facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Massachusetts: 19 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Massachusetts

What 19 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $160,918 Hospital list price billed
Average payment $57,989 Medicare + patient + other payers
Medicare paid $50,049 Average per stay
State rank #39 of 42 1 = lowest average payment

Hospitals in Massachusetts billed an average of $160,918 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 2.8 times the average total payment of $57,989. That payment is 23% above the U.S. average of $47,051.

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 $57,989Billed $160,918

About 36¢ 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:

Major complications $57,989 DRG 981 · this page Complications $24,742 DRG 982 · U.S. average No complications $20,340 DRG 983 · U.S. average

Massachusetts hospitals: extensive operating room procedures unrelated to principal diagnosis 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 79 $255,017 $67,027 $54,517
Brigham and Women's HosptialBoston 53 $282,919 $74,825 $57,808
Beth Israel Deaconess Medical CenterBoston 49 $156,530 $79,967 $66,862
Umass Memorial Medical Center INCWorcester 39 $204,553 $59,966 $54,725
Lahey Clinic HospitalBurlington 38 $113,559 $55,065 $49,201
Southcoast Hospital Group, INCFall River 35 $108,927 $38,086 $34,362
South Shore HospitalSouth Weymouth 27 $78,126 $38,466 $36,793
Baystate Medical CenterSpringfield 24 $98,301 $55,229 $44,954
Boston Medical Center CorporationBoston 21 $168,350 $80,778 $72,765
Cape Cod HospitalHyannis 20 $80,231 $48,666 $47,815
Union HospitalLynn 18 $124,417 $47,437 $46,226
Lowell General HospitalLowell 17 $70,221 $40,326 $33,442
St Vincent HospitalWorcester 16 $197,894 $44,262 $40,948
Berkshire Medical Center INCPittsfield 14 $77,154 $49,559 $47,561
Winchester HospitalWinchester 14 $48,126 $31,904 $30,709
Mount Auburn HospitalCambridge 13 $76,453 $49,609 $46,168
Beverly Hospital CorporationBeverly 13 $74,253 $37,841 $36,585
Newton-Wellesley HospitalNewton Lower Falls 11 $150,066 $40,939 $37,904
Tufts Medical CenterBoston 11 $172,902 $67,115 $51,888
Extensive operating room procedures unrelated to principal diagnosis with major complications: all states All Massachusetts hospitals Massachusetts hospital finances
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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$31,904
Beverly Hospital CorporationBeverly, MA$37,841
Southcoast Hospital Group, INCFall River, MA$38,086
South Shore HospitalSouth Weymouth, MA$38,466
Lowell General HospitalLowell, MA$40,326

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Alaska · $57,637 California · $62,446 Connecticut · $54,430 New Hampshire · $57,765 New York · $60,614 Oregon · $51,381 Rhode Island · $62,024 Wisconsin · $53,997

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 19 hospitals in Massachusetts was billed at $160,918 on average, while the average total payment was $57,989, of which Medicare paid $50,049. 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 2.8 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.