facebook tracking Permanent cardiac pacemaker implant with major complications cost in Massachusetts: 17 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Massachusetts

What 17 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $101,647 Hospital list price billed
Average payment $37,515 Medicare + patient + other payers
Medicare paid $33,895 Average per stay
State rank #37 of 41 1 = lowest average payment

Hospitals in Massachusetts billed an average of $101,647 for permanent cardiac pacemaker implant with major complications, about 2.7 times the average total payment of $37,515. That payment is 23% above the U.S. average of $30,574.

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 $37,515Billed $101,647

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 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
Beth Israel Deaconess Medical CenterBoston 47 $109,824 $54,681 $49,304
Southcoast Hospital Group, INCFall River 42 $95,944 $27,543 $25,541
Baystate Medical CenterSpringfield 38 $50,570 $34,848 $31,301
Lahey Clinic HospitalBurlington 36 $71,820 $34,603 $31,724
Cape Cod HospitalHyannis 31 $100,322 $37,188 $33,553
Massachusetts General HospitalBoston 29 $150,255 $42,484 $37,683
Newton-Wellesley HospitalNewton Lower Falls 20 $82,505 $30,472 $28,544
Brigham and Women's HosptialBoston 20 $153,155 $41,898 $38,124
Union HospitalLynn 19 $84,240 $34,022 $26,471
South Shore HospitalSouth Weymouth 19 $57,164 $28,368 $24,003
Umass Memorial Medical Center INCWorcester 17 $156,542 $43,898 $40,343
Lowell General HospitalLowell 15 $65,669 $28,681 $27,378
Boston Medical Center-BrightonBrighton 14 $65,836 $36,584 $34,275
St Vincent HospitalWorcester 14 $237,388 $37,865 $34,947
Lawrence General HospitalLawrence 11 $74,070 $31,578 $29,008
Beth Israel Deaconess Hospital PlymouthPlymouth 11 $105,809 $28,068 $26,881
Tufts Medical CenterBoston 11 $146,636 $53,770 $47,947
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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

Southcoast Hospital Group, INCFall River, MA$27,543
Beth Israel Deaconess Hospital PlymouthPlymouth, MA$28,068
South Shore HospitalSouth Weymouth, MA$28,368
Lowell General HospitalLowell, MA$28,681
Newton-Wellesley HospitalNewton Lower Falls, MA$30,472

Highest

Permanent cardiac pacemaker implant with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 17 hospitals in Massachusetts was billed at $101,647 on average, while the average total payment was $37,515, of which Medicare paid $33,895. 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.