facebook tracking Postoperative and post-traumatic infections with major complications cost in Massachusetts: 12 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in Massachusetts

What 12 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $63,970 Hospital list price billed
Average payment $23,596 Medicare + patient + other payers
Medicare paid $19,301 Average per stay
State rank #27 of 30 1 = lowest average payment

Hospitals in Massachusetts billed an average of $63,970 for postoperative and post-traumatic infections with major complications, about 2.7 times the average total payment of $23,596. That payment is 16% above the U.S. average of $20,381.

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 $23,596Billed $63,970

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: postoperative and post-traumatic infections 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
Massachusetts General HospitalBoston 43 $81,888 $24,666 $18,643
Brigham and Women's HosptialBoston 37 $112,587 $28,647 $20,157
Beth Israel Deaconess Medical CenterBoston 36 $50,876 $26,606 $22,855
Umass Memorial Medical Center INCWorcester 25 $110,365 $33,833 $29,249
Cape Cod HospitalHyannis 19 $29,250 $19,045 $18,421
Baystate Medical CenterSpringfield 19 $43,909 $21,240 $15,890
Berkshire Medical Center INCPittsfield 15 $37,688 $20,232 $18,580
Lahey Clinic HospitalBurlington 12 $45,128 $20,527 $17,098
Beverly Hospital CorporationBeverly 11 $25,737 $15,149 $14,259
Union HospitalLynn 11 $23,460 $15,551 $14,406
South Shore HospitalSouth Weymouth 11 $19,910 $12,281 $11,391
Newton-Wellesley HospitalNewton Lower Falls 11 $41,617 $16,995 $13,396
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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$12,281
Beverly Hospital CorporationBeverly, MA$15,149
Union HospitalLynn, MA$15,551
Newton-Wellesley HospitalNewton Lower Falls, MA$16,995
Cape Cod HospitalHyannis, MA$19,045

Highest

Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 12 hospitals in Massachusetts was billed at $63,970 on average, while the average total payment was $23,596, of which Medicare paid $19,301. 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.