Other factors influencing health status in Massachusetts
What 6 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$18,790
Hospital list price billed
Average payment
$6,514
Medicare + patient + other payers
Medicare paid
$5,183
Average per stay
State rank
#13 of 17
1 = lowest average payment
Hospitals in Massachusetts billed an average of $18,790 for other factors influencing health status, about 2.9 times the average total payment of $6,514. That payment is 6% above the U.S. average of $6,140.
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 $6,514Billed $18,790
About 35¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Massachusetts hospitals: other factors influencing health status
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 |
|---|---|---|---|---|
| Umass Memorial Medical Center INCWorcester | 34 | $24,831 | $7,830 | $6,118 |
| Cape Cod HospitalHyannis | 30 | $13,431 | $6,018 | $5,351 |
| Southcoast Hospital Group, INCFall River | 21 | $11,399 | $5,129 | $4,041 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 19 | $14,997 | $4,945 | $4,194 |
| Berkshire Medical Center INCPittsfield | 18 | $11,525 | $6,548 | $5,088 |
| Massachusetts General HospitalBoston | 13 | $42,904 | $8,693 | $5,775 |
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
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $4,945 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $5,129 |
| Cape Cod HospitalHyannis, MA | $6,018 |
| Berkshire Medical Center INCPittsfield, MA | $6,548 |
| Umass Memorial Medical Center INCWorcester, MA | $7,830 |
Highest
| Massachusetts General HospitalBoston, MA | $8,693 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $7,830 |
| Berkshire Medical Center INCPittsfield, MA | $6,548 |
| Cape Cod HospitalHyannis, MA | $6,018 |
| Southcoast Hospital Group, INCFall River, MA | $5,129 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 6 hospitals in Massachusetts was billed at $18,790 on average, while the average total payment was $6,514, of which Medicare paid $5,183. 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 2.9 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.