facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o cost in Massachusetts: 8 hospitals compared (DRG 023)

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Massachusetts

What 8 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.

DRG 023 Inpatient 2024 Medicare data
Average charge $174,398 Hospital list price billed
Average payment $70,757 Medicare + patient + other payers
Medicare paid $62,337 Average per stay
State rank #35 of 38 1 = lowest average payment

Hospitals in Massachusetts billed an average of $174,398 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 2.5 times the average total payment of $70,757. That payment is 25% above the U.S. average of $56,603.

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 $70,757Billed $174,398

About 41¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Massachusetts hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o

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
Brigham and Women's HosptialBoston 61 $202,088 $66,835 $57,502
Massachusetts General HospitalBoston 48 $220,856 $69,565 $63,682
Umass Memorial Medical Center INCWorcester 44 $205,150 $69,389 $62,326
Beth Israel Deaconess Medical CenterBoston 43 $119,559 $74,325 $67,474
Baystate Medical CenterSpringfield 39 $122,368 $64,034 $53,420
Tufts Medical CenterBoston 33 $179,964 $75,937 $64,808
Boston Medical Center CorporationBoston 28 $180,338 $89,881 $78,387
Lahey Clinic HospitalBurlington 27 $128,659 $61,829 $55,920
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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

Lahey Clinic HospitalBurlington, MA$61,829
Baystate Medical CenterSpringfield, MA$64,034
Brigham and Women's HosptialBoston, MA$66,835
Umass Memorial Medical Center INCWorcester, MA$69,389
Massachusetts General HospitalBoston, MA$69,565

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Massachusetts?

In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 8 hospitals in Massachusetts was billed at $174,398 on average, while the average total payment was $70,757, of which Medicare paid $62,337. 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 2.5 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.