Pulmonary embolism with major complications or acute cor pulmonale in Massachusetts
What 35 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$38,150
Hospital list price billed
Average payment
$14,308
Medicare + patient + other payers
Medicare paid
$11,818
Average per stay
State rank
#41 of 48
1 = lowest average payment
Hospitals in Massachusetts billed an average of $38,150 for pulmonary embolism with major complications or acute cor pulmonale, about 2.7 times the average total payment of $14,308. That payment is 6% above the U.S. average of $13,466.
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 $14,308Billed $38,150
About 38¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 | 52 | $28,921 | $14,472 | $13,323 |
| Umass Memorial Medical Center INCWorcester | 48 | $44,980 | $17,861 | $14,651 |
| Lahey Clinic HospitalBurlington | 45 | $33,091 | $16,744 | $11,892 |
| South Shore HospitalSouth Weymouth | 44 | $24,652 | $10,860 | $9,599 |
| Massachusetts General HospitalBoston | 42 | $101,101 | $20,451 | $14,258 |
| Brigham and Women's HosptialBoston | 41 | $89,340 | $17,917 | $14,832 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 39 | $21,141 | $11,162 | $10,283 |
| Winchester HospitalWinchester | 38 | $18,669 | $11,591 | $9,298 |
| Union HospitalLynn | 35 | $34,775 | $12,490 | $11,204 |
| Southcoast Hospital Group, INCFall River | 35 | $33,259 | $13,015 | $9,977 |
| Baystate Medical CenterSpringfield | 34 | $30,256 | $15,577 | $12,929 |
| Beth Israel Deaconess Medical CenterBoston | 30 | $43,320 | $19,120 | $14,607 |
| Berkshire Medical Center INCPittsfield | 28 | $22,840 | $15,174 | $13,584 |
| Falmouth HospitalFalmouth | 28 | $26,442 | $10,504 | $9,280 |
| Newton-Wellesley HospitalNewton Lower Falls | 26 | $39,075 | $12,904 | $9,731 |
| Lawrence General HospitalLawrence | 20 | $21,761 | $14,378 | $11,640 |
| Beverly Hospital CorporationBeverly | 19 | $24,907 | $11,894 | $9,333 |
| Faulkner HospitalBoston | 19 | $43,913 | $13,861 | $12,401 |
| Healthalliance Hospitals, INCLeominster | 17 | $37,097 | $13,441 | $10,405 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 16 | $26,494 | $11,405 | $10,079 |
| Milford Regional Medical CenterMilford | 16 | $18,428 | $11,470 | $10,320 |
| Boston Medical Center CorporationBoston | 15 | $65,680 | $26,978 | $21,528 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 15 | $18,171 | $11,130 | $9,986 |
| Mount Auburn HospitalCambridge | 14 | $33,699 | $16,005 | $13,632 |
| Emerson HospitalConcord | 14 | $26,315 | $10,267 | $9,335 |
| Mercy Medical CenterSpringfield | 13 | $24,472 | $12,329 | $10,159 |
| Morton Hospital & Medical CenterTaunton | 13 | $28,139 | $11,689 | $10,562 |
| Metrowest Medical CenterFramingham | 13 | $93,223 | $13,289 | $11,891 |
| Sturdy Memorial HospitalAttleboro | 12 | $29,131 | $11,259 | $10,174 |
| Baystate Franklin Medical CenterGreenfield | 12 | $26,692 | $14,930 | $9,546 |
| St Vincent HospitalWorcester | 12 | $68,236 | $15,686 | $13,554 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 11 | $19,903 | $11,973 | $10,931 |
| Marlborough HospitalMarlborough | 11 | $31,508 | $11,015 | $9,608 |
| Milton HospitalMilton | 11 | $16,974 | $11,219 | $10,033 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 11 | $25,184 | $10,187 | $9,394 |
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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $10,187 |
|---|---|
| Emerson HospitalConcord, MA | $10,267 |
| Falmouth HospitalFalmouth, MA | $10,504 |
| South Shore HospitalSouth Weymouth, MA | $10,860 |
| Marlborough HospitalMarlborough, MA | $11,015 |
Highest
| Boston Medical Center CorporationBoston, MA | $26,978 |
|---|---|
| Massachusetts General HospitalBoston, MA | $20,451 |
| Beth Israel Deaconess Medical CenterBoston, MA | $19,120 |
| Brigham and Women's HosptialBoston, MA | $17,917 |
| Umass Memorial Medical Center INCWorcester, MA | $17,861 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Massachusetts?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 35 hospitals in Massachusetts was billed at $38,150 on average, while the average total payment was $14,308, of which Medicare paid $11,818. 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.