458
$8,186
1.9× st 2.7×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
11
$13,484
$6,646
2.0× st 2.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$12,311
$5,997
2.1× st 3.1×
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
5115
Level 5 Musculoskeletal Procedures
283
$25,945
$14,022
1.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
247
$4,807
$1,724
2.8×
8011
Comprehensive Observation Services
177
$10,447
$2,876
3.6×
5431
Level 1 Nerve Procedures
151
$7,730
$2,049
3.8×
5302
Level 2 Upper GI Procedures
148
$6,973
$2,022
3.4×
5112
Level 2 Musculoskeletal Procedures
146
$5,056
$1,702
3.0×
5361
Level 1 Laparoscopy and Related Services
131
$13,947
$6,085
2.3×
5375
Level 5 Urology and Related Services
116
$10,550
$5,557
1.9×
5114
Level 4 Musculoskeletal Procedures
104
$23,135
$7,565
3.1×
5374
Level 4 Urology and Related Services
104
$7,555
$3,687
2.0×
5113
Level 3 Musculoskeletal Procedures
85
$9,282
$3,444
2.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
71
$8,641
$3,052
2.8×
5183
Level 3 Vascular Procedures
66
$7,501
$3,371
2.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
62
$10,381
$3,975
2.6×
5414
Level 4 Gynecologic Procedures
46
$7,156
$3,358
2.1×
5182
Level 2 Vascular Procedures
43
$6,456
$1,700
3.8×
5373
Level 3 Urology and Related Services
41
$5,707
$2,187
2.6×
5362
Level 2 Laparoscopy and Related Services
38
$25,223
$11,043
2.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
30
$10,085
$3,716
2.7×
5415
Level 5 Gynecologic Procedures
27
$11,018
$5,184
2.1×
5313
Level 3 Lower GI Procedures
24
$7,703
$3,015
2.6×
5116
Level 6 Musculoskeletal Procedures
23
$40,313
$19,966
2.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
20
$17,876
$6,724
2.7×
5193
Level 3 Endovascular Procedures
17
$38,747
$11,799
3.3×
5184
Level 4 Vascular Procedures
15
$15,998
$5,902
2.7×
5376
Level 6 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
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.