Inborn and other disorders of metabolism in Massachusetts
What 1 hospital in Massachusetts charged and were paid for a Medicare hospital stay for inborn and other disorders of metabolism (DRG 642), from 2024 Medicare claims.
Average charge
$156,311
Hospital list price billed
Average payment
$24,005
Medicare + patient + other payers
Medicare paid
$19,917
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Massachusetts billed an average of $156,311 for inborn and other disorders of metabolism, about 6.5 times the average total payment of $24,005. That payment is 8% below the U.S. average of $25,993.
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 $24,005Billed $156,311
About 15¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Massachusetts hospitals: inborn and other disorders of metabolism
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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 11 | $156,311 | $24,005 | $19,917 |
Inborn and other disorders of metabolism in other states
Questions
How much does inborn and other disorders of metabolism cost in Massachusetts?
In 2024 Medicare data, a hospital stay for inborn and other disorders of metabolism (DRG 642) at 1 hospital in Massachusetts was billed at $156,311 on average, while the average total payment was $24,005, of which Medicare paid $19,917. 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 6.5 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.