facebook tracking Endocrine disorders with major complications cost in Massachusetts: 19 hospitals compared (DRG 643)

Endocrine disorders with major complications in Massachusetts

What 19 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for endocrine disorders with major complications (DRG 643), from 2024 Medicare claims.

DRG 643 Inpatient 2024 Medicare data
Average charge $43,281 Hospital list price billed
Average payment $17,247 Medicare + patient + other payers
Medicare paid $14,491 Average per stay
State rank #23 of 29 1 = lowest average payment

Hospitals in Massachusetts billed an average of $43,281 for endocrine disorders with major complications, about 2.5 times the average total payment of $17,247. That payment is 6% above the U.S. average of $16,313.

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 $17,247Billed $43,281

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: endocrine 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
Massachusetts General HospitalBoston 44 $79,924 $21,205 $17,076
Newton-Wellesley HospitalNewton Lower Falls 42 $36,929 $13,899 $12,263
Brigham and Women's HosptialBoston 32 $86,265 $20,600 $17,126
South Shore HospitalSouth Weymouth 31 $21,161 $12,879 $11,696
Baystate Medical CenterSpringfield 28 $27,161 $17,616 $13,907
Umass Memorial Medical Center INCWorcester 26 $74,911 $24,041 $20,451
Cape Cod HospitalHyannis 25 $26,291 $17,000 $15,864
Southcoast Hospital Group, INCFall River 25 $37,362 $13,103 $11,540
Union HospitalLynn 24 $43,660 $15,168 $13,877
Beth Israel Deaconess Medical CenterBoston 24 $42,514 $21,472 $14,780
Faulkner HospitalBoston 21 $37,309 $15,238 $13,574
Lahey Clinic HospitalBurlington 18 $27,270 $18,693 $13,139
Berkshire Medical Center INCPittsfield 17 $31,245 $17,996 $15,739
Mount Auburn HospitalCambridge 16 $31,319 $17,958 $15,434
Beverly Hospital CorporationBeverly 16 $27,503 $13,734 $12,510
Beth Israel Deaconess Hospital PlymouthPlymouth 15 $18,887 $13,152 $11,955
Winchester HospitalWinchester 13 $24,259 $12,470 $11,129
Milton HospitalMilton 13 $15,673 $12,835 $11,956
Tufts Medical CenterBoston 12 $60,754 $25,159 $18,197
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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

Winchester HospitalWinchester, MA$12,470
Milton HospitalMilton, MA$12,835
South Shore HospitalSouth Weymouth, MA$12,879
Southcoast Hospital Group, INCFall River, MA$13,103
Beth Israel Deaconess Hospital PlymouthPlymouth, MA$13,152

Highest

Endocrine disorders with major complications in other states

Questions

How much does endocrine disorders with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for endocrine disorders with major complications (DRG 643) at 19 hospitals in Massachusetts was billed at $43,281 on average, while the average total payment was $17,247, of which Medicare paid $14,491. 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.