facebook tracking Chronic obstructive pulmonary disease with complications cost in Massachusetts: 36 hospitals compared (DRG 191)

Chronic obstructive pulmonary disease with complications in Massachusetts

What 36 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $19,943 Hospital list price billed
Average payment $8,468 Medicare + patient + other payers
Medicare paid $6,747 Average per stay
State rank #29 of 33 1 = lowest average payment

Hospitals in Massachusetts billed an average of $19,943 for chronic obstructive pulmonary disease with complications, about 2.4 times the average total payment of $8,468. That payment is 2% above the U.S. average of $8,280.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $8,468Billed $19,943

About 42¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: chronic obstructive pulmonary disease with complications

Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Southcoast Hospital Group, INCFall River 87 $18,110 $7,590 $5,878
South Shore HospitalSouth Weymouth 79 $14,485 $7,412 $5,543
Lowell General HospitalLowell 42 $16,237 $7,515 $6,263
Union HospitalLynn 36 $23,068 $8,846 $6,588
Beth Israel Deaconess Hospital PlymouthPlymouth 33 $20,649 $6,914 $5,999
Newton-Wellesley HospitalNewton Lower Falls 32 $22,360 $7,408 $6,204
Umass Memorial Medical Center INCWorcester 30 $35,930 $11,767 $9,044
Sturdy Memorial HospitalAttleboro 27 $15,868 $7,364 $5,603
Massachusetts General HospitalBoston 27 $45,157 $11,251 $8,088
Melrosewakefield HealthcareMelrose 26 $19,579 $8,159 $5,747
Anna Jaques HospitalNewburyport 25 $17,470 $7,010 $5,835
Baystate Medical CenterSpringfield 25 $13,269 $9,814 $7,472
Faulkner HospitalBoston 25 $38,275 $9,988 $8,032
Beverly Hospital CorporationBeverly 24 $17,860 $7,193 $6,377
Winchester HospitalWinchester 23 $14,102 $6,927 $5,565
Good Samaritan Medical Center, a Caritas Family HoBrockton 22 $11,991 $7,112 $6,195
Healthalliance Hospitals, INCLeominster 21 $18,082 $7,538 $6,455
Tufts Medical CenterBoston 21 $24,061 $11,450 $8,813
Wing Memorial Hospital and Medical CenterPalmer 20 $13,760 $7,144 $5,975
Boston Medical Center CorporationBoston 20 $21,078 $16,706 $14,142
Beth Israel Deaconess Medical CenterBoston 19 $18,671 $11,588 $9,168
Cape Cod HospitalHyannis 17 $20,918 $8,827 $7,661
Saint Anne's Hospital, a Caritas Family HospitalFall River 16 $18,309 $7,228 $6,205
Berkshire Medical Center INCPittsfield 16 $16,372 $9,444 $7,665
Lawrence General HospitalLawrence 15 $17,889 $8,403 $6,836
Harrington Memorial HospitalSouthbridge 15 $18,516 $7,322 $6,234
Heywood HospitalGardner 15 $15,048 $7,245 $6,483
Brigham and Women's HosptialBoston 15 $45,567 $10,963 $8,223
Baystate Franklin Medical CenterGreenfield 14 $13,250 $7,370 $6,070
Brockton HospitalBrockton 12 $22,360 $9,212 $6,923
Morton Hospital & Medical CenterTaunton 12 $10,273 $7,207 $5,847
Beth Israel Deaconess Hospital - NeedhamNeedham 12 $14,954 $7,281 $5,496
Lahey Clinic HospitalBurlington 12 $16,014 $9,503 $7,660
Mount Auburn HospitalCambridge 11 $11,857 $8,849 $6,915
Holy Family Hospital, a Caritas Family HospitalMethuen 11 $14,476 $7,540 $6,319
Milton HospitalMilton 11 $14,870 $6,791 $5,604
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Lowest and highest payments in Massachusetts

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Chronic obstructive pulmonary disease with complications in other states

Questions

How much does chronic obstructive pulmonary disease with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 36 hospitals in Massachusetts was billed at $19,943 on average, while the average total payment was $8,468, of which Medicare paid $6,747. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Massachusetts, average charges were 2.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.