facebook tracking Gastrointestinal hemorrhage without complications cost in Massachusetts: 3 hospitals compared (DRG 379)

Gastrointestinal hemorrhage without complications in Massachusetts

What 3 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for gastrointestinal hemorrhage without complications (DRG 379), from 2024 Medicare claims.

DRG 379 Inpatient 2024 Medicare data
Average charge $15,045 Hospital list price billed
Average payment $6,322 Medicare + patient + other payers
Medicare paid $4,628 Average per stay
State rank #6 of 11 1 = lowest average payment

Hospitals in Massachusetts billed an average of $15,045 for gastrointestinal hemorrhage without complications, about 2.4 times the average total payment of $6,322. That payment is about the same as the U.S. average of $6,315.

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 $6,322Billed $15,045

About 42¢ 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: gastrointestinal hemorrhage without 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
Baystate Medical CenterSpringfield 14 $15,509 $7,147 $5,119
South Shore HospitalSouth Weymouth 14 $11,667 $5,320 $3,688
Cape Cod HospitalHyannis 11 $18,755 $6,546 $5,201
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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

South Shore HospitalSouth Weymouth, MA$5,320
Cape Cod HospitalHyannis, MA$6,546
Baystate Medical CenterSpringfield, MA$7,147

Highest

Baystate Medical CenterSpringfield, MA$7,147
Cape Cod HospitalHyannis, MA$6,546
South Shore HospitalSouth Weymouth, MA$5,320

Gastrointestinal hemorrhage without complications in other states

Questions

How much does gastrointestinal hemorrhage without complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for gastrointestinal hemorrhage without complications (DRG 379) at 3 hospitals in Massachusetts was billed at $15,045 on average, while the average total payment was $6,322, of which Medicare paid $4,628. 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 2.4 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.