Extensive operating room procedures unrelated to principal diagnosis with complications in Massachusetts
What 11 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982), from 2024 Medicare claims.
Average charge
$80,891
Hospital list price billed
Average payment
$29,810
Medicare + patient + other payers
Medicare paid
$24,685
Average per stay
State rank
#28 of 32
1 = lowest average payment
Hospitals in Massachusetts billed an average of $80,891 for extensive operating room procedures unrelated to principal diagnosis with complications, about 2.7 times the average total payment of $29,810. That payment is 20% above the U.S. average of $24,742.
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 $29,810Billed $80,891
About 37¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Umass Memorial Medical Center INCWorcester | 24 | $79,409 | $29,427 | $26,463 |
| Brigham and Women's HosptialBoston | 23 | $127,143 | $32,482 | $26,031 |
| Massachusetts General HospitalBoston | 22 | $148,429 | $36,680 | $26,148 |
| Beth Israel Deaconess Medical CenterBoston | 19 | $79,045 | $36,570 | $32,245 |
| Lahey Clinic HospitalBurlington | 19 | $54,845 | $33,816 | $20,417 |
| Southcoast Hospital Group, INCFall River | 17 | $53,844 | $20,838 | $19,686 |
| Cape Cod HospitalHyannis | 15 | $65,235 | $27,028 | $25,174 |
| Baystate Medical CenterSpringfield | 15 | $67,966 | $25,966 | $23,228 |
| South Shore HospitalSouth Weymouth | 14 | $35,700 | $18,515 | $16,358 |
| Boston Medical Center CorporationBoston | 11 | $82,321 | $41,001 | $36,240 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 11 | $37,367 | $18,812 | $17,476 |
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
| South Shore HospitalSouth Weymouth, MA | $18,515 |
|---|---|
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $18,812 |
| Southcoast Hospital Group, INCFall River, MA | $20,838 |
| Baystate Medical CenterSpringfield, MA | $25,966 |
| Cape Cod HospitalHyannis, MA | $27,028 |
Highest
| Boston Medical Center CorporationBoston, MA | $41,001 |
|---|---|
| Massachusetts General HospitalBoston, MA | $36,680 |
| Beth Israel Deaconess Medical CenterBoston, MA | $36,570 |
| Lahey Clinic HospitalBurlington, MA | $33,816 |
| Brigham and Women's HosptialBoston, MA | $32,482 |
Extensive operating room procedures unrelated to principal diagnosis with complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982) at 11 hospitals in Massachusetts was billed at $80,891 on average, while the average total payment was $29,810, of which Medicare paid $24,685. 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 2.7 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.