Major gastrointestinal disorders and peritoneal infections with complications in Massachusetts
What 22 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.
Average charge
$26,027
Hospital list price billed
Average payment
$10,495
Medicare + patient + other payers
Medicare paid
$8,785
Average per stay
State rank
#29 of 34
1 = lowest average payment
Hospitals in Massachusetts billed an average of $26,027 for major gastrointestinal disorders and peritoneal infections with complications, about 2.5 times the average total payment of $10,495. That payment is 4% above the U.S. average of $10,109.
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 $10,495Billed $26,027
About 40¢ 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: major gastrointestinal disorders and peritoneal infections with 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 |
|---|---|---|---|---|
| South Shore HospitalSouth Weymouth | 41 | $18,316 | $8,393 | $7,349 |
| Southcoast Hospital Group, INCFall River | 33 | $24,439 | $9,016 | $7,686 |
| Cape Cod HospitalHyannis | 31 | $21,033 | $10,821 | $9,588 |
| Massachusetts General HospitalBoston | 28 | $56,118 | $14,233 | $10,920 |
| Umass Memorial Medical Center INCWorcester | 28 | $35,805 | $13,455 | $11,423 |
| Baystate Medical CenterSpringfield | 27 | $19,375 | $11,692 | $9,964 |
| Brigham and Women's HosptialBoston | 26 | $63,303 | $13,974 | $10,732 |
| Milford Regional Medical CenterMilford | 22 | $12,977 | $8,686 | $7,954 |
| Newton-Wellesley HospitalNewton Lower Falls | 22 | $24,171 | $9,775 | $8,022 |
| Beverly Hospital CorporationBeverly | 20 | $25,032 | $8,712 | $7,509 |
| Winchester HospitalWinchester | 18 | $13,733 | $8,087 | $7,438 |
| Union HospitalLynn | 17 | $24,139 | $10,253 | $7,887 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 14 | $16,310 | $9,572 | $6,841 |
| Lowell General HospitalLowell | 14 | $17,035 | $10,149 | $7,471 |
| Beth Israel Deaconess Medical CenterBoston | 14 | $29,172 | $14,416 | $11,062 |
| Lahey Clinic HospitalBurlington | 14 | $19,709 | $11,609 | $9,425 |
| Morton Hospital & Medical CenterTaunton | 13 | $20,031 | $8,559 | $8,308 |
| Milton HospitalMilton | 13 | $14,765 | $8,410 | $7,656 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 11 | $22,106 | $8,843 | $7,800 |
| Wing Memorial Hospital and Medical CenterPalmer | 11 | $21,276 | $8,997 | $8,255 |
| Berkshire Medical Center INCPittsfield | 11 | $17,849 | $11,419 | $9,536 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 11 | $20,078 | $8,445 | $7,730 |
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
| Winchester HospitalWinchester, MA | $8,087 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $8,393 |
| Milton HospitalMilton, MA | $8,410 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $8,445 |
| Morton Hospital & Medical CenterTaunton, MA | $8,559 |
Highest
| Beth Israel Deaconess Medical CenterBoston, MA | $14,416 |
|---|---|
| Massachusetts General HospitalBoston, MA | $14,233 |
| Brigham and Women's HosptialBoston, MA | $13,974 |
| Umass Memorial Medical Center INCWorcester, MA | $13,455 |
| Baystate Medical CenterSpringfield, MA | $11,692 |
Major gastrointestinal disorders and peritoneal infections with complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 22 hospitals in Massachusetts was billed at $26,027 on average, while the average total payment was $10,495, of which Medicare paid $8,785. 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 2.5 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.