facebook tracking Other infectious and parasitic diseases diagnoses with complications cost in Massachusetts: 1 hospitals compared (DRG 868)

Other infectious and parasitic diseases diagnoses with complications in Massachusetts

What 1 hospital in Massachusetts charged and were paid for a Medicare hospital stay for other infectious and parasitic diseases diagnoses with complications (DRG 868), from 2024 Medicare claims.

DRG 868 Inpatient 2024 Medicare data
Average charge $19,777 Hospital list price billed
Average payment $11,168 Medicare + patient + other payers
Medicare paid $9,667 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Massachusetts billed an average of $19,777 for other infectious and parasitic diseases diagnoses with complications, about 1.8 times the average total payment of $11,168. That payment is 14% below the U.S. average of $12,922.

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 $11,168Billed $19,777

About 56¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: other infectious and parasitic diseases 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
Cape Cod HospitalHyannis 11 $19,777 $11,168 $9,667
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Other infectious and parasitic diseases diagnoses with complications in other states

Questions

How much does other infectious and parasitic diseases diagnoses with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for other infectious and parasitic diseases diagnoses with complications (DRG 868) at 1 hospital in Massachusetts was billed at $19,777 on average, while the average total payment was $11,168, of which Medicare paid $9,667. 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 1.8 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.