Major small and large bowel procedures without complications in Massachusetts
What 14 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.
Average charge
$48,393
Hospital list price billed
Average payment
$18,249
Medicare + patient + other payers
Medicare paid
$14,666
Average per stay
State rank
#36 of 42
1 = lowest average payment
Hospitals in Massachusetts billed an average of $48,393 for major small and large bowel procedures without complications, about 2.7 times the average total payment of $18,249. That payment is 14% above the U.S. average of $16,035.
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 $18,249Billed $48,393
About 38¢ 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 without 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 | 46 | $70,375 | $20,403 | $16,906 |
| Brigham and Women's HosptialBoston | 40 | $73,418 | $21,057 | $16,172 |
| Newton-Wellesley HospitalNewton Lower Falls | 30 | $44,994 | $15,470 | $12,904 |
| Umass Memorial Medical Center INCWorcester | 28 | $57,333 | $22,367 | $16,685 |
| Beth Israel Deaconess Medical CenterBoston | 26 | $29,412 | $21,242 | $17,177 |
| Baystate Medical CenterSpringfield | 25 | $38,000 | $19,154 | $14,403 |
| Southcoast Hospital Group, INCFall River | 17 | $52,992 | $14,163 | $12,819 |
| Lahey Clinic HospitalBurlington | 17 | $28,257 | $17,734 | $13,146 |
| Mercy Medical CenterSpringfield | 16 | $27,616 | $14,119 | $12,589 |
| Lowell General HospitalLowell | 15 | $30,583 | $15,741 | $11,299 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 13 | $32,189 | $14,000 | $12,652 |
| Cape Cod HospitalHyannis | 12 | $40,130 | $17,227 | $15,714 |
| South Shore HospitalSouth Weymouth | 12 | $24,234 | $14,514 | $11,097 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 11 | $53,503 | $13,736 | $12,104 |
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
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $13,736 |
|---|---|
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $14,000 |
| Mercy Medical CenterSpringfield, MA | $14,119 |
| Southcoast Hospital Group, INCFall River, MA | $14,163 |
| South Shore HospitalSouth Weymouth, MA | $14,514 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $22,367 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $21,242 |
| Brigham and Women's HosptialBoston, MA | $21,057 |
| Massachusetts General HospitalBoston, MA | $20,403 |
| Baystate Medical CenterSpringfield, MA | $19,154 |
Major small and large bowel procedures without complications in other states
Questions
How much does major small and large bowel procedures without complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 14 hospitals in Massachusetts was billed at $48,393 on average, while the average total payment was $18,249, of which Medicare paid $14,666. 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.