facebook tracking Poisoning and toxic effects of drugs with major complications cost in Massachusetts: 24 hospitals compared (DRG 917)

Poisoning and toxic effects of drugs with major complications in Massachusetts

What 24 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.

DRG 917 Inpatient 2024 Medicare data
Average charge $52,267 Hospital list price billed
Average payment $19,133 Medicare + patient + other payers
Medicare paid $15,898 Average per stay
State rank #32 of 38 1 = lowest average payment

Hospitals in Massachusetts billed an average of $52,267 for poisoning and toxic effects of drugs with major complications, about 2.7 times the average total payment of $19,133. That payment is 13% above the U.S. average of $16,910.

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 $19,133Billed $52,267

About 37¢ 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: poisoning and toxic effects of drugs 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
Cape Cod HospitalHyannis 46 $29,005 $16,555 $15,293
Umass Memorial Medical Center INCWorcester 41 $89,358 $26,860 $19,984
Baystate Medical CenterSpringfield 36 $61,437 $22,690 $18,463
South Shore HospitalSouth Weymouth 32 $28,163 $14,113 $12,788
Southcoast Hospital Group, INCFall River 31 $36,580 $13,075 $11,963
Massachusetts General HospitalBoston 27 $118,689 $25,001 $20,135
Union HospitalLynn 26 $67,601 $20,811 $19,338
Berkshire Medical Center INCPittsfield 24 $39,671 $17,506 $15,767
Boston Medical Center CorporationBoston 22 $86,978 $42,241 $32,241
Beth Israel Deaconess Medical CenterBoston 22 $65,664 $26,700 $20,814
Newton-Wellesley HospitalNewton Lower Falls 22 $50,128 $15,694 $12,134
Brigham and Women's HosptialBoston 22 $99,489 $23,594 $17,837
Lahey Clinic HospitalBurlington 21 $46,542 $21,529 $17,116
Beverly Hospital CorporationBeverly 18 $46,488 $15,101 $12,837
Good Samaritan Medical Center, a Caritas Family HoBrockton 18 $19,585 $13,063 $12,159
Saint Anne's Hospital, a Caritas Family HospitalFall River 17 $29,764 $13,515 $12,550
Lowell General HospitalLowell 17 $24,212 $13,569 $11,374
Beth Israel Deaconess Hospital PlymouthPlymouth 16 $28,987 $12,592 $11,266
Sturdy Memorial HospitalAttleboro 15 $18,288 $12,563 $11,366
Holy Family Hospital, a Caritas Family HospitalMethuen 14 $30,472 $13,975 $12,478
Holyoke Medical CenterHolyoke 13 $14,813 $13,973 $12,843
Melrosewakefield HealthcareMelrose 13 $21,332 $15,328 $10,763
Metrowest Medical CenterFramingham 13 $98,305 $15,557 $11,902
Milford Regional Medical CenterMilford 11 $23,789 $12,029 $10,493
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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.

Poisoning and toxic effects of drugs with major complications in other states

Questions

How much does poisoning and toxic effects of drugs with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 24 hospitals in Massachusetts was billed at $52,267 on average, while the average total payment was $19,133, of which Medicare paid $15,898. 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.