Hip replacement with principal diagnosis of hip fracture without major complications in Massachusetts
What 33 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$54,932
Hospital list price billed
Average payment
$20,773
Medicare + patient + other payers
Medicare paid
$18,209
Average per stay
State rank
#42 of 50
1 = lowest average payment
Hospitals in Massachusetts billed an average of $54,932 for hip replacement with principal diagnosis of hip fracture without major complications, about 2.6 times the average total payment of $20,773. That payment is 14% above the U.S. average of $18,301.
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 $20,773Billed $54,932
About 38¢ 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 without 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 |
|---|---|---|---|---|
| South Shore HospitalSouth Weymouth | 58 | $35,306 | $17,729 | $15,577 |
| Southcoast Hospital Group, INCFall River | 55 | $56,756 | $17,669 | $16,157 |
| Umass Memorial Medical Center INCWorcester | 51 | $92,229 | $25,678 | $22,839 |
| Newton-Wellesley HospitalNewton Lower Falls | 50 | $64,151 | $19,513 | $16,504 |
| Berkshire Medical Center INCPittsfield | 48 | $51,319 | $22,673 | $20,412 |
| Cape Cod HospitalHyannis | 47 | $44,942 | $21,786 | $20,413 |
| Massachusetts General HospitalBoston | 46 | $111,978 | $25,375 | $21,804 |
| Lahey Clinic HospitalBurlington | 40 | $42,258 | $22,033 | $18,762 |
| Baystate Medical CenterSpringfield | 36 | $40,508 | $22,425 | $19,780 |
| Brigham and Women's HosptialBoston | 34 | $117,020 | $26,753 | $21,259 |
| Beth Israel Deaconess Medical CenterBoston | 33 | $48,770 | $28,908 | $21,706 |
| Beverly Hospital CorporationBeverly | 28 | $35,487 | $18,603 | $15,781 |
| Union HospitalLynn | 27 | $58,410 | $19,647 | $17,929 |
| Lawrence General HospitalLawrence | 25 | $41,201 | $20,052 | $18,448 |
| Milford Regional Medical CenterMilford | 25 | $28,142 | $17,534 | $15,772 |
| Winchester HospitalWinchester | 24 | $32,666 | $16,599 | $15,290 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 23 | $49,949 | $17,681 | $15,484 |
| Lowell General HospitalLowell | 22 | $38,756 | $18,834 | $15,553 |
| Milton HospitalMilton | 18 | $33,348 | $17,028 | $15,759 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 18 | $42,320 | $17,621 | $16,305 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 17 | $65,258 | $17,287 | $15,943 |
| Emerson HospitalConcord | 17 | $41,022 | $15,943 | $14,129 |
| Tufts Medical CenterBoston | 16 | $54,543 | $25,036 | $20,394 |
| Sturdy Memorial HospitalAttleboro | 15 | $46,196 | $16,610 | $15,197 |
| Healthalliance Hospitals, INCLeominster | 14 | $71,152 | $18,828 | $17,186 |
| Mount Auburn HospitalCambridge | 14 | $29,464 | $22,054 | $19,627 |
| Boston Medical Center CorporationBoston | 13 | $78,354 | $32,130 | $28,079 |
| Falmouth HospitalFalmouth | 13 | $53,242 | $16,654 | $15,399 |
| Anna Jaques HospitalNewburyport | 12 | $32,514 | $16,846 | $15,353 |
| Melrosewakefield HealthcareMelrose | 12 | $31,905 | $17,764 | $15,579 |
| Morton Hospital & Medical CenterTaunton | 12 | $35,897 | $17,686 | $16,190 |
| Mercy Medical CenterSpringfield | 11 | $41,827 | $17,587 | $16,252 |
| Heywood HospitalGardner | 11 | $42,138 | $17,352 | $15,871 |
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 | $15,943 |
|---|---|
| Winchester HospitalWinchester, MA | $16,599 |
| Sturdy Memorial HospitalAttleboro, MA | $16,610 |
| Falmouth HospitalFalmouth, MA | $16,654 |
| Anna Jaques HospitalNewburyport, MA | $16,846 |
Highest
| Boston Medical Center CorporationBoston, MA | $32,130 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $28,908 |
| Brigham and Women's HosptialBoston, MA | $26,753 |
| Umass Memorial Medical Center INCWorcester, MA | $25,678 |
| Massachusetts General HospitalBoston, MA | $25,375 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 33 hospitals in Massachusetts was billed at $54,932 on average, while the average total payment was $20,773, of which Medicare paid $18,209. 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.