Hip and femur procedures except major joint with major complications in Massachusetts
What 25 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$81,142
Hospital list price billed
Average payment
$31,351
Medicare + patient + other payers
Medicare paid
$27,809
Average per stay
State rank
#41 of 46
1 = lowest average payment
Hospitals in Massachusetts billed an average of $81,142 for hip and femur procedures except major joint with major complications, about 2.6 times the average total payment of $31,351. That payment is 19% above the U.S. average of $26,284.
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 $31,351Billed $81,142
About 39¢ 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 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 |
|---|---|---|---|---|
| Cape Cod HospitalHyannis | 77 | $50,281 | $32,118 | $28,940 |
| Baystate Medical CenterSpringfield | 63 | $61,246 | $34,039 | $30,194 |
| Massachusetts General HospitalBoston | 54 | $188,923 | $39,848 | $33,858 |
| Lahey Clinic HospitalBurlington | 54 | $65,174 | $32,324 | $26,574 |
| Beth Israel Deaconess Medical CenterBoston | 51 | $75,446 | $40,957 | $36,132 |
| Brigham and Women's HosptialBoston | 47 | $174,108 | $35,216 | $31,654 |
| South Shore HospitalSouth Weymouth | 46 | $48,423 | $23,169 | $21,788 |
| Umass Memorial Medical Center INCWorcester | 46 | $123,730 | $36,761 | $33,006 |
| Beverly Hospital CorporationBeverly | 36 | $44,829 | $23,897 | $22,174 |
| Southcoast Hospital Group, INCFall River | 36 | $62,116 | $23,081 | $21,767 |
| Union HospitalLynn | 31 | $79,742 | $26,420 | $24,775 |
| Lowell General HospitalLowell | 28 | $50,660 | $24,454 | $22,134 |
| Newton-Wellesley HospitalNewton Lower Falls | 28 | $76,564 | $27,449 | $22,847 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 25 | $55,175 | $23,211 | $21,840 |
| Tufts Medical CenterBoston | 24 | $98,418 | $36,513 | $32,362 |
| Berkshire Medical Center INCPittsfield | 23 | $57,339 | $31,621 | $29,384 |
| Lawrence General HospitalLawrence | 20 | $48,699 | $26,385 | $24,577 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 15 | $61,026 | $22,653 | $21,565 |
| Melrosewakefield HealthcareMelrose | 14 | $52,677 | $28,946 | $21,342 |
| Boston Medical Center CorporationBoston | 13 | $189,502 | $63,586 | $56,210 |
| Anna Jaques HospitalNewburyport | 12 | $46,683 | $25,288 | $20,332 |
| Winchester HospitalWinchester | 12 | $39,966 | $21,968 | $20,855 |
| Mount Auburn HospitalCambridge | 11 | $45,859 | $30,405 | $26,914 |
| Milford Regional Medical CenterMilford | 11 | $30,324 | $26,664 | $17,600 |
| Falmouth HospitalFalmouth | 11 | $56,883 | $22,472 | $21,136 |
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
| Winchester HospitalWinchester, MA | $21,968 |
|---|---|
| Falmouth HospitalFalmouth, MA | $22,472 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $22,653 |
| Southcoast Hospital Group, INCFall River, MA | $23,081 |
| South Shore HospitalSouth Weymouth, MA | $23,169 |
Highest
| Boston Medical Center CorporationBoston, MA | $63,586 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $40,957 |
| Massachusetts General HospitalBoston, MA | $39,848 |
| Umass Memorial Medical Center INCWorcester, MA | $36,761 |
| Tufts Medical CenterBoston, MA | $36,513 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 25 hospitals in Massachusetts was billed at $81,142 on average, while the average total payment was $31,351, of which Medicare paid $27,809. 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 2.6 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.