facebook tracking Kidney transplant with hemodialysis with major complications cost in Massachusetts: 2 hospitals compared (DRG 650)

Kidney transplant with hemodialysis with major complications in Massachusetts

What 2 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for kidney transplant with hemodialysis with major complications (DRG 650), from 2024 Medicare claims.

DRG 650 Inpatient 2024 Medicare data
Average charge $372,476 Hospital list price billed
Average payment $65,171 Medicare + patient + other payers
Medicare paid $56,115 Average per stay
Volume 37 Medicare hospital stays

Hospitals in Massachusetts billed an average of $372,476 for kidney transplant with hemodialysis with major complications, about 5.7 times the average total payment of $65,171. That payment is 11% above the U.S. average of $58,842.

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 $65,171Billed $372,476

About 17¢ 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: kidney transplant with hemodialysis 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
Massachusetts General HospitalBoston 24 $393,407 $64,534 $59,794
Umass Memorial Medical Center INCWorcester 13 $333,836 $66,347 $49,323
Advertisement

Kidney transplant with hemodialysis with major complications in other states

Questions

How much does kidney transplant with hemodialysis with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for kidney transplant with hemodialysis with major complications (DRG 650) at 2 hospitals in Massachusetts was billed at $372,476 on average, while the average total payment was $65,171, of which Medicare paid $56,115. 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 5.7 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.