Other respiratory system diagnoses with major complications in Massachusetts
What 13 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.
Average charge
$78,688
Hospital list price billed
Average payment
$23,918
Medicare + patient + other payers
Medicare paid
$19,963
Average per stay
State rank
#18 of 21
1 = lowest average payment
Hospitals in Massachusetts billed an average of $78,688 for other respiratory system diagnoses with major complications, about 3.3 times the average total payment of $23,918. That payment is 5% above the U.S. average of $22,775.
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 $23,918Billed $78,688
About 30¢ 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 respiratory 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 | 77 | $145,141 | $36,944 | $29,905 |
| Massachusetts General HospitalBoston | 42 | $104,631 | $23,876 | $18,795 |
| South Shore HospitalSouth Weymouth | 19 | $25,429 | $12,598 | $11,375 |
| Umass Memorial Medical Center INCWorcester | 18 | $54,959 | $23,000 | $19,891 |
| Newton-Wellesley HospitalNewton Lower Falls | 17 | $36,361 | $14,376 | $13,207 |
| Baystate Medical CenterSpringfield | 15 | $28,709 | $18,364 | $15,995 |
| Beth Israel Deaconess Medical CenterBoston | 15 | $48,077 | $26,915 | $23,376 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 14 | $37,659 | $14,823 | $14,010 |
| Beverly Hospital CorporationBeverly | 13 | $31,990 | $14,386 | $13,384 |
| Union HospitalLynn | 13 | $28,433 | $17,436 | $13,109 |
| Southcoast Hospital Group, INCFall River | 13 | $45,133 | $15,027 | $14,274 |
| St Vincent HospitalWorcester | 13 | $76,859 | $19,344 | $16,872 |
| Cape Cod HospitalHyannis | 12 | $33,332 | $19,034 | $15,220 |
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
| South Shore HospitalSouth Weymouth, MA | $12,598 |
|---|---|
| Newton-Wellesley HospitalNewton Lower Falls, MA | $14,376 |
| Beverly Hospital CorporationBeverly, MA | $14,386 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $14,823 |
| Southcoast Hospital Group, INCFall River, MA | $15,027 |
Highest
| Brigham and Women's HosptialBoston, MA | $36,944 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $26,915 |
| Massachusetts General HospitalBoston, MA | $23,876 |
| Umass Memorial Medical Center INCWorcester, MA | $23,000 |
| St Vincent HospitalWorcester, MA | $19,344 |
Other respiratory system diagnoses with major complications in other states
Questions
How much does other respiratory system diagnoses with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 13 hospitals in Massachusetts was billed at $78,688 on average, while the average total payment was $23,918, of which Medicare paid $19,963. 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 3.3 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.