facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in Massachusetts: 21 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in Massachusetts

What 21 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $46,889 Hospital list price billed
Average payment $12,537 Medicare + patient + other payers
Medicare paid $9,552 Average per stay
State rank #41 of 45 1 = lowest average payment

Hospitals in Massachusetts billed an average of $46,889 for circulatory disorders except ami, with cardiac catheterization without major complications, about 3.7 times the average total payment of $12,537. That payment is 21% above the U.S. average of $10,394.

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 $12,537Billed $46,889

About 27¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: circulatory disorders except ami, with cardiac catheterization without major 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
Massachusetts General HospitalBoston 119 $83,545 $16,405 $11,789
Baystate Medical CenterSpringfield 88 $24,388 $12,176 $9,284
Brigham and Women's HosptialBoston 69 $96,796 $15,861 $10,425
Beth Israel Deaconess Medical CenterBoston 60 $28,762 $14,185 $11,646
Beth Israel Deaconess Hospital PlymouthPlymouth 59 $22,526 $8,898 $7,709
Union HospitalLynn 58 $43,838 $9,918 $8,410
Umass Memorial Medical Center INCWorcester 46 $82,807 $15,350 $11,875
South Shore HospitalSouth Weymouth 43 $23,570 $8,993 $7,243
Beverly Hospital CorporationBeverly 40 $28,570 $8,853 $7,433
Southcoast Hospital Group, INCFall River 39 $34,890 $9,333 $7,757
Lahey Clinic HospitalBurlington 34 $30,043 $12,415 $8,661
Cape Cod HospitalHyannis 33 $40,300 $11,164 $9,869
Tufts Medical CenterBoston 30 $39,419 $17,634 $10,709
St Vincent HospitalWorcester 27 $81,042 $13,835 $8,713
Lowell General HospitalLowell 22 $28,612 $10,475 $7,595
Boston Medical Center-BrightonBrighton 19 $20,450 $12,613 $10,930
Good Samaritan Medical Center, a Caritas Family HoBrockton 18 $28,398 $9,033 $7,926
Mount Auburn HospitalCambridge 17 $21,671 $11,329 $9,362
Saint Anne's Hospital, a Caritas Family HospitalFall River 17 $25,990 $9,304 $8,148
Lawrence General HospitalLawrence 15 $29,169 $10,288 $8,101
Melrosewakefield HealthcareMelrose 12 $30,803 $11,136 $9,279
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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.

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 21 hospitals in Massachusetts was billed at $46,889 on average, while the average total payment was $12,537, of which Medicare paid $9,552. 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 3.7 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.