facebook tracking Gastrointestinal obstruction with complications cost in Massachusetts: 36 hospitals compared (DRG 389)

Gastrointestinal obstruction with complications in Massachusetts

What 36 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with complications (DRG 389), from 2024 Medicare claims.

DRG 389 Inpatient 2024 Medicare data
Average charge $20,893 Hospital list price billed
Average payment $8,437 Medicare + patient + other payers
Medicare paid $6,283 Average per stay
State rank #41 of 49 1 = lowest average payment

Hospitals in Massachusetts billed an average of $20,893 for gastrointestinal obstruction with complications, about 2.5 times the average total payment of $8,437. That payment is 7% above the U.S. average of $7,859.

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 $8,437Billed $20,893

About 40¢ 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 obstruction 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
Southcoast Hospital Group, INCFall River 70 $25,069 $7,434 $5,452
Massachusetts General HospitalBoston 60 $46,958 $12,037 $7,827
Lahey Clinic HospitalBurlington 60 $16,144 $9,097 $6,448
South Shore HospitalSouth Weymouth 58 $14,947 $6,852 $5,053
Brigham and Women's HosptialBoston 52 $41,725 $10,859 $7,818
Newton-Wellesley HospitalNewton Lower Falls 50 $20,284 $7,413 $5,641
Cape Cod HospitalHyannis 49 $15,160 $8,723 $6,730
Baystate Medical CenterSpringfield 49 $17,761 $9,917 $6,794
Beth Israel Deaconess Medical CenterBoston 39 $19,133 $10,980 $7,878
Berkshire Medical Center INCPittsfield 38 $16,917 $8,814 $7,063
Beth Israel Deaconess Hospital PlymouthPlymouth 38 $14,196 $7,203 $5,032
Lowell General HospitalLowell 38 $18,159 $7,241 $5,309
Umass Memorial Medical Center INCWorcester 38 $38,906 $11,029 $8,479
Union HospitalLynn 33 $20,750 $7,412 $6,039
Beverly Hospital CorporationBeverly 31 $18,729 $6,827 $5,285
Milford Regional Medical CenterMilford 30 $11,764 $7,241 $5,377
Winchester HospitalWinchester 26 $12,006 $6,443 $5,113
Melrosewakefield HealthcareMelrose 25 $19,260 $8,238 $6,055
Healthalliance Hospitals, INCLeominster 24 $24,358 $8,052 $5,601
Anna Jaques HospitalNewburyport 23 $11,887 $6,406 $5,342
Faulkner HospitalBoston 22 $21,864 $8,057 $6,157
Cooley Dickinson Hospital Inc,TheNorthampton 20 $15,011 $6,567 $5,099
Wing Memorial Hospital and Medical CenterPalmer 20 $13,875 $6,811 $5,587
Good Samaritan Medical Center, a Caritas Family HoBrockton 19 $12,392 $6,596 $5,099
Mount Auburn HospitalCambridge 18 $14,784 $8,776 $7,099
Milton HospitalMilton 18 $12,061 $6,380 $4,838
Sturdy Memorial HospitalAttleboro 17 $14,808 $6,549 $5,397
Emerson HospitalConcord 17 $16,961 $6,331 $5,563
Tufts Medical CenterBoston 16 $19,132 $10,932 $8,390
Boston Medical Center CorporationBoston 15 $22,996 $16,683 $13,533
Lawrence General HospitalLawrence 14 $17,534 $8,509 $6,158
Holy Family Hospital, a Caritas Family HospitalMethuen 14 $14,324 $6,977 $5,747
Mercy Medical CenterSpringfield 13 $16,034 $7,336 $5,185
Baystate Franklin Medical CenterGreenfield 12 $14,730 $6,881 $5,211
Falmouth HospitalFalmouth 12 $16,991 $6,496 $5,136
Saint Anne's Hospital, a Caritas Family HospitalFall River 11 $16,075 $6,798 $5,457
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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

Emerson HospitalConcord, MA$6,331
Milton HospitalMilton, MA$6,380
Anna Jaques HospitalNewburyport, MA$6,406
Winchester HospitalWinchester, MA$6,443
Falmouth HospitalFalmouth, MA$6,496

Gastrointestinal obstruction with complications in other states

Questions

How much does gastrointestinal obstruction with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with complications (DRG 389) at 36 hospitals in Massachusetts was billed at $20,893 on average, while the average total payment was $8,437, of which Medicare paid $6,283. 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 2.5 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.