Fractures of hip and pelvis without major complications in Massachusetts
What 21 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$16,674
Hospital list price billed
Average payment
$7,508
Medicare + patient + other payers
Medicare paid
$5,733
Average per stay
State rank
#25 of 37
1 = lowest average payment
Hospitals in Massachusetts billed an average of $16,674 for fractures of hip and pelvis without major complications, about 2.2 times the average total payment of $7,508. That payment is 1% below the U.S. average of $7,596.
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 $7,508Billed $16,674
About 45¢ 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: fractures of hip and pelvis without 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 | 57 | $14,826 | $6,479 | $4,966 |
| Southcoast Hospital Group, INCFall River | 28 | $17,078 | $6,645 | $5,305 |
| Newton-Wellesley HospitalNewton Lower Falls | 25 | $23,858 | $7,197 | $5,318 |
| Baystate Medical CenterSpringfield | 21 | $16,542 | $8,922 | $6,672 |
| Falmouth HospitalFalmouth | 17 | $18,173 | $6,392 | $4,580 |
| Lawrence General HospitalLawrence | 16 | $17,512 | $7,854 | $6,309 |
| Beverly Hospital CorporationBeverly | 16 | $14,346 | $6,596 | $5,168 |
| Umass Memorial Medical Center INCWorcester | 16 | $37,221 | $12,421 | $7,352 |
| Berkshire Medical Center INCPittsfield | 15 | $15,938 | $9,007 | $7,027 |
| Melrosewakefield HealthcareMelrose | 15 | $13,084 | $6,538 | $5,253 |
| Healthalliance Hospitals, INCLeominster | 13 | $18,761 | $7,383 | $5,256 |
| Mount Auburn HospitalCambridge | 13 | $15,095 | $8,670 | $6,811 |
| Lowell General HospitalLowell | 13 | $14,673 | $6,698 | $5,568 |
| Beth Israel Deaconess Medical CenterBoston | 13 | $17,812 | $10,484 | $7,753 |
| Sturdy Memorial HospitalAttleboro | 12 | $7,696 | $6,010 | $5,194 |
| Cape Cod HospitalHyannis | 12 | $16,680 | $8,228 | $6,861 |
| Anna Jaques HospitalNewburyport | 12 | $13,701 | $6,293 | $4,800 |
| Noble HospitalWestfield | 12 | $11,506 | $6,162 | $5,346 |
| Winchester HospitalWinchester | 12 | $12,780 | $6,435 | $5,062 |
| Boston Medical Center-BrightonBrighton | 11 | $12,665 | $9,461 | $7,476 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 11 | $12,365 | $6,801 | $5,137 |
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
| Sturdy Memorial HospitalAttleboro, MA | $6,010 |
|---|---|
| Noble HospitalWestfield, MA | $6,162 |
| Anna Jaques HospitalNewburyport, MA | $6,293 |
| Falmouth HospitalFalmouth, MA | $6,392 |
| Winchester HospitalWinchester, MA | $6,435 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $12,421 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $10,484 |
| Boston Medical Center-BrightonBrighton, MA | $9,461 |
| Berkshire Medical Center INCPittsfield, MA | $9,007 |
| Baystate Medical CenterSpringfield, MA | $8,922 |
Fractures of hip and pelvis without major complications in other states
Questions
How much does fractures of hip and pelvis without major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 21 hospitals in Massachusetts was billed at $16,674 on average, while the average total payment was $7,508, of which Medicare paid $5,733. 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 2.2 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.