Other digestive system diagnoses with major complications in Massachusetts
What 23 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$49,537
Hospital list price billed
Average payment
$18,554
Medicare + patient + other payers
Medicare paid
$15,550
Average per stay
State rank
#40 of 44
1 = lowest average payment
Hospitals in Massachusetts billed an average of $49,537 for other digestive system diagnoses with major complications, about 2.7 times the average total payment of $18,554. That payment is 8% above the U.S. average of $17,117.
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 $18,554Billed $49,537
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 digestive 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 |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 96 | $85,738 | $21,566 | $17,640 |
| Massachusetts General HospitalBoston | 86 | $89,463 | $24,050 | $18,609 |
| South Shore HospitalSouth Weymouth | 62 | $21,009 | $13,257 | $12,046 |
| Beth Israel Deaconess Medical CenterBoston | 50 | $41,314 | $22,463 | $18,840 |
| Lahey Clinic HospitalBurlington | 49 | $40,434 | $20,054 | $16,693 |
| Southcoast Hospital Group, INCFall River | 37 | $30,985 | $13,859 | $12,921 |
| Newton-Wellesley HospitalNewton Lower Falls | 37 | $35,173 | $14,707 | $13,094 |
| Baystate Medical CenterSpringfield | 33 | $36,413 | $18,595 | $15,613 |
| Union HospitalLynn | 31 | $35,391 | $15,631 | $12,914 |
| Umass Memorial Medical Center INCWorcester | 30 | $115,662 | $30,860 | $25,363 |
| Winchester HospitalWinchester | 29 | $18,668 | $13,147 | $11,867 |
| Cape Cod HospitalHyannis | 24 | $34,779 | $16,896 | $16,258 |
| Beverly Hospital CorporationBeverly | 21 | $28,921 | $14,894 | $11,605 |
| Berkshire Medical Center INCPittsfield | 21 | $27,236 | $17,526 | $16,044 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 21 | $29,638 | $13,107 | $12,252 |
| Faulkner HospitalBoston | 21 | $34,699 | $15,310 | $13,206 |
| Tufts Medical CenterBoston | 19 | $52,612 | $25,158 | $14,650 |
| Milford Regional Medical CenterMilford | 14 | $21,380 | $13,575 | $12,227 |
| St Vincent HospitalWorcester | 14 | $62,153 | $18,692 | $16,258 |
| Sturdy Memorial HospitalAttleboro | 12 | $15,088 | $13,289 | $11,867 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 12 | $18,134 | $13,424 | $12,336 |
| Falmouth HospitalFalmouth | 12 | $31,990 | $12,595 | $11,507 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 11 | $37,080 | $13,982 | $13,012 |
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
| Falmouth HospitalFalmouth, MA | $12,595 |
|---|---|
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $13,107 |
| Winchester HospitalWinchester, MA | $13,147 |
| South Shore HospitalSouth Weymouth, MA | $13,257 |
| Sturdy Memorial HospitalAttleboro, MA | $13,289 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $30,860 |
|---|---|
| Tufts Medical CenterBoston, MA | $25,158 |
| Massachusetts General HospitalBoston, MA | $24,050 |
| Beth Israel Deaconess Medical CenterBoston, MA | $22,463 |
| Brigham and Women's HosptialBoston, MA | $21,566 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 23 hospitals in Massachusetts was billed at $49,537 on average, while the average total payment was $18,554, of which Medicare paid $15,550. 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.