Other disorders of nervous system with major complications in Massachusetts
What 23 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.
Average charge
$52,915
Hospital list price billed
Average payment
$19,309
Medicare + patient + other payers
Medicare paid
$16,342
Average per stay
State rank
#32 of 39
1 = lowest average payment
Hospitals in Massachusetts billed an average of $52,915 for other disorders of nervous system with major complications, about 2.7 times the average total payment of $19,309. That payment is 4% above the U.S. average of $18,533.
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 $19,309Billed $52,915
About 36¢ 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 disorders of nervous system 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 | 49 | $114,291 | $27,602 | $20,840 |
| Brigham and Women's HosptialBoston | 49 | $80,363 | $21,805 | $17,534 |
| Lahey Clinic HospitalBurlington | 48 | $46,494 | $22,098 | $17,408 |
| South Shore HospitalSouth Weymouth | 39 | $28,466 | $15,619 | $12,805 |
| Beth Israel Deaconess Medical CenterBoston | 32 | $56,825 | $26,624 | $20,976 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 30 | $28,076 | $15,053 | $12,581 |
| Southcoast Hospital Group, INCFall River | 27 | $48,708 | $14,927 | $14,490 |
| Union HospitalLynn | 26 | $47,681 | $15,705 | $14,589 |
| Faulkner HospitalBoston | 23 | $40,321 | $17,055 | $15,400 |
| Beverly Hospital CorporationBeverly | 22 | $34,509 | $14,946 | $13,518 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 21 | $25,860 | $13,722 | $12,790 |
| Lowell General HospitalLowell | 18 | $43,996 | $15,752 | $14,914 |
| Baystate Medical CenterSpringfield | 18 | $29,843 | $18,839 | $16,429 |
| Cape Cod HospitalHyannis | 17 | $32,382 | $18,403 | $17,424 |
| Umass Memorial Medical Center INCWorcester | 17 | $89,736 | $29,725 | $25,905 |
| Newton-Wellesley HospitalNewton Lower Falls | 15 | $70,067 | $16,467 | $14,776 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 12 | $22,265 | $14,011 | $12,879 |
| Tufts Medical CenterBoston | 12 | $44,500 | $23,892 | $20,320 |
| Healthalliance Hospitals, INCLeominster | 11 | $32,453 | $15,283 | $13,979 |
| Emerson HospitalConcord | 11 | $27,139 | $13,284 | $12,690 |
| Milford Regional Medical CenterMilford | 11 | $21,682 | $13,790 | $12,745 |
| Metrowest Medical CenterFramingham | 11 | $63,881 | $16,641 | $15,569 |
| St Vincent HospitalWorcester | 11 | $78,735 | $20,671 | $16,461 |
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 | $13,284 |
|---|---|
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $13,722 |
| Milford Regional Medical CenterMilford, MA | $13,790 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $14,011 |
| Southcoast Hospital Group, INCFall River, MA | $14,927 |
Highest
| Umass Memorial Medical Center INCWorcester, MA | $29,725 |
|---|---|
| Massachusetts General HospitalBoston, MA | $27,602 |
| Beth Israel Deaconess Medical CenterBoston, MA | $26,624 |
| Tufts Medical CenterBoston, MA | $23,892 |
| Lahey Clinic HospitalBurlington, MA | $22,098 |
Other disorders of nervous system with major complications in other states
Questions
How much does other disorders of nervous system with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 23 hospitals in Massachusetts was billed at $52,915 on average, while the average total payment was $19,309, of which Medicare paid $16,342. 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.