facebook tracking Permanent cardiac pacemaker implant with complications cost in Massachusetts: 18 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Massachusetts

What 18 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $65,873 Hospital list price billed
Average payment $24,648 Medicare + patient + other payers
Medicare paid $21,951 Average per stay
State rank #39 of 43 1 = lowest average payment

Hospitals in Massachusetts billed an average of $65,873 for permanent cardiac pacemaker implant with complications, about 2.7 times the average total payment of $24,648. That payment is 21% above the U.S. average of $20,414.

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 $24,648Billed $65,873

About 37¢ 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: permanent cardiac pacemaker implant 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
Massachusetts General HospitalBoston 64 $80,438 $27,507 $23,728
Baystate Medical CenterSpringfield 59 $36,671 $23,873 $21,885
Beth Israel Deaconess Medical CenterBoston 51 $53,441 $27,691 $25,143
Brigham and Women's HosptialBoston 38 $89,514 $26,587 $24,391
Southcoast Hospital Group, INCFall River 33 $74,172 $20,519 $16,769
South Shore HospitalSouth Weymouth 30 $36,915 $18,297 $16,938
Cape Cod HospitalHyannis 29 $79,719 $23,410 $22,044
Lahey Clinic HospitalBurlington 29 $62,917 $23,999 $21,540
Umass Memorial Medical Center INCWorcester 25 $90,244 $27,288 $24,850
Union HospitalLynn 23 $59,450 $22,054 $18,551
Boston Medical Center CorporationBoston 22 $57,244 $35,515 $30,528
Boston Medical Center-BrightonBrighton 19 $54,970 $25,189 $23,218
Newton-Wellesley HospitalNewton Lower Falls 18 $60,339 $20,445 $18,841
Lowell General HospitalLowell 17 $47,282 $21,219 $17,411
Berkshire Medical Center INCPittsfield 16 $52,273 $24,313 $22,396
St Vincent HospitalWorcester 15 $165,904 $27,645 $22,756
Beth Israel Deaconess Hospital PlymouthPlymouth 12 $77,504 $18,172 $16,543
Beverly Hospital CorporationBeverly 11 $41,700 $18,420 $16,221
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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

Beth Israel Deaconess Hospital PlymouthPlymouth, MA$18,172
South Shore HospitalSouth Weymouth, MA$18,297
Beverly Hospital CorporationBeverly, MA$18,420
Newton-Wellesley HospitalNewton Lower Falls, MA$20,445
Southcoast Hospital Group, INCFall River, MA$20,519

Highest

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 18 hospitals in Massachusetts was billed at $65,873 on average, while the average total payment was $24,648, of which Medicare paid $21,951. 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 2.7 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.