Chronic obstructive pulmonary disease without complications in Massachusetts
What 5 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease without complications (DRG 192), from 2024 Medicare claims.
Average charge
$13,447
Hospital list price billed
Average payment
$6,011
Medicare + patient + other payers
Medicare paid
$4,224
Average per stay
State rank
#1 of 2
1 = lowest average payment
Hospitals in Massachusetts billed an average of $13,447 for chronic obstructive pulmonary disease without complications, about 2.2 times the average total payment of $6,011. That payment is 6% below the U.S. average of $6,393.
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 $6,011Billed $13,447
About 45¢ 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 without 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 | 27 | $14,786 | $5,604 | $4,456 |
| Lowell General HospitalLowell | 19 | $12,264 | $6,193 | $4,039 |
| South Shore HospitalSouth Weymouth | 13 | $10,549 | $6,104 | $3,842 |
| Sturdy Memorial HospitalAttleboro | 11 | $11,365 | $5,434 | $4,247 |
| Union HospitalLynn | 11 | $17,713 | $7,164 | $4,402 |
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
| Sturdy Memorial HospitalAttleboro, MA | $5,434 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $5,604 |
| South Shore HospitalSouth Weymouth, MA | $6,104 |
| Lowell General HospitalLowell, MA | $6,193 |
| Union HospitalLynn, MA | $7,164 |
Highest
| Union HospitalLynn, MA | $7,164 |
|---|---|
| Lowell General HospitalLowell, MA | $6,193 |
| South Shore HospitalSouth Weymouth, MA | $6,104 |
| Southcoast Hospital Group, INCFall River, MA | $5,604 |
| Sturdy Memorial HospitalAttleboro, MA | $5,434 |
Chronic obstructive pulmonary disease without complications in other states
Questions
How much does chronic obstructive pulmonary disease without complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease without complications (DRG 192) at 5 hospitals in Massachusetts was billed at $13,447 on average, while the average total payment was $6,011, of which Medicare paid $4,224. 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 2.2 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.