facebook tracking Peritoneal adhesiolysis with complications cost in Massachusetts: 6 hospitals compared (DRG 336)

Peritoneal adhesiolysis with complications in Massachusetts

What 6 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for peritoneal adhesiolysis with complications (DRG 336), from 2024 Medicare claims.

DRG 336 Inpatient 2024 Medicare data
Average charge $72,317 Hospital list price billed
Average payment $25,430 Medicare + patient + other payers
Medicare paid $19,337 Average per stay
State rank #13 of 16 1 = lowest average payment

Hospitals in Massachusetts billed an average of $72,317 for peritoneal adhesiolysis with complications, about 2.8 times the average total payment of $25,430. That payment is 13% above the U.S. average of $22,553.

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 $25,430Billed $72,317

About 35¢ 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: peritoneal adhesiolysis 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
Brigham and Women's HosptialBoston 17 $119,434 $29,852 $19,401
Lahey Clinic HospitalBurlington 17 $41,070 $24,599 $17,161
Massachusetts General HospitalBoston 16 $108,815 $26,062 $20,448
Beth Israel Deaconess Medical CenterBoston 12 $38,120 $25,128 $22,050
South Shore HospitalSouth Weymouth 12 $41,671 $19,495 $14,363
Umass Memorial Medical Center INCWorcester 12 $66,014 $25,735 $23,110
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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

South Shore HospitalSouth Weymouth, MA$19,495
Lahey Clinic HospitalBurlington, MA$24,599
Beth Israel Deaconess Medical CenterBoston, MA$25,128
Umass Memorial Medical Center INCWorcester, MA$25,735
Massachusetts General HospitalBoston, MA$26,062

Highest

Peritoneal adhesiolysis with complications in other states

Questions

How much does peritoneal adhesiolysis with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for peritoneal adhesiolysis with complications (DRG 336) at 6 hospitals in Massachusetts was billed at $72,317 on average, while the average total payment was $25,430, of which Medicare paid $19,337. 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 2.8 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.