facebook tracking Medical back problems without major complications cost in Massachusetts: 38 hospitals compared (DRG 552)

Medical back problems without major complications in Massachusetts

What 38 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.

DRG 552 Inpatient 2024 Medicare data
Average charge $22,757 Hospital list price billed
Average payment $9,466 Medicare + patient + other payers
Medicare paid $7,507 Average per stay
State rank #38 of 47 1 = lowest average payment

Hospitals in Massachusetts billed an average of $22,757 for medical back problems without major complications, about 2.4 times the average total payment of $9,466. That payment is about the same as the U.S. average of $9,373.

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 $9,466Billed $22,757

About 42¢ 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: medical back problems without 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
South Shore HospitalSouth Weymouth 189 $17,306 $7,886 $6,241
Newton-Wellesley HospitalNewton Lower Falls 88 $25,675 $8,591 $7,054
Umass Memorial Medical Center INCWorcester 80 $38,799 $12,766 $9,790
Southcoast Hospital Group, INCFall River 70 $20,141 $8,201 $6,611
Beverly Hospital CorporationBeverly 68 $17,200 $8,069 $6,750
Union HospitalLynn 68 $23,480 $8,826 $7,056
Lahey Clinic HospitalBurlington 65 $23,019 $10,510 $7,962
Winchester HospitalWinchester 61 $10,616 $7,950 $6,141
Brigham and Women's HosptialBoston 60 $50,102 $12,645 $9,338
Baystate Medical CenterSpringfield 59 $17,470 $10,537 $7,958
Good Samaritan Medical Center, a Caritas Family HoBrockton 59 $14,598 $8,086 $6,733
Beth Israel Deaconess Hospital PlymouthPlymouth 57 $14,245 $7,917 $6,743
Beth Israel Deaconess Medical CenterBoston 53 $24,642 $13,094 $9,550
Cape Cod HospitalHyannis 51 $22,557 $9,963 $8,478
Massachusetts General HospitalBoston 45 $51,627 $12,510 $9,199
Lowell General HospitalLowell 44 $19,275 $8,753 $6,658
Lawrence General HospitalLawrence 43 $19,974 $9,305 $7,745
Saint Anne's Hospital, a Caritas Family HospitalFall River 35 $15,401 $8,150 $7,166
Anna Jaques HospitalNewburyport 34 $13,345 $7,579 $6,715
Falmouth HospitalFalmouth 34 $20,850 $7,717 $6,565
Berkshire Medical Center INCPittsfield 33 $24,401 $10,636 $8,569
Holy Family Hospital, a Caritas Family HospitalMethuen 31 $11,725 $8,357 $6,842
Healthalliance Hospitals, INCLeominster 30 $22,574 $8,849 $6,951
Faulkner HospitalBoston 28 $28,470 $9,982 $7,022
Milton HospitalMilton 27 $13,041 $7,763 $6,372
Tufts Medical CenterBoston 27 $23,532 $12,171 $9,005
Melrosewakefield HealthcareMelrose 24 $19,616 $8,557 $6,768
Boston Medical Center CorporationBoston 23 $37,620 $18,101 $15,272
Morton Hospital & Medical CenterTaunton 22 $11,265 $7,764 $6,654
Emerson HospitalConcord 22 $14,587 $7,170 $5,983
Boston Medical Center-BrightonBrighton 21 $13,795 $11,735 $8,700
Milford Regional Medical CenterMilford 21 $13,684 $7,931 $6,660
Mount Auburn HospitalCambridge 19 $20,548 $10,717 $8,593
Metrowest Medical CenterFramingham 19 $49,772 $9,638 $7,596
St Vincent HospitalWorcester 19 $57,961 $10,021 $8,150
Sturdy Memorial HospitalAttleboro 18 $14,345 $7,908 $6,548
Brockton HospitalBrockton 14 $16,400 $10,468 $7,645
Beth Israel Deaconess Hospital - NeedhamNeedham 12 $15,148 $7,526 $6,030
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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

Emerson HospitalConcord, MA$7,170
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$7,526
Anna Jaques HospitalNewburyport, MA$7,579
Falmouth HospitalFalmouth, MA$7,717
Milton HospitalMilton, MA$7,763

Medical back problems without major complications in other states

Questions

How much does medical back problems without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 38 hospitals in Massachusetts was billed at $22,757 on average, while the average total payment was $9,466, of which Medicare paid $7,507. 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 2.4 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.