Other circulatory system diagnoses with major complications in Massachusetts
What 25 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.
Average charge
$65,102
Hospital list price billed
Average payment
$24,068
Medicare + patient + other payers
Medicare paid
$20,582
Average per stay
State rank
#43 of 47
1 = lowest average payment
Hospitals in Massachusetts billed an average of $65,102 for other circulatory system diagnoses with major complications, about 2.7 times the average total payment of $24,068. That payment is 13% above the U.S. average of $21,323.
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 $24,068Billed $65,102
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: other circulatory system diagnoses 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 | 99 | $103,129 | $28,131 | $23,154 |
| Brigham and Women's HosptialBoston | 91 | $152,395 | $33,187 | $27,997 |
| Beth Israel Deaconess Medical CenterBoston | 64 | $50,543 | $30,982 | $23,322 |
| Baystate Medical CenterSpringfield | 61 | $41,401 | $23,071 | $19,703 |
| Lahey Clinic HospitalBurlington | 60 | $42,264 | $22,802 | $18,931 |
| South Shore HospitalSouth Weymouth | 54 | $25,204 | $16,910 | $14,916 |
| Umass Memorial Medical Center INCWorcester | 51 | $104,813 | $29,552 | $25,606 |
| Southcoast Hospital Group, INCFall River | 38 | $32,108 | $16,978 | $16,056 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 36 | $29,676 | $17,261 | $15,992 |
| Cape Cod HospitalHyannis | 33 | $35,582 | $22,043 | $20,200 |
| Union HospitalLynn | 31 | $54,253 | $18,337 | $17,266 |
| Tufts Medical CenterBoston | 31 | $64,616 | $28,501 | $22,090 |
| Beverly Hospital CorporationBeverly | 29 | $44,856 | $17,608 | $15,419 |
| Boston Medical Center CorporationBoston | 26 | $50,416 | $33,559 | $30,052 |
| Faulkner HospitalBoston | 26 | $55,061 | $19,690 | $17,099 |
| St Vincent HospitalWorcester | 26 | $109,745 | $24,341 | $20,414 |
| Berkshire Medical Center INCPittsfield | 22 | $41,439 | $22,353 | $20,913 |
| Lowell General HospitalLowell | 20 | $35,985 | $18,338 | $14,343 |
| Newton-Wellesley HospitalNewton Lower Falls | 19 | $46,992 | $17,754 | $16,103 |
| Lawrence General HospitalLawrence | 18 | $39,429 | $20,678 | $19,080 |
| Winchester HospitalWinchester | 17 | $31,853 | $17,962 | $16,877 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 16 | $31,280 | $14,798 | $14,444 |
| Metrowest Medical CenterFramingham | 14 | $67,690 | $17,789 | $16,653 |
| Boston Medical Center-BrightonBrighton | 13 | $27,240 | $23,837 | $21,158 |
| Milford Regional Medical CenterMilford | 11 | $25,480 | $16,257 | $15,140 |
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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $14,798 |
|---|---|
| Milford Regional Medical CenterMilford, MA | $16,257 |
| South Shore HospitalSouth Weymouth, MA | $16,910 |
| Southcoast Hospital Group, INCFall River, MA | $16,978 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $17,261 |
Highest
| Boston Medical Center CorporationBoston, MA | $33,559 |
|---|---|
| Brigham and Women's HosptialBoston, MA | $33,187 |
| Beth Israel Deaconess Medical CenterBoston, MA | $30,982 |
| Umass Memorial Medical Center INCWorcester, MA | $29,552 |
| Tufts Medical CenterBoston, MA | $28,501 |
Other circulatory system diagnoses with major complications in other states
Questions
How much does other circulatory system diagnoses with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 25 hospitals in Massachusetts was billed at $65,102 on average, while the average total payment was $24,068, of which Medicare paid $20,582. 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.