facebook tracking Gastrointestinal obstruction with major complications cost in Massachusetts: 21 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in Massachusetts

What 21 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $45,224 Hospital list price billed
Average payment $15,534 Medicare + patient + other payers
Medicare paid $12,481 Average per stay
State rank #32 of 35 1 = lowest average payment

Hospitals in Massachusetts billed an average of $45,224 for gastrointestinal obstruction with major complications, about 2.9 times the average total payment of $15,534. That payment is 8% above the U.S. average of $14,417.

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 $15,534Billed $45,224

About 34¢ 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 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
Brigham and Women's HosptialBoston 53 $106,783 $21,889 $15,044
Massachusetts General HospitalBoston 37 $91,330 $20,432 $14,386
South Shore HospitalSouth Weymouth 37 $23,789 $11,023 $10,185
Southcoast Hospital Group, INCFall River 25 $30,934 $12,159 $10,421
Baystate Medical CenterSpringfield 22 $31,482 $14,895 $11,503
Berkshire Medical Center INCPittsfield 21 $27,730 $15,916 $14,293
Umass Memorial Medical Center INCWorcester 21 $48,896 $18,547 $15,732
Beth Israel Deaconess Medical CenterBoston 17 $44,101 $23,235 $16,967
Falmouth HospitalFalmouth 16 $26,436 $11,801 $10,985
Good Samaritan Medical Center, a Caritas Family HoBrockton 15 $17,295 $11,602 $10,465
Faulkner HospitalBoston 15 $44,703 $14,605 $12,619
Milford Regional Medical CenterMilford 14 $17,774 $12,058 $10,927
Newton-Wellesley HospitalNewton Lower Falls 14 $42,600 $13,755 $11,722
Sturdy Memorial HospitalAttleboro 13 $16,831 $12,337 $9,763
Cooley Dickinson Hospital Inc,TheNorthampton 13 $31,535 $11,921 $11,168
Saint Anne's Hospital, a Caritas Family HospitalFall River 13 $22,114 $14,644 $10,326
Lowell General HospitalLowell 13 $23,172 $12,012 $9,748
Lahey Clinic HospitalBurlington 13 $28,568 $15,928 $13,244
Lawrence General HospitalLawrence 12 $23,581 $13,158 $11,783
Union HospitalLynn 12 $32,821 $12,525 $11,560
Beth Israel Deaconess Hospital PlymouthPlymouth 11 $18,066 $11,601 $10,563
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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$11,023
Beth Israel Deaconess Hospital PlymouthPlymouth, MA$11,601
Good Samaritan Medical Center, a Caritas Family HoBrockton, MA$11,602
Falmouth HospitalFalmouth, MA$11,801
Cooley Dickinson Hospital Inc,TheNorthampton, MA$11,921

Highest

Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 21 hospitals in Massachusetts was billed at $45,224 on average, while the average total payment was $15,534, of which Medicare paid $12,481. 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 2.9 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.