Diabetes with complications in Massachusetts
What 38 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$21,819
Hospital list price billed
Average payment
$9,171
Medicare + patient + other payers
Medicare paid
$7,158
Average per stay
State rank
#36 of 47
1 = lowest average payment
Hospitals in Massachusetts billed an average of $21,819 for diabetes with complications, about 2.4 times the average total payment of $9,171. That payment is about the same as the U.S. average of $9,215.
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 $9,171Billed $21,819
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: diabetes 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 |
|---|---|---|---|---|
| South Shore HospitalSouth Weymouth | 91 | $14,450 | $7,442 | $6,342 |
| Baystate Medical CenterSpringfield | 71 | $15,215 | $10,316 | $7,838 |
| Southcoast Hospital Group, INCFall River | 68 | $20,518 | $7,704 | $6,502 |
| Union HospitalLynn | 51 | $25,432 | $8,772 | $6,824 |
| Umass Memorial Medical Center INCWorcester | 47 | $40,467 | $12,179 | $9,357 |
| Newton-Wellesley HospitalNewton Lower Falls | 46 | $24,957 | $8,240 | $6,482 |
| Lowell General HospitalLowell | 44 | $14,583 | $8,064 | $6,456 |
| Beverly Hospital CorporationBeverly | 43 | $17,930 | $7,523 | $6,346 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 42 | $13,708 | $8,369 | $6,172 |
| Massachusetts General HospitalBoston | 41 | $71,439 | $14,732 | $9,582 |
| Lahey Clinic HospitalBurlington | 40 | $18,539 | $9,866 | $7,621 |
| Melrosewakefield HealthcareMelrose | 36 | $13,280 | $8,417 | $5,839 |
| Beth Israel Deaconess Medical CenterBoston | 36 | $21,623 | $13,199 | $8,755 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 36 | $11,698 | $7,474 | $6,310 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 33 | $19,502 | $8,195 | $6,261 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 33 | $16,086 | $7,327 | $6,165 |
| Brigham and Women's HosptialBoston | 30 | $61,637 | $12,354 | $8,486 |
| Faulkner HospitalBoston | 30 | $27,014 | $9,191 | $7,581 |
| Lawrence General HospitalLawrence | 29 | $15,498 | $8,690 | $7,323 |
| St Vincent HospitalWorcester | 28 | $49,294 | $11,528 | $7,731 |
| Berkshire Medical Center INCPittsfield | 27 | $19,672 | $10,068 | $8,238 |
| Winchester HospitalWinchester | 27 | $17,039 | $8,004 | $6,006 |
| Wing Memorial Hospital and Medical CenterPalmer | 24 | $12,192 | $8,159 | $6,387 |
| Cape Cod HospitalHyannis | 22 | $21,511 | $9,916 | $8,099 |
| Baystate Franklin Medical CenterGreenfield | 22 | $12,114 | $7,642 | $6,424 |
| Tufts Medical CenterBoston | 22 | $20,677 | $11,510 | $9,417 |
| Healthalliance Hospitals, INCLeominster | 21 | $18,299 | $8,042 | $6,797 |
| Morton Hospital & Medical CenterTaunton | 21 | $12,188 | $7,842 | $6,105 |
| Milford Regional Medical CenterMilford | 20 | $13,004 | $7,925 | $6,593 |
| Sturdy Memorial HospitalAttleboro | 18 | $9,872 | $7,652 | $6,196 |
| Noble HospitalWestfield | 18 | $10,912 | $6,899 | $5,719 |
| Holyoke Medical CenterHolyoke | 15 | $13,038 | $7,893 | $7,025 |
| Milton HospitalMilton | 15 | $12,653 | $7,338 | $6,250 |
| Mount Auburn HospitalCambridge | 14 | $14,092 | $9,427 | $7,520 |
| Boston Medical Center CorporationBoston | 14 | $31,000 | $18,380 | $14,808 |
| Mercy Medical CenterSpringfield | 14 | $12,413 | $8,063 | $6,985 |
| Harrington Memorial HospitalSouthbridge | 13 | $15,108 | $7,503 | $6,248 |
| Falmouth HospitalFalmouth | 12 | $17,560 | $7,216 | $5,720 |
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
| Noble HospitalWestfield, MA | $6,899 |
|---|---|
| Falmouth HospitalFalmouth, MA | $7,216 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $7,327 |
| Milton HospitalMilton, MA | $7,338 |
| South Shore HospitalSouth Weymouth, MA | $7,442 |
Highest
| Boston Medical Center CorporationBoston, MA | $18,380 |
|---|---|
| Massachusetts General HospitalBoston, MA | $14,732 |
| Beth Israel Deaconess Medical CenterBoston, MA | $13,199 |
| Brigham and Women's HosptialBoston, MA | $12,354 |
| Umass Memorial Medical Center INCWorcester, MA | $12,179 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 38 hospitals in Massachusetts was billed at $21,819 on average, while the average total payment was $9,171, of which Medicare paid $7,158. 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.