facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost in Massachusetts: 4 hospitals compared (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications in Massachusetts

What 4 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $66,032 Hospital list price billed
Average payment $24,230 Medicare + patient + other payers
Medicare paid $21,679 Average per stay
State rank #29 of 33 1 = lowest average payment

Hospitals in Massachusetts billed an average of $66,032 for laparoscopic cholecystectomy without c.d.e. with major complications, about 2.7 times the average total payment of $24,230. That payment is 14% above the U.S. average of $21,203.

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 $24,230Billed $66,032

About 37¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: laparoscopic cholecystectomy without c.d.e. 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 22 $45,574 $25,392 $21,447
Southcoast Hospital Group, INCFall River 19 $67,194 $19,807 $18,608
Massachusetts General HospitalBoston 15 $101,571 $28,135 $24,871
Cape Cod HospitalHyannis 12 $57,273 $24,220 $22,974
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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

Southcoast Hospital Group, INCFall River, MA$19,807
Cape Cod HospitalHyannis, MA$24,220
Baystate Medical CenterSpringfield, MA$25,392
Massachusetts General HospitalBoston, MA$28,135

Highest

Massachusetts General HospitalBoston, MA$28,135
Baystate Medical CenterSpringfield, MA$25,392
Cape Cod HospitalHyannis, MA$24,220
Southcoast Hospital Group, INCFall River, MA$19,807

Laparoscopic cholecystectomy without c.d.e. with major complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 4 hospitals in Massachusetts was billed at $66,032 on average, while the average total payment was $24,230, of which Medicare paid $21,679. 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 2.7 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.