Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in Massachusetts
What 8 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562), from 2024 Medicare claims.
Average charge
$31,967
Hospital list price billed
Average payment
$13,921
Medicare + patient + other payers
Medicare paid
$11,648
Average per stay
State rank
#6 of 12
1 = lowest average payment
Hospitals in Massachusetts billed an average of $31,967 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications, about 2.3 times the average total payment of $13,921. That payment is 5% below the U.S. average of $14,612.
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 $13,921Billed $31,967
About 44¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 | 27 | $23,461 | $11,668 | $10,133 |
| Union HospitalLynn | 18 | $28,954 | $12,934 | $11,636 |
| Southcoast Hospital Group, INCFall River | 16 | $35,128 | $13,459 | $10,646 |
| Baystate Medical CenterSpringfield | 16 | $25,177 | $15,886 | $12,804 |
| Cape Cod HospitalHyannis | 15 | $26,657 | $15,539 | $14,327 |
| Newton-Wellesley HospitalNewton Lower Falls | 12 | $40,825 | $14,619 | $9,090 |
| Beverly Hospital CorporationBeverly | 11 | $26,248 | $12,066 | $10,879 |
| Umass Memorial Medical Center INCWorcester | 11 | $66,352 | $17,771 | $15,074 |
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 | $11,668 |
|---|---|
| Beverly Hospital CorporationBeverly, MA | $12,066 |
| Union HospitalLynn, MA | $12,934 |
| Southcoast Hospital Group, INCFall River, MA | $13,459 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $14,619 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $17,771 |
|---|---|
| Baystate Medical CenterSpringfield, MA | $15,886 |
| Cape Cod HospitalHyannis, MA | $15,539 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $14,619 |
| Southcoast Hospital Group, INCFall River, MA | $13,459 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562) at 8 hospitals in Massachusetts was billed at $31,967 on average, while the average total payment was $13,921, of which Medicare paid $11,648. 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 2.3 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.