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Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash provided by (used for) operating activities $ (197)us-gaap_NetCashProvidedByUsedInOperatingActivities $ 198us-gaap_NetCashProvidedByUsedInOperatingActivities
Investing activities:    
Purchases of property, plant and equipment (46)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (59)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Purchases of privately held securities 0bsx_PurchasesOfPrivatelyHeldSecurities (6)bsx_PurchasesOfPrivatelyHeldSecurities
Purchases of notes receivable (3)us-gaap_PaymentsForProceedsFromLoansReceivable 0us-gaap_PaymentsForProceedsFromLoansReceivable
Proceeds from sales of publicly traded and privately held equity securities and collections of notes receivable 0bsx_ProceedsFromSalesOfEquitySecuritiesAndCollectionsOfNotesReceivable 7bsx_ProceedsFromSalesOfEquitySecuritiesAndCollectionsOfNotesReceivable
Payments for acquisitions of businesses, net of cash acquired 0us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (8)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Payments for investments and acquisitions of certain technologies (2)us-gaap_PaymentsToAcquireInvestments (11)us-gaap_PaymentsToAcquireInvestments
Proceeds from business divestitures, net of costs 0us-gaap_ProceedsFromDivestitureOfBusinesses 12us-gaap_ProceedsFromDivestitureOfBusinesses
Cash used for investing activities (51)us-gaap_NetCashProvidedByUsedInInvestingActivities (65)us-gaap_NetCashProvidedByUsedInInvestingActivities
Financing activities:    
Payment of contingent consideration (87)bsx_PaymentOfContingentConsideration (12)bsx_PaymentOfContingentConsideration
Proceeds from borrowings on credit facilities 0us-gaap_ProceedsFromLongTermLinesOfCredit 285us-gaap_ProceedsFromLongTermLinesOfCredit
Payments on borrowings from credit facilities 0us-gaap_RepaymentsOfLongTermLinesOfCredit (285)us-gaap_RepaymentsOfLongTermLinesOfCredit
Payments for acquisitions of treasury stock 0us-gaap_PaymentsForRepurchaseOfCommonStock (125)us-gaap_PaymentsForRepurchaseOfCommonStock
Cash used to net share settle employee equity awards (61)bsx_Paymenttonetsharesettleemployeeequityawards (47)bsx_Paymenttonetsharesettleemployeeequityawards
Proceeds from issuances of shares of common stock 54us-gaap_ProceedsFromIssuanceOfCommonStock 24us-gaap_ProceedsFromIssuanceOfCommonStock
Cash used for financing activities (94)us-gaap_NetCashProvidedByUsedInFinancingActivities (160)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of foreign exchange rates on cash (3)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 1us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents (345)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (26)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 587us-gaap_CashAndCashEquivalentsAtCarryingValue 217us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period 242us-gaap_CashAndCashEquivalentsAtCarryingValue 191us-gaap_CashAndCashEquivalentsAtCarryingValue
Non-cash operating activities:    
Stock-based compensation expense 26us-gaap_ShareBasedCompensation 26us-gaap_ShareBasedCompensation
Fair value of contingent consideration recorded in purchase accounting $ 0us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1 $ 3us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1