facebook tracking Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Massachusetts: 18 hospitals compared (DRG 321)

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in Massachusetts

What 18 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.

DRG 321 Inpatient 2024 Medicare data
Average charge $123,591 Hospital list price billed
Average payment $33,412 Medicare + patient + other payers
Medicare paid $28,542 Average per stay
State rank #42 of 47 1 = lowest average payment

Hospitals in Massachusetts billed an average of $123,591 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 3.7 times the average total payment of $33,412. That payment is 25% above the U.S. average of $26,768.

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 $33,412Billed $123,591

About 27¢ 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: percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/

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 110 $171,861 $38,710 $31,849
Brigham and Women's HosptialBoston 81 $177,755 $35,983 $31,528
Baystate Medical CenterSpringfield 78 $69,747 $31,045 $28,236
Umass Memorial Medical Center INCWorcester 76 $192,080 $41,224 $32,475
Beth Israel Deaconess Medical CenterBoston 63 $83,196 $40,142 $35,182
Lahey Clinic HospitalBurlington 49 $90,559 $32,773 $26,134
South Shore HospitalSouth Weymouth 47 $55,677 $25,056 $21,846
Cape Cod HospitalHyannis 40 $114,889 $32,515 $26,878
Lowell General HospitalLowell 39 $68,321 $25,214 $20,770
Southcoast Hospital Group, INCFall River 35 $101,323 $24,842 $22,122
Good Samaritan Medical Center, a Caritas Family HoBrockton 31 $94,042 $24,449 $23,029
St Vincent HospitalWorcester 23 $250,010 $30,757 $28,175
Tufts Medical CenterBoston 20 $112,203 $37,302 $30,468
Beth Israel Deaconess Hospital PlymouthPlymouth 18 $65,454 $23,011 $21,651
Mount Auburn HospitalCambridge 16 $82,042 $32,051 $29,415
Boston Medical Center-BrightonBrighton 14 $98,761 $38,597 $35,440
Beverly Hospital CorporationBeverly 11 $97,637 $23,794 $22,459
Metrowest Medical CenterFramingham 11 $170,551 $29,636 $23,928
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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.

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Massachusetts?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 18 hospitals in Massachusetts was billed at $123,591 on average, while the average total payment was $33,412, of which Medicare paid $28,542. 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 3.7 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.