facebook tracking Nervous system neoplasms without major complications cost in Massachusetts: 1 hospitals compared (DRG 055)

Nervous system neoplasms without major complications in Massachusetts

What 1 hospital in Massachusetts charged and were paid for a Medicare hospital stay for nervous system neoplasms without major complications (DRG 055), from 2024 Medicare claims.

DRG 055 Inpatient 2024 Medicare data
Average charge $50,967 Hospital list price billed
Average payment $14,969 Medicare + patient + other payers
Medicare paid $10,411 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Massachusetts billed an average of $50,967 for nervous system neoplasms without major complications, about 3.4 times the average total payment of $14,969. That payment is 6% above the U.S. average of $14,062.

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 $14,969Billed $50,967

About 29¢ 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: nervous system neoplasms 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
Brigham and Women's HosptialBoston 12 $50,967 $14,969 $10,411
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Nervous system neoplasms without major complications in other states

Questions

How much does nervous system neoplasms without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for nervous system neoplasms without major complications (DRG 055) at 1 hospital in Massachusetts was billed at $50,967 on average, while the average total payment was $14,969, of which Medicare paid $10,411. 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 3.4 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.