facebook tracking Connective tissue disorders with major complications cost in Massachusetts: 4 hospitals compared (DRG 545)

Connective tissue disorders with major complications in Massachusetts

What 4 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for connective tissue disorders with major complications (DRG 545), from 2024 Medicare claims.

DRG 545 Inpatient 2024 Medicare data
Average charge $121,787 Hospital list price billed
Average payment $38,052 Medicare + patient + other payers
Medicare paid $32,959 Average per stay
State rank #5 of 6 1 = lowest average payment

Hospitals in Massachusetts billed an average of $121,787 for connective tissue disorders with major complications, about 3.2 times the average total payment of $38,052. That payment is 10% above the U.S. average of $34,517.

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 $38,052Billed $121,787

About 31¢ 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: connective tissue disorders with 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
Beth Israel Deaconess Medical CenterBoston 28 $77,128 $40,637 $34,667
Brigham and Women's HosptialBoston 23 $209,244 $49,976 $44,403
Massachusetts General HospitalBoston 19 $140,221 $32,981 $27,046
Beth Israel Deaconess Hospital PlymouthPlymouth 13 $36,305 $18,804 $17,674
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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.

Connective tissue disorders with major complications in other states

Questions

How much does connective tissue disorders with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for connective tissue disorders with major complications (DRG 545) at 4 hospitals in Massachusetts was billed at $121,787 on average, while the average total payment was $38,052, of which Medicare paid $32,959. 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 3.2 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.