Malignancy of hepatobiliary system or pancreas with major complications in Massachusetts
What 13 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$60,530
Hospital list price billed
Average payment
$21,495
Medicare + patient + other payers
Medicare paid
$17,278
Average per stay
State rank
#29 of 32
1 = lowest average payment
Hospitals in Massachusetts billed an average of $60,530 for malignancy of hepatobiliary system or pancreas with major complications, about 2.8 times the average total payment of $21,495. That payment is 11% above the U.S. average of $19,425.
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 $21,495Billed $60,530
About 36¢ 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: malignancy of hepatobiliary system or pancreas 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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 65 | $85,378 | $24,805 | $18,264 |
| Brigham and Women's HosptialBoston | 59 | $88,882 | $23,517 | $18,872 |
| Beth Israel Deaconess Medical CenterBoston | 58 | $50,940 | $26,192 | $21,120 |
| Southcoast Hospital Group, INCFall River | 29 | $53,415 | $15,795 | $14,545 |
| Baystate Medical CenterSpringfield | 29 | $40,045 | $20,812 | $16,421 |
| Newton-Wellesley HospitalNewton Lower Falls | 22 | $42,716 | $17,537 | $13,349 |
| Umass Memorial Medical Center INCWorcester | 20 | $89,621 | $23,633 | $19,592 |
| South Shore HospitalSouth Weymouth | 17 | $27,758 | $14,186 | $12,457 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 15 | $19,594 | $13,885 | $12,580 |
| Lahey Clinic HospitalBurlington | 15 | $52,004 | $20,349 | $15,586 |
| Cape Cod HospitalHyannis | 14 | $34,357 | $19,905 | $15,853 |
| Berkshire Medical Center INCPittsfield | 13 | $41,441 | $19,018 | $17,030 |
| Lowell General HospitalLowell | 11 | $41,673 | $15,353 | $14,018 |
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 | $13,885 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $14,186 |
| Lowell General HospitalLowell, MA | $15,353 |
| Southcoast Hospital Group, INCFall River, MA | $15,795 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $17,537 |
Highest
| Beth Israel Deaconess Medical CenterBoston, MA | $26,192 |
|---|---|
| Massachusetts General HospitalBoston, MA | $24,805 |
| Umass Memorial Medical Center INCWorcester, MA | $23,633 |
| Brigham and Women's HosptialBoston, MA | $23,517 |
| Baystate Medical CenterSpringfield, MA | $20,812 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 13 hospitals in Massachusetts was billed at $60,530 on average, while the average total payment was $21,495, of which Medicare paid $17,278. 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 2.8 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.