Heart failure and shock with major complications in Massachusetts
What 51 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$30,373
Hospital list price billed
Average payment
$12,996
Medicare + patient + other payers
Medicare paid
$10,910
Average per stay
State rank
#43 of 50
1 = lowest average payment
Hospitals in Massachusetts billed an average of $30,373 for heart failure and shock with major complications, about 2.3 times the average total payment of $12,996. That payment is 8% above the U.S. average of $12,050.
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 $12,996Billed $30,373
About 43¢ 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: heart failure and shock 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 |
|---|---|---|---|---|
| Southcoast Hospital Group, INCFall River | 716 | $26,277 | $11,002 | $9,644 |
| South Shore HospitalSouth Weymouth | 641 | $19,319 | $10,420 | $9,318 |
| Baystate Medical CenterSpringfield | 601 | $24,149 | $14,553 | $11,836 |
| Cape Cod HospitalHyannis | 469 | $23,594 | $13,316 | $12,146 |
| Massachusetts General HospitalBoston | 466 | $78,997 | $18,760 | $13,441 |
| Lowell General HospitalLowell | 460 | $21,786 | $11,423 | $9,643 |
| Union HospitalLynn | 422 | $30,803 | $11,855 | $10,421 |
| Newton-Wellesley HospitalNewton Lower Falls | 420 | $37,872 | $11,746 | $9,996 |
| Beth Israel Deaconess Medical CenterBoston | 396 | $40,476 | $19,693 | $14,255 |
| Lahey Clinic HospitalBurlington | 381 | $25,717 | $14,513 | $11,447 |
| Umass Memorial Medical Center INCWorcester | 379 | $53,316 | $17,494 | $13,965 |
| Berkshire Medical Center INCPittsfield | 367 | $22,230 | $14,422 | $12,390 |
| Milford Regional Medical CenterMilford | 323 | $17,578 | $10,955 | $9,677 |
| Brigham and Women's HosptialBoston | 309 | $94,327 | $18,556 | $14,053 |
| Beverly Hospital CorporationBeverly | 304 | $22,333 | $10,596 | $9,465 |
| Melrosewakefield HealthcareMelrose | 256 | $17,022 | $11,441 | $9,368 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 237 | $21,191 | $10,446 | $9,182 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 225 | $21,722 | $11,000 | $9,693 |
| Winchester HospitalWinchester | 221 | $19,317 | $10,275 | $9,011 |
| Healthalliance Hospitals, INCLeominster | 209 | $31,184 | $11,357 | $10,119 |
| Lawrence General HospitalLawrence | 208 | $22,615 | $12,637 | $11,276 |
| Faulkner HospitalBoston | 204 | $43,870 | $13,244 | $10,851 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 202 | $21,792 | $9,968 | $8,872 |
| Milton HospitalMilton | 198 | $15,647 | $10,078 | $8,882 |
| Wing Memorial Hospital and Medical CenterPalmer | 192 | $16,086 | $10,528 | $9,442 |
| Falmouth HospitalFalmouth | 169 | $23,637 | $10,425 | $9,022 |
| Sturdy Memorial HospitalAttleboro | 162 | $19,527 | $10,348 | $9,303 |
| St Vincent HospitalWorcester | 157 | $57,342 | $14,682 | $11,932 |
| Boston Medical Center CorporationBoston | 152 | $38,089 | $23,713 | $19,671 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 152 | $19,178 | $10,933 | $9,911 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 149 | $21,224 | $10,255 | $8,764 |
| Morton Hospital & Medical CenterTaunton | 145 | $19,164 | $10,582 | $9,562 |
| Baystate Franklin Medical CenterGreenfield | 129 | $19,155 | $10,789 | $9,435 |
| Mount Auburn HospitalCambridge | 124 | $23,642 | $13,643 | $11,586 |
| Marlborough HospitalMarlborough | 124 | $26,696 | $10,601 | $9,239 |
| Tufts Medical CenterBoston | 121 | $45,334 | $21,528 | $15,133 |
| Anna Jaques HospitalNewburyport | 118 | $19,595 | $10,375 | $9,353 |
| Noble HospitalWestfield | 112 | $15,591 | $10,289 | $9,107 |
| Metrowest Medical CenterFramingham | 112 | $61,323 | $12,331 | $10,561 |
| Harrington Memorial HospitalSouthbridge | 108 | $21,368 | $10,770 | $9,750 |
| Mercy Medical CenterSpringfield | 107 | $23,982 | $11,078 | $9,942 |
| Emerson HospitalConcord | 107 | $19,107 | $9,625 | $8,588 |
| Holyoke Medical CenterHolyoke | 102 | $13,977 | $11,021 | $9,982 |
| Heywood HospitalGardner | 93 | $18,297 | $10,497 | $9,506 |
| Cambridge Health AllianceCambridge | 85 | $26,435 | $22,034 | $19,694 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 71 | $20,983 | $10,710 | $9,657 |
| Boston Medical Center-BrightonBrighton | 51 | $22,174 | $15,233 | $12,890 |
| Brockton HospitalBrockton | 44 | $30,446 | $14,286 | $11,179 |
| Nashoba Valley Medical CenterAyer | 18 | $14,577 | $9,596 | $8,690 |
| Carney HospitalDorchester | 11 | $17,448 | $13,692 | $12,282 |
| Nantucket Cottage HospitalNantucket | 11 | $22,681 | $17,104 | $15,917 |
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
| Nashoba Valley Medical CenterAyer, MA | $9,596 |
|---|---|
| Emerson HospitalConcord, MA | $9,625 |
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $9,968 |
| Milton HospitalMilton, MA | $10,078 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $10,255 |
Highest
| Boston Medical Center CorporationBoston, MA | $23,713 |
|---|---|
| Cambridge Health AllianceCambridge, MA | $22,034 |
| Tufts Medical CenterBoston, MA | $21,528 |
| Beth Israel Deaconess Medical CenterBoston, MA | $19,693 |
| Massachusetts General HospitalBoston, MA | $18,760 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 51 hospitals in Massachusetts was billed at $30,373 on average, while the average total payment was $12,996, of which Medicare paid $10,910. 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.