facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in Massachusetts: 39 hospitals compared (DRG 853)

Infectious and parasitic diseases with operating room procedures with major complications in Massachusetts

What 39 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $130,443 Hospital list price billed
Average payment $54,082 Medicare + patient + other payers
Medicare paid $48,167 Average per stay
State rank #42 of 49 1 = lowest average payment

Hospitals in Massachusetts billed an average of $130,443 for infectious and parasitic diseases with operating room procedures with major complications, about 2.4 times the average total payment of $54,082. That payment is 16% above the U.S. average of $46,667.

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 $54,082Billed $130,443

About 41¢ 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: infectious and parasitic diseases with operating room procedures 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
Baystate Medical CenterSpringfield 186 $101,269 $55,377 $46,649
Massachusetts General HospitalBoston 143 $283,332 $70,713 $60,410
Lahey Clinic HospitalBurlington 127 $105,827 $55,108 $47,272
Cape Cod HospitalHyannis 126 $67,692 $52,095 $49,218
Beth Israel Deaconess Medical CenterBoston 122 $163,644 $87,441 $73,314
Umass Memorial Medical Center INCWorcester 121 $192,626 $64,212 $56,961
Brigham and Women's HosptialBoston 101 $310,159 $68,282 $61,597
South Shore HospitalSouth Weymouth 99 $71,969 $40,198 $36,649
Southcoast Hospital Group, INCFall River 86 $121,413 $42,309 $40,664
Berkshire Medical Center INCPittsfield 66 $98,881 $53,916 $51,020
Union HospitalLynn 58 $108,277 $40,192 $38,605
Beth Israel Deaconess Hospital PlymouthPlymouth 55 $72,158 $37,593 $35,621
Beverly Hospital CorporationBeverly 51 $77,174 $39,788 $36,471
Boston Medical Center CorporationBoston 46 $180,648 $86,003 $76,096
Newton-Wellesley HospitalNewton Lower Falls 45 $116,572 $43,066 $39,507
St Vincent HospitalWorcester 44 $176,500 $47,410 $41,052
Tufts Medical CenterBoston 41 $198,223 $73,812 $61,401
Lowell General HospitalLowell 40 $90,312 $46,071 $36,915
Falmouth HospitalFalmouth 40 $78,724 $37,169 $36,069
Winchester HospitalWinchester 30 $53,859 $36,293 $34,367
Cooley Dickinson Hospital Inc,TheNorthampton 27 $71,856 $36,795 $35,073
Sturdy Memorial HospitalAttleboro 26 $61,738 $36,900 $35,503
Lawrence General HospitalLawrence 22 $65,267 $41,658 $40,028
Beth Israel Deaconess Hospital - NeedhamNeedham 22 $57,319 $33,860 $32,804
Melrosewakefield HealthcareMelrose 21 $65,987 $40,718 $37,466
Morton Hospital & Medical CenterTaunton 21 $73,520 $46,383 $35,440
Milton HospitalMilton 20 $39,732 $37,541 $36,481
Good Samaritan Medical Center, a Caritas Family HoBrockton 20 $99,735 $42,332 $41,054
Mount Auburn HospitalCambridge 19 $71,201 $55,270 $52,203
Emerson HospitalConcord 19 $62,446 $35,562 $34,531
Metrowest Medical CenterFramingham 19 $143,748 $44,637 $42,054
Saint Anne's Hospital, a Caritas Family HospitalFall River 18 $97,028 $41,595 $40,672
Boston Medical Center-BrightonBrighton 18 $120,782 $67,584 $51,102
Mercy Medical CenterSpringfield 18 $76,399 $41,622 $40,352
Milford Regional Medical CenterMilford 17 $31,942 $33,472 $32,361
Faulkner HospitalBoston 17 $80,160 $41,231 $39,379
Healthalliance Hospitals, INCLeominster 16 $146,113 $55,705 $48,385
Holyoke Medical CenterHolyoke 15 $64,125 $40,610 $39,223
Holy Family Hospital, a Caritas Family HospitalMethuen 15 $49,294 $37,579 $36,478
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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

Milford Regional Medical CenterMilford, MA$33,472
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$33,860
Emerson HospitalConcord, MA$35,562
Winchester HospitalWinchester, MA$36,293
Cooley Dickinson Hospital Inc,TheNorthampton, MA$36,795

Infectious and parasitic diseases with operating room procedures with major complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 39 hospitals in Massachusetts was billed at $130,443 on average, while the average total payment was $54,082, of which Medicare paid $48,167. 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 2.4 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.