Other digestive system diagnoses with complications in Massachusetts
What 34 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$25,973
Hospital list price billed
Average payment
$9,990
Medicare + patient + other payers
Medicare paid
$7,893
Average per stay
State rank
#38 of 46
1 = lowest average payment
Hospitals in Massachusetts billed an average of $25,973 for other digestive system diagnoses with complications, about 2.6 times the average total payment of $9,990. That payment is 5% above the U.S. average of $9,547.
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 $9,990Billed $25,973
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: other digestive system diagnoses with 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 | 92 | $50,178 | $12,938 | $8,990 |
| Massachusetts General HospitalBoston | 89 | $56,155 | $13,424 | $10,069 |
| South Shore HospitalSouth Weymouth | 77 | $17,847 | $8,101 | $6,494 |
| Lahey Clinic HospitalBurlington | 64 | $17,587 | $10,282 | $8,258 |
| Newton-Wellesley HospitalNewton Lower Falls | 62 | $22,598 | $8,624 | $7,075 |
| Beth Israel Deaconess Medical CenterBoston | 59 | $25,585 | $13,361 | $10,151 |
| Southcoast Hospital Group, INCFall River | 55 | $25,529 | $7,997 | $6,781 |
| Union HospitalLynn | 52 | $23,249 | $9,246 | $7,589 |
| Baystate Medical CenterSpringfield | 48 | $22,497 | $10,759 | $8,471 |
| Umass Memorial Medical Center INCWorcester | 48 | $40,542 | $12,802 | $9,941 |
| Cape Cod HospitalHyannis | 45 | $19,319 | $9,690 | $8,334 |
| Beverly Hospital CorporationBeverly | 41 | $18,311 | $7,888 | $6,694 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 40 | $14,241 | $7,794 | $6,570 |
| Lowell General HospitalLowell | 33 | $19,356 | $8,153 | $6,714 |
| Winchester HospitalWinchester | 30 | $18,299 | $7,638 | $6,368 |
| Faulkner HospitalBoston | 23 | $21,624 | $9,496 | $7,462 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 21 | $14,637 | $8,297 | $7,098 |
| Milford Regional Medical CenterMilford | 19 | $13,981 | $8,185 | $6,624 |
| Mount Auburn HospitalCambridge | 17 | $13,573 | $10,590 | $7,918 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 16 | $16,982 | $7,710 | $6,279 |
| Boston Medical Center-BrightonBrighton | 16 | $15,776 | $11,546 | $9,581 |
| Tufts Medical CenterBoston | 16 | $27,154 | $13,711 | $9,118 |
| Healthalliance Hospitals, INCLeominster | 15 | $23,040 | $8,624 | $7,131 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 15 | $16,813 | $7,960 | $6,654 |
| Berkshire Medical Center INCPittsfield | 15 | $20,173 | $10,120 | $8,481 |
| Milton HospitalMilton | 15 | $11,087 | $7,677 | $6,480 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 15 | $12,546 | $7,969 | $6,959 |
| Sturdy Memorial HospitalAttleboro | 14 | $14,595 | $7,868 | $6,702 |
| Baystate Franklin Medical CenterGreenfield | 14 | $15,860 | $9,006 | $6,674 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 14 | $13,452 | $7,521 | $6,239 |
| Emerson HospitalConcord | 13 | $15,754 | $7,505 | $6,500 |
| Anna Jaques HospitalNewburyport | 12 | $13,156 | $7,803 | $6,715 |
| St Vincent HospitalWorcester | 12 | $49,332 | $10,861 | $8,710 |
| Mercy Medical CenterSpringfield | 11 | $15,655 | $9,463 | $6,992 |
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 | $7,505 |
|---|---|
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $7,521 |
| Winchester HospitalWinchester, MA | $7,638 |
| Milton HospitalMilton, MA | $7,677 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $7,710 |
Highest
| Tufts Medical CenterBoston, MA | $13,711 |
|---|---|
| Massachusetts General HospitalBoston, MA | $13,424 |
| Beth Israel Deaconess Medical CenterBoston, MA | $13,361 |
| Brigham and Women's HosptialBoston, MA | $12,938 |
| Umass Memorial Medical Center INCWorcester, MA | $12,802 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 34 hospitals in Massachusetts was billed at $25,973 on average, while the average total payment was $9,990, of which Medicare paid $7,893. 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 2.6 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.