facebook tracking Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in Massachusetts: 41 hospitals compared (DRG 391)

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in Massachusetts

What 41 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.

DRG 391 Inpatient 2024 Medicare data
Average charge $33,941 Hospital list price billed
Average payment $13,535 Medicare + patient + other payers
Medicare paid $11,184 Average per stay
State rank #41 of 46 1 = lowest average payment

Hospitals in Massachusetts billed an average of $33,941 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 2.5 times the average total payment of $13,535. That payment is 6% above the U.S. average of $12,772.

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 $13,535Billed $33,941

About 40¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: esophagitis, gastroenteritis and miscellaneous digestive 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
South Shore HospitalSouth Weymouth 137 $19,944 $10,557 $9,359
Brigham and Women's HosptialBoston 103 $72,854 $16,784 $13,626
Massachusetts General HospitalBoston 92 $66,559 $17,038 $13,218
Southcoast Hospital Group, INCFall River 91 $29,466 $11,196 $9,313
Beth Israel Deaconess Medical CenterBoston 80 $35,602 $18,890 $14,393
Newton-Wellesley HospitalNewton Lower Falls 62 $28,812 $11,868 $10,145
Cape Cod HospitalHyannis 61 $24,891 $13,257 $11,837
Beth Israel Deaconess Hospital PlymouthPlymouth 61 $19,171 $10,902 $9,461
Union HospitalLynn 60 $43,364 $16,034 $12,985
Umass Memorial Medical Center INCWorcester 59 $61,781 $17,809 $13,190
Baystate Medical CenterSpringfield 52 $28,633 $15,126 $11,675
Faulkner HospitalBoston 45 $36,375 $12,909 $10,772
Lahey Clinic HospitalBurlington 40 $34,424 $17,713 $13,706
Winchester HospitalWinchester 36 $18,937 $10,309 $9,022
Good Samaritan Medical Center, a Caritas Family HoBrockton 35 $19,238 $10,902 $9,609
Melrosewakefield HealthcareMelrose 33 $18,974 $11,427 $9,642
Beverly Hospital CorporationBeverly 31 $37,832 $13,842 $10,984
Lowell General HospitalLowell 31 $30,062 $11,256 $10,256
Berkshire Medical Center INCPittsfield 27 $21,772 $13,839 $12,074
Milton HospitalMilton 27 $12,946 $10,444 $9,235
Morton Hospital & Medical CenterTaunton 25 $20,060 $10,654 $9,609
Milford Regional Medical CenterMilford 25 $15,975 $11,280 $10,298
Falmouth HospitalFalmouth 25 $28,844 $10,378 $9,399
Emerson HospitalConcord 24 $22,786 $10,269 $8,977
Mount Auburn HospitalCambridge 23 $20,617 $13,664 $11,806
Metrowest Medical CenterFramingham 21 $52,188 $12,820 $10,704
Healthalliance Hospitals, INCLeominster 20 $41,618 $11,902 $10,635
St Vincent HospitalWorcester 20 $52,473 $14,508 $11,909
Lawrence General HospitalLawrence 19 $19,423 $12,101 $10,487
Beth Israel Deaconess Hospital - NeedhamNeedham 19 $21,536 $10,440 $9,066
Tufts Medical CenterBoston 19 $36,953 $22,357 $12,878
Boston Medical Center CorporationBoston 16 $28,784 $22,828 $19,917
Holy Family Hospital, a Caritas Family HospitalMethuen 16 $12,434 $11,607 $9,217
Sturdy Memorial HospitalAttleboro 15 $20,418 $10,554 $9,248
Marlborough HospitalMarlborough 15 $35,520 $10,834 $9,665
Mercy Medical CenterSpringfield 15 $21,823 $11,239 $10,260
Saint Anne's Hospital, a Caritas Family HospitalFall River 14 $25,495 $10,704 $9,532
Wing Memorial Hospital and Medical CenterPalmer 13 $17,487 $11,343 $9,236
Cooley Dickinson Hospital Inc,TheNorthampton 12 $20,901 $10,649 $9,425
Anna Jaques HospitalNewburyport 12 $16,493 $10,543 $9,319
Holyoke Medical CenterHolyoke 11 $21,822 $11,387 $10,200
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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

Emerson HospitalConcord, MA$10,269
Winchester HospitalWinchester, MA$10,309
Falmouth HospitalFalmouth, MA$10,378
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$10,440
Milton HospitalMilton, MA$10,444

Highest

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in other states

Questions

How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 41 hospitals in Massachusetts was billed at $33,941 on average, while the average total payment was $13,535, of which Medicare paid $11,184. 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.