facebook tracking Liver transplant with major complications or intestinal transplant cost in Massachusetts: 4 hospitals compared (DRG 005)

Liver transplant with major complications or intestinal transplant in Massachusetts

What 4 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for liver transplant with major complications or intestinal transplant (DRG 005), from 2024 Medicare claims.

DRG 005 Inpatient 2024 Medicare data
Average charge $491,120 Hospital list price billed
Average payment $145,408 Medicare + patient + other payers
Medicare paid $118,978 Average per stay
State rank #4 of 6 1 = lowest average payment

Hospitals in Massachusetts billed an average of $491,120 for liver transplant with major complications or intestinal transplant, about 3.4 times the average total payment of $145,408. That payment is 7% below the U.S. average of $155,730.

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 $145,408Billed $491,120

About 30¢ 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: liver transplant with major complications or intestinal transplant

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
Lahey Clinic HospitalBurlington 27 $391,564 $127,936 $101,575
Beth Israel Deaconess Medical CenterBoston 21 $397,615 $168,749 $138,563
Massachusetts General HospitalBoston 13 $808,624 $151,329 $110,032
Umass Memorial Medical Center INCWorcester 13 $531,433 $138,072 $132,433
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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

Lahey Clinic HospitalBurlington, MA$127,936
Umass Memorial Medical Center INCWorcester, MA$138,072
Massachusetts General HospitalBoston, MA$151,329
Beth Israel Deaconess Medical CenterBoston, MA$168,749

Highest

Beth Israel Deaconess Medical CenterBoston, MA$168,749
Massachusetts General HospitalBoston, MA$151,329
Umass Memorial Medical Center INCWorcester, MA$138,072
Lahey Clinic HospitalBurlington, MA$127,936

Liver transplant with major complications or intestinal transplant in other states

Questions

How much does liver transplant with major complications or intestinal transplant cost in Massachusetts?

In 2024 Medicare data, a hospital stay for liver transplant with major complications or intestinal transplant (DRG 005) at 4 hospitals in Massachusetts was billed at $491,120 on average, while the average total payment was $145,408, of which Medicare paid $118,978. 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 3.4 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.