Hip replacement with principal diagnosis of hip fracture with major complications in Massachusetts
What 18 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$80,189
Hospital list price billed
Average payment
$29,893
Medicare + patient + other payers
Medicare paid
$26,786
Average per stay
State rank
#35 of 40
1 = lowest average payment
Hospitals in Massachusetts billed an average of $80,189 for hip replacement with principal diagnosis of hip fracture with major complications, about 2.7 times the average total payment of $29,893. That payment is 16% above the U.S. average of $25,727.
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 $29,893Billed $80,189
About 37¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: hip replacement with principal diagnosis of hip fracture 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 | 35 | $54,167 | $31,329 | $28,356 |
| Umass Memorial Medical Center INCWorcester | 31 | $102,783 | $34,896 | $31,399 |
| Union HospitalLynn | 29 | $82,809 | $26,781 | $25,234 |
| Lahey Clinic HospitalBurlington | 29 | $71,798 | $32,658 | $27,976 |
| South Shore HospitalSouth Weymouth | 25 | $50,696 | $26,068 | $21,378 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 23 | $66,043 | $25,261 | $24,196 |
| Massachusetts General HospitalBoston | 23 | $183,316 | $38,566 | $33,595 |
| Southcoast Hospital Group, INCFall River | 20 | $87,509 | $27,063 | $24,052 |
| Beth Israel Deaconess Medical CenterBoston | 20 | $71,926 | $38,309 | $33,965 |
| Newton-Wellesley HospitalNewton Lower Falls | 20 | $77,111 | $25,358 | $23,672 |
| Brigham and Women's HosptialBoston | 19 | $186,178 | $37,716 | $33,475 |
| Beverly Hospital CorporationBeverly | 17 | $45,144 | $23,583 | $22,241 |
| Winchester HospitalWinchester | 17 | $49,248 | $23,125 | $21,942 |
| Berkshire Medical Center INCPittsfield | 15 | $67,612 | $32,470 | $30,075 |
| Falmouth HospitalFalmouth | 15 | $54,721 | $21,894 | $20,589 |
| Baystate Medical CenterSpringfield | 14 | $56,111 | $35,918 | $26,595 |
| Milford Regional Medical CenterMilford | 14 | $36,505 | $23,783 | $22,211 |
| Lowell General HospitalLowell | 11 | $59,850 | $24,681 | $23,791 |
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
| Falmouth HospitalFalmouth, MA | $21,894 |
|---|---|
| Winchester HospitalWinchester, MA | $23,125 |
| Beverly Hospital CorporationBeverly, MA | $23,583 |
| Milford Regional Medical CenterMilford, MA | $23,783 |
| Lowell General HospitalLowell, MA | $24,681 |
Highest
| Massachusetts General HospitalBoston, MA | $38,566 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $38,309 |
| Brigham and Women's HosptialBoston, MA | $37,716 |
| Baystate Medical CenterSpringfield, MA | $35,918 |
| Umass Memorial Medical Center INCWorcester, MA | $34,896 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 18 hospitals in Massachusetts was billed at $80,189 on average, while the average total payment was $29,893, of which Medicare paid $26,786. 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.