facebook tracking Other major cardiovascular procedures with major complications cost in Massachusetts: 13 hospitals compared (DRG 270)

Other major cardiovascular procedures with major complications in Massachusetts

What 13 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other major cardiovascular procedures with major complications (DRG 270), from 2024 Medicare claims.

DRG 270 Inpatient 2024 Medicare data
Average charge $199,923 Hospital list price billed
Average payment $63,856 Medicare + patient + other payers
Medicare paid $55,673 Average per stay
State rank #35 of 37 1 = lowest average payment

Hospitals in Massachusetts billed an average of $199,923 for other major cardiovascular procedures with major complications, about 3.1 times the average total payment of $63,856. That payment is 22% above the U.S. average of $52,554.

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 $63,856Billed $199,923

About 32¢ 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 major cardiovascular procedures 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 58 $364,725 $77,447 $69,797
Beth Israel Deaconess Medical CenterBoston 44 $140,399 $70,993 $64,065
Umass Memorial Medical Center INCWorcester 35 $250,310 $70,711 $60,497
Cape Cod HospitalHyannis 34 $165,933 $67,359 $53,337
Southcoast Hospital Group, INCFall River 34 $175,455 $47,691 $44,091
Lahey Clinic HospitalBurlington 34 $99,832 $53,532 $46,094
Baystate Medical CenterSpringfield 27 $119,809 $55,314 $48,991
Brigham and Women's HosptialBoston 26 $374,470 $79,827 $68,771
Tufts Medical CenterBoston 21 $136,946 $67,295 $51,038
Boston Medical Center-BrightonBrighton 20 $120,332 $62,432 $58,656
South Shore HospitalSouth Weymouth 15 $111,242 $42,479 $40,329
St Vincent HospitalWorcester 13 $197,587 $51,080 $39,196
Lowell General HospitalLowell 12 $82,209 $38,663 $35,970
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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

Lowell General HospitalLowell, MA$38,663
South Shore HospitalSouth Weymouth, MA$42,479
Southcoast Hospital Group, INCFall River, MA$47,691
St Vincent HospitalWorcester, MA$51,080
Lahey Clinic HospitalBurlington, MA$53,532

Highest

Other major cardiovascular procedures with major complications in other states

Questions

How much does other major cardiovascular procedures with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for other major cardiovascular procedures with major complications (DRG 270) at 13 hospitals in Massachusetts was billed at $199,923 on average, while the average total payment was $63,856, of which Medicare paid $55,673. 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 3.1 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.