Hip and femur procedures except major joint without complications in Massachusetts
What 12 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.
Average charge
$39,576
Hospital list price billed
Average payment
$16,014
Medicare + patient + other payers
Medicare paid
$13,279
Average per stay
State rank
#30 of 36
1 = lowest average payment
Hospitals in Massachusetts billed an average of $39,576 for hip and femur procedures except major joint without complications, about 2.5 times the average total payment of $16,014. That payment is 12% above the U.S. average of $14,276.
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 $16,014Billed $39,576
About 40¢ 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 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 |
|---|---|---|---|---|
| Baystate Medical CenterSpringfield | 34 | $28,959 | $17,193 | $14,952 |
| Southcoast Hospital Group, INCFall River | 19 | $39,362 | $14,694 | $11,424 |
| Lawrence General HospitalLawrence | 17 | $29,358 | $14,754 | $13,233 |
| Umass Memorial Medical Center INCWorcester | 16 | $65,949 | $19,285 | $16,800 |
| Lowell General HospitalLowell | 14 | $37,210 | $15,142 | $9,622 |
| Newton-Wellesley HospitalNewton Lower Falls | 14 | $45,147 | $13,049 | $11,317 |
| Brigham and Women's HosptialBoston | 14 | $87,143 | $18,858 | $16,211 |
| Berkshire Medical Center INCPittsfield | 13 | $44,582 | $16,899 | $14,883 |
| South Shore HospitalSouth Weymouth | 13 | $25,263 | $16,858 | $9,926 |
| Beverly Hospital CorporationBeverly | 12 | $25,999 | $13,196 | $11,564 |
| Cape Cod HospitalHyannis | 11 | $28,212 | $16,458 | $14,812 |
| Milford Regional Medical CenterMilford | 11 | $22,739 | $13,685 | $12,087 |
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
| Newton-Wellesley HospitalNewton Lower Falls, MA | $13,049 |
|---|---|
| Beverly Hospital CorporationBeverly, MA | $13,196 |
| Milford Regional Medical CenterMilford, MA | $13,685 |
| Southcoast Hospital Group, INCFall River, MA | $14,694 |
| Lawrence General HospitalLawrence, MA | $14,754 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $19,285 |
|---|---|
| Brigham and Women's HosptialBoston, MA | $18,858 |
| Baystate Medical CenterSpringfield, MA | $17,193 |
| Berkshire Medical Center INCPittsfield, MA | $16,899 |
| South Shore HospitalSouth Weymouth, MA | $16,858 |
Hip and femur procedures except major joint without complications in other states
Questions
How much does hip and femur procedures except major joint without complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 12 hospitals in Massachusetts was billed at $39,576 on average, while the average total payment was $16,014, of which Medicare paid $13,279. 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 2.5 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.