facebook tracking Hypertension without major complications cost in Massachusetts: 21 hospitals compared (DRG 305)

Hypertension without major complications in Massachusetts

What 21 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.

DRG 305 Inpatient 2024 Medicare data
Average charge $19,157 Hospital list price billed
Average payment $7,527 Medicare + patient + other payers
Medicare paid $5,761 Average per stay
State rank #33 of 38 1 = lowest average payment

Hospitals in Massachusetts billed an average of $19,157 for hypertension without major complications, about 2.5 times the average total payment of $7,527. That payment is 4% above the U.S. average of $7,204.

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 $7,527Billed $19,157

About 39¢ 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: hypertension 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 62 $13,701 $6,392 $4,923
Baystate Medical CenterSpringfield 43 $14,637 $8,535 $6,275
Beverly Hospital CorporationBeverly 42 $16,816 $6,586 $5,021
Union HospitalLynn 40 $23,073 $7,301 $5,634
Newton-Wellesley HospitalNewton Lower Falls 37 $19,430 $7,093 $5,224
Southcoast Hospital Group, INCFall River 30 $16,983 $6,500 $5,086
Beth Israel Deaconess Hospital PlymouthPlymouth 28 $12,272 $6,292 $5,068
Cape Cod HospitalHyannis 27 $20,779 $7,799 $6,401
Umass Memorial Medical Center INCWorcester 26 $27,256 $9,898 $7,821
Massachusetts General HospitalBoston 23 $35,537 $9,972 $7,407
Brigham and Women's HosptialBoston 21 $48,468 $10,498 $6,960
Good Samaritan Medical Center, a Caritas Family HoBrockton 21 $12,198 $6,530 $5,111
Winchester HospitalWinchester 20 $11,260 $6,078 $4,929
Lowell General HospitalLowell 19 $15,371 $6,680 $5,048
Beth Israel Deaconess Medical CenterBoston 16 $14,882 $10,271 $7,900
Saint Anne's Hospital, a Caritas Family HospitalFall River 15 $12,215 $6,384 $4,858
Falmouth HospitalFalmouth 15 $23,133 $6,127 $4,821
Tufts Medical CenterBoston 12 $19,556 $9,908 $7,979
Faulkner HospitalBoston 12 $24,545 $7,549 $5,920
Berkshire Medical Center INCPittsfield 11 $15,795 $8,077 $6,346
Melrosewakefield HealthcareMelrose 11 $12,969 $7,048 $5,195
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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$6,078
Falmouth HospitalFalmouth, MA$6,127
Beth Israel Deaconess Hospital PlymouthPlymouth, MA$6,292
Saint Anne's Hospital, a Caritas Family HospitalFall River, MA$6,384
South Shore HospitalSouth Weymouth, MA$6,392

Hypertension without major complications in other states

Questions

How much does hypertension without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 21 hospitals in Massachusetts was billed at $19,157 on average, while the average total payment was $7,527, of which Medicare paid $5,761. 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.