facebook tracking Red blood cell disorders with major complications cost in Massachusetts: 31 hospitals compared (DRG 811)

Red blood cell disorders with major complications in Massachusetts

What 31 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.

DRG 811 Inpatient 2024 Medicare data
Average charge $38,313 Hospital list price billed
Average payment $14,688 Medicare + patient + other payers
Medicare paid $12,397 Average per stay
State rank #33 of 43 1 = lowest average payment

Hospitals in Massachusetts billed an average of $38,313 for red blood cell disorders with major complications, about 2.6 times the average total payment of $14,688. That payment is 5% above the U.S. average of $14,033.

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 $14,688Billed $38,313

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: red blood cell disorders 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
South Shore HospitalSouth Weymouth 89 $22,935 $11,699 $10,259
Southcoast Hospital Group, INCFall River 62 $30,965 $11,994 $10,929
Baystate Medical CenterSpringfield 58 $25,962 $16,153 $12,483
Massachusetts General HospitalBoston 50 $97,974 $20,721 $16,180
Lahey Clinic HospitalBurlington 50 $32,484 $15,356 $13,100
Umass Memorial Medical Center INCWorcester 42 $58,039 $18,172 $15,327
Brigham and Women's HosptialBoston 41 $81,525 $18,726 $15,301
Union HospitalLynn 37 $36,379 $13,374 $11,681
Newton-Wellesley HospitalNewton Lower Falls 31 $43,304 $15,021 $11,523
Sturdy Memorial HospitalAttleboro 30 $18,945 $11,676 $10,805
Beth Israel Deaconess Medical CenterBoston 30 $57,476 $28,056 $20,879
Winchester HospitalWinchester 27 $26,547 $11,565 $9,941
Milford Regional Medical CenterMilford 26 $16,708 $12,147 $11,325
Cape Cod HospitalHyannis 25 $26,252 $14,547 $13,226
Beverly Hospital CorporationBeverly 25 $24,834 $12,187 $9,859
Good Samaritan Medical Center, a Caritas Family HoBrockton 25 $25,375 $11,849 $10,377
St Vincent HospitalWorcester 25 $54,095 $15,422 $13,422
Healthalliance Hospitals, INCLeominster 24 $41,358 $12,726 $11,647
Faulkner HospitalBoston 22 $48,855 $14,251 $12,701
Beth Israel Deaconess Hospital - NeedhamNeedham 21 $25,087 $11,283 $10,118
Berkshire Medical Center INCPittsfield 20 $26,870 $15,262 $13,406
Cooley Dickinson Hospital Inc,TheNorthampton 19 $33,509 $11,868 $10,494
Milton HospitalMilton 18 $24,142 $11,298 $10,572
Metrowest Medical CenterFramingham 17 $69,595 $14,302 $11,616
Lowell General HospitalLowell 16 $25,173 $12,080 $10,830
Beth Israel Deaconess Hospital PlymouthPlymouth 13 $20,161 $11,257 $10,127
Morton Hospital & Medical CenterTaunton 13 $21,873 $14,148 $9,842
Mercy Medical CenterSpringfield 12 $22,068 $12,302 $11,214
Melrosewakefield HealthcareMelrose 12 $19,387 $13,126 $9,556
Anna Jaques HospitalNewburyport 11 $19,362 $11,579 $10,249
Boston Medical Center CorporationBoston 11 $31,551 $24,728 $21,470
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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$11,257
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$11,283
Milton HospitalMilton, MA$11,298
Winchester HospitalWinchester, MA$11,565
Anna Jaques HospitalNewburyport, MA$11,579

Red blood cell disorders with major complications in other states

Questions

How much does red blood cell disorders with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 31 hospitals in Massachusetts was billed at $38,313 on average, while the average total payment was $14,688, of which Medicare paid $12,397. 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 2.6 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.