Hernia procedures except inguinal and femoral without complications in Massachusetts
What 2 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355), from 2024 Medicare claims.
Average charge
$52,919
Hospital list price billed
Average payment
$15,338
Medicare + patient + other payers
Medicare paid
$13,160
Average per stay
Volume
26
Medicare hospital stays
Hospitals in Massachusetts billed an average of $52,919 for hernia procedures except inguinal and femoral without complications, about 3.5 times the average total payment of $15,338. That payment is 14% above the U.S. average of $13,407.
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 $15,338Billed $52,919
About 29¢ 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: hernia procedures except inguinal and femoral 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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 15 | $75,163 | $16,088 | $13,704 |
| Lahey Clinic HospitalBurlington | 11 | $22,585 | $14,316 | $12,419 |
Hernia procedures except inguinal and femoral without complications in other states
Questions
How much does hernia procedures except inguinal and femoral without complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355) at 2 hospitals in Massachusetts was billed at $52,919 on average, while the average total payment was $15,338, of which Medicare paid $13,160. 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 3.5 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.