Hip and femur procedures except major joint with complications in Massachusetts
What 42 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$56,945
Hospital list price billed
Average payment
$20,951
Medicare + patient + other payers
Medicare paid
$18,276
Average per stay
State rank
#43 of 50
1 = lowest average payment
Hospitals in Massachusetts billed an average of $56,945 for hip and femur procedures except major joint with complications, about 2.7 times the average total payment of $20,951. That payment is 13% above the U.S. average of $18,473.
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 $20,951Billed $56,945
About 37¢ 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: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| Baystate Medical CenterSpringfield | 145 | $40,363 | $22,328 | $19,054 |
| Massachusetts General HospitalBoston | 131 | $118,023 | $27,050 | $20,939 |
| Southcoast Hospital Group, INCFall River | 116 | $57,797 | $17,097 | $15,648 |
| South Shore HospitalSouth Weymouth | 108 | $33,402 | $17,065 | $14,915 |
| Umass Memorial Medical Center INCWorcester | 108 | $93,037 | $25,711 | $21,490 |
| Brigham and Women's HosptialBoston | 102 | $116,551 | $25,251 | $21,295 |
| Beth Israel Deaconess Medical CenterBoston | 92 | $46,062 | $26,325 | $22,028 |
| Cape Cod HospitalHyannis | 82 | $40,600 | $21,424 | $19,972 |
| Lahey Clinic HospitalBurlington | 76 | $42,320 | $21,240 | $18,614 |
| Berkshire Medical Center INCPittsfield | 73 | $59,207 | $22,691 | $20,387 |
| Beverly Hospital CorporationBeverly | 54 | $29,584 | $16,918 | $15,527 |
| Newton-Wellesley HospitalNewton Lower Falls | 54 | $55,995 | $18,248 | $16,496 |
| Lawrence General HospitalLawrence | 53 | $37,336 | $19,264 | $17,568 |
| Lowell General HospitalLowell | 48 | $37,782 | $17,049 | $15,553 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 47 | $40,015 | $16,553 | $15,096 |
| Union HospitalLynn | 42 | $57,747 | $18,721 | $17,067 |
| Tufts Medical CenterBoston | 42 | $61,529 | $24,455 | $21,214 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 33 | $43,947 | $16,392 | $14,908 |
| Boston Medical Center CorporationBoston | 29 | $68,648 | $32,924 | $29,397 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 29 | $36,904 | $16,310 | $14,903 |
| Sturdy Memorial HospitalAttleboro | 28 | $37,618 | $16,759 | $15,419 |
| Milford Regional Medical CenterMilford | 28 | $27,395 | $17,128 | $15,699 |
| Mount Auburn HospitalCambridge | 27 | $33,177 | $21,714 | $19,589 |
| Melrosewakefield HealthcareMelrose | 27 | $34,714 | $17,697 | $15,458 |
| Boston Medical Center-BrightonBrighton | 26 | $41,770 | $22,948 | $20,187 |
| Morton Hospital & Medical CenterTaunton | 24 | $37,874 | $16,921 | $15,561 |
| Winchester HospitalWinchester | 23 | $34,958 | $16,626 | $14,527 |
| Healthalliance Hospitals, INCLeominster | 22 | $77,465 | $19,265 | $16,293 |
| Emerson HospitalConcord | 21 | $35,798 | $15,999 | $14,678 |
| Cambridge Health AllianceCambridge | 20 | $30,802 | $28,872 | $26,435 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 19 | $39,803 | $17,012 | $15,552 |
| Holyoke Medical CenterHolyoke | 18 | $37,543 | $17,951 | $16,593 |
| St Vincent HospitalWorcester | 18 | $123,931 | $22,343 | $17,221 |
| Mercy Medical CenterSpringfield | 17 | $39,185 | $16,244 | $14,900 |
| Falmouth HospitalFalmouth | 17 | $44,345 | $16,506 | $15,066 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 16 | $35,940 | $17,055 | $15,576 |
| Anna Jaques HospitalNewburyport | 15 | $33,380 | $16,521 | $15,324 |
| Milton HospitalMilton | 15 | $29,945 | $16,275 | $14,970 |
| Heywood HospitalGardner | 14 | $34,831 | $16,565 | $15,049 |
| Metrowest Medical CenterFramingham | 13 | $115,428 | $20,167 | $18,358 |
| Harrington Memorial HospitalSouthbridge | 12 | $57,071 | $16,893 | $15,400 |
| Marlborough HospitalMarlborough | 12 | $56,627 | $17,744 | $13,497 |
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 | $15,999 |
|---|---|
| Mercy Medical CenterSpringfield, MA | $16,244 |
| Milton HospitalMilton, MA | $16,275 |
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $16,310 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $16,392 |
Highest
| Boston Medical Center CorporationBoston, MA | $32,924 |
|---|---|
| Cambridge Health AllianceCambridge, MA | $28,872 |
| Massachusetts General HospitalBoston, MA | $27,050 |
| Beth Israel Deaconess Medical CenterBoston, MA | $26,325 |
| Umass Memorial Medical Center INCWorcester, MA | $25,711 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 42 hospitals in Massachusetts was billed at $56,945 on average, while the average total payment was $20,951, of which Medicare paid $18,276. 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 2.7 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.