This page provides a comprehensive list of standard charges for each service or item provided by Beth Israel Deaconess Hospital-Milton (known as a chargemaster) as of January 1, 2019. A hospital chargemaster lists each inpatient or outpatient procedure, service, supply, prescription drug, and diagnostic test provided at the hospital. It also lists any fees associated with services, such as equipment fees and room charges. Services or items and their corresponding charges are subject to change. Therefore, the chargemaster often may not provide you with a reliable estimate of your out-of-pocket healthcare costs.
This page also provides information on the average cost of inpatient admissions for Medicare patients from the time of admission to the time of discharge. Average costs are determined using Diagnosis Related Groups (DRG). A DRG standardizes prospective payment to hospitals and encourages cost containment.
How is the hospital chargemaster used by hospitals?
Chargemaster amounts are almost never billed to you or received as payment by a hospital. Rather, the chargemaster amounts are billed to an insurance company, Medicare, or MassHealth. These payers then apply their reimbursement terms or contracted rates to the services that are billed to you. If you owe a co-payment, co-insurance, or deductible, these too are most often not based on chargemaster amounts. Rather, they are based on the payment terms determined by your insurer or government program.
What is not included in the chargemaster list?
The hospital’s chargemaster may not include charges for services provided by the doctors who treat you while you are at the hospital. You may receive separate bills from the hospital and the doctors involved in your care.
Providers who may send you a separate bill include:
- Your personal doctor, if he/she sees you in the hospital
- The surgeon who performs your procedure
- The anesthesiologist who works with the surgeon
- The radiologist who reads your X-rays or other imaging
- Other doctors who may be consulted by your doctor during your time in the hospital.
Are charges the same for every patient?
Yes, the list of charges is the same for all patients. However, the total charges often vary from one patient to another for a number of reasons, including but not limited to:
- How long it takes to perform the service or how long it takes you to recover in the hospital
- Whether the service or procedure you receive is more or less difficult than expected
- What kinds of medication you require
- Whether you experience complications and need additional treatment
- Other health conditions you may have that may affect your care.
Charges in the chargemaster that cannot be determined prior to the delivery of care are listed as $0:
- Some charges listed as $0 are calculated after care is delivered based on the length of time the care took to provide. In these cases, please refer to the cost per minute charges.
- Some charges listed as $0 are calculated based on the cost of supplies required for a procedure. These costs can vary greatly from patient to patient.
Where can I find more information about hospital costs?
Your health plan can also help you to understand your insurance coverage, which charges will be covered, how much you will be billed, information on deductibles and your expected out-of-pocket responsibility.
MASSACHUSETTS TRANSPARENCY WEBSITE: Through the Center for Health Information Analysis (CHIA), the state has created a website, CompareCare, for consumers to compare costs of medical procedures across the Commonwealth. CompareCare also includes quality metrics where available. Regarding the cost quotes, the CHIA website provides an estimate based on amounts paid to health care providers in previous years. To find out what your specific out-of-pocket costs will be, contact your health plan.
Am I eligible for financial assistance?
If you do not have insurance, you may be eligible for free or reduced-cost health care services through various state public assistance programs, as well as hospital financial assistance programs (including but not limited to MassHealth, the premium assistance payment program operated by the Health Connector, the Children’s Medical Security Program, the Health Safety Net, and Medical Hardship). Such programs take into account your ability to contribute to the cost of your care. If you are uninsured or underinsured, the hospital will, when requested, help you to apply for coverage through public assistance programs or hospital financial assistance programs that may cover all or some of your unpaid hospital bills. For information about financial assistance, please contact our Financial Assistance Department or speak to a financial counselor at 617-313-1388.