facebook tracking Major small and large bowel procedures with complications cost in Massachusetts: 25 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in Massachusetts

What 25 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $68,714 Hospital list price billed
Average payment $25,710 Medicare + patient + other payers
Medicare paid $21,062 Average per stay
State rank #40 of 47 1 = lowest average payment

Hospitals in Massachusetts billed an average of $68,714 for major small and large bowel procedures with complications, about 2.7 times the average total payment of $25,710. That payment is 12% above the U.S. average of $22,927.

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 $25,710Billed $68,714

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: major small and large bowel procedures 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
Massachusetts General HospitalBoston 147 $110,176 $29,434 $24,627
Brigham and Women's HosptialBoston 127 $107,510 $28,886 $22,811
Beth Israel Deaconess Medical CenterBoston 89 $45,408 $30,854 $25,109
Lahey Clinic HospitalBurlington 82 $40,915 $26,503 $19,974
Umass Memorial Medical Center INCWorcester 68 $76,757 $29,856 $23,566
Southcoast Hospital Group, INCFall River 58 $76,062 $19,825 $17,771
Newton-Wellesley HospitalNewton Lower Falls 52 $54,814 $20,880 $17,677
South Shore HospitalSouth Weymouth 48 $38,339 $19,043 $15,845
Baystate Medical CenterSpringfield 45 $55,807 $28,647 $20,326
Cape Cod HospitalHyannis 43 $57,747 $24,408 $23,093
Union HospitalLynn 28 $75,242 $22,963 $18,895
Beth Israel Deaconess Hospital PlymouthPlymouth 27 $50,706 $22,047 $15,311
Tufts Medical CenterBoston 26 $71,170 $31,508 $23,628
Lowell General HospitalLowell 25 $47,951 $22,699 $16,856
Berkshire Medical Center INCPittsfield 24 $60,132 $25,486 $22,265
Mount Auburn HospitalCambridge 20 $34,082 $24,317 $21,999
Mercy Medical CenterSpringfield 19 $49,614 $20,221 $18,848
Beverly Hospital CorporationBeverly 15 $50,078 $21,797 $17,859
Good Samaritan Medical Center, a Caritas Family HoBrockton 15 $38,837 $18,387 $17,150
Cooley Dickinson Hospital Inc,TheNorthampton 14 $44,727 $19,249 $17,850
Beth Israel Deaconess Hospital - NeedhamNeedham 14 $32,764 $18,333 $16,934
Winchester HospitalWinchester 13 $42,642 $17,810 $16,660
Sturdy Memorial HospitalAttleboro 12 $51,086 $19,164 $18,076
Melrosewakefield HealthcareMelrose 12 $45,622 $20,611 $17,996
Falmouth HospitalFalmouth 11 $69,249 $18,770 $17,732
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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

Winchester HospitalWinchester, MA$17,810
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$18,333
Good Samaritan Medical Center, a Caritas Family HoBrockton, MA$18,387
Falmouth HospitalFalmouth, MA$18,770
South Shore HospitalSouth Weymouth, MA$19,043

Highest

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 25 hospitals in Massachusetts was billed at $68,714 on average, while the average total payment was $25,710, of which Medicare paid $21,062. 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.