Diabetes with major complications in Massachusetts
What 31 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$36,863
Hospital list price billed
Average payment
$14,848
Medicare + patient + other payers
Medicare paid
$12,442
Average per stay
State rank
#37 of 43
1 = lowest average payment
Hospitals in Massachusetts billed an average of $36,863 for diabetes with major complications, about 2.5 times the average total payment of $14,848. That payment is 6% above the U.S. average of $14,037.
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 $14,848Billed $36,863
About 40¢ 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 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 |
|---|---|---|---|---|
| South Shore HospitalSouth Weymouth | 53 | $20,710 | $11,828 | $10,311 |
| Baystate Medical CenterSpringfield | 51 | $25,557 | $16,484 | $13,520 |
| Southcoast Hospital Group, INCFall River | 44 | $39,161 | $13,229 | $11,530 |
| Massachusetts General HospitalBoston | 40 | $109,430 | $22,640 | $15,626 |
| Beth Israel Deaconess Medical CenterBoston | 39 | $42,841 | $20,188 | $15,734 |
| Umass Memorial Medical Center INCWorcester | 39 | $67,581 | $20,195 | $15,849 |
| Union HospitalLynn | 38 | $38,230 | $13,231 | $12,218 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 35 | $17,571 | $11,014 | $10,004 |
| Lahey Clinic HospitalBurlington | 34 | $38,400 | $15,858 | $12,954 |
| Cape Cod HospitalHyannis | 32 | $25,323 | $14,951 | $13,909 |
| Lowell General HospitalLowell | 30 | $25,034 | $12,477 | $11,552 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 30 | $21,117 | $12,254 | $11,143 |
| Brigham and Women's HosptialBoston | 26 | $75,771 | $17,554 | $14,448 |
| Newton-Wellesley HospitalNewton Lower Falls | 24 | $37,622 | $12,709 | $11,630 |
| Melrosewakefield HealthcareMelrose | 23 | $20,016 | $12,297 | $9,899 |
| Faulkner HospitalBoston | 23 | $42,207 | $13,865 | $12,015 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 22 | $23,569 | $11,700 | $10,656 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 22 | $22,239 | $11,239 | $9,811 |
| St Vincent HospitalWorcester | 22 | $65,789 | $16,215 | $12,902 |
| Berkshire Medical Center INCPittsfield | 20 | $23,246 | $17,251 | $13,261 |
| Morton Hospital & Medical CenterTaunton | 19 | $19,422 | $12,110 | $11,036 |
| Beverly Hospital CorporationBeverly | 18 | $21,907 | $11,600 | $10,693 |
| Mount Auburn HospitalCambridge | 17 | $24,912 | $15,338 | $13,420 |
| Milton HospitalMilton | 17 | $18,033 | $10,951 | $9,607 |
| Baystate Franklin Medical CenterGreenfield | 16 | $21,928 | $12,067 | $11,284 |
| Boston Medical Center CorporationBoston | 16 | $69,903 | $30,714 | $22,663 |
| Sturdy Memorial HospitalAttleboro | 15 | $17,785 | $11,223 | $10,461 |
| Winchester HospitalWinchester | 14 | $20,447 | $11,249 | $9,950 |
| Lawrence General HospitalLawrence | 13 | $22,791 | $15,244 | $10,436 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 11 | $22,092 | $11,161 | $10,123 |
| Falmouth HospitalFalmouth | 11 | $31,973 | $11,065 | $9,878 |
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
| Milton HospitalMilton, MA | $10,951 |
|---|---|
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $11,014 |
| Falmouth HospitalFalmouth, MA | $11,065 |
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $11,161 |
| Sturdy Memorial HospitalAttleboro, MA | $11,223 |
Highest
| Boston Medical Center CorporationBoston, MA | $30,714 |
|---|---|
| Massachusetts General HospitalBoston, MA | $22,640 |
| Umass Memorial Medical Center INCWorcester, MA | $20,195 |
| Beth Israel Deaconess Medical CenterBoston, MA | $20,188 |
| Brigham and Women's HosptialBoston, MA | $17,554 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 31 hospitals in Massachusetts was billed at $36,863 on average, while the average total payment was $14,848, of which Medicare paid $12,442. 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.