facebook tracking Red blood cell disorders without major complications cost in Massachusetts: 38 hospitals compared (DRG 812)

Red blood cell disorders without major complications in Massachusetts

What 38 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for red blood cell disorders without major complications (DRG 812), from 2024 Medicare claims.

DRG 812 Inpatient 2024 Medicare data
Average charge $25,707 Hospital list price billed
Average payment $9,516 Medicare + patient + other payers
Medicare paid $7,537 Average per stay
State rank #29 of 40 1 = lowest average payment

Hospitals in Massachusetts billed an average of $25,707 for red blood cell disorders without major complications, about 2.7 times the average total payment of $9,516. That payment is about the same as the U.S. average of $9,427.

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 $9,516Billed $25,707

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: red blood cell disorders without 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 95 $20,660 $7,880 $6,325
Baystate Medical CenterSpringfield 69 $20,921 $10,637 $7,883
Southcoast Hospital Group, INCFall River 56 $27,059 $7,800 $6,664
Massachusetts General HospitalBoston 50 $54,692 $12,615 $8,962
Umass Memorial Medical Center INCWorcester 49 $36,624 $11,873 $9,724
Lahey Clinic HospitalBurlington 43 $24,354 $10,428 $7,388
Brigham and Women's HosptialBoston 38 $65,791 $13,981 $8,408
Lowell General HospitalLowell 35 $20,185 $8,059 $6,871
Beth Israel Deaconess Medical CenterBoston 33 $26,933 $13,348 $9,710
Good Samaritan Medical Center, a Caritas Family HoBrockton 33 $16,375 $7,734 $6,809
Cape Cod HospitalHyannis 29 $27,698 $9,329 $8,021
Milford Regional Medical CenterMilford 28 $14,745 $8,034 $6,892
Newton-Wellesley HospitalNewton Lower Falls 27 $23,776 $8,705 $6,739
Beth Israel Deaconess Hospital PlymouthPlymouth 26 $17,279 $7,496 $6,429
Wing Memorial Hospital and Medical CenterPalmer 24 $13,820 $7,593 $6,301
Union HospitalLynn 24 $24,362 $8,980 $6,785
Winchester HospitalWinchester 24 $20,535 $7,366 $6,195
Anna Jaques HospitalNewburyport 23 $16,575 $7,580 $6,391
Beth Israel Deaconess Hospital - NeedhamNeedham 23 $19,554 $7,350 $6,498
Mount Auburn HospitalCambridge 22 $22,100 $9,945 $8,094
Boston Medical Center CorporationBoston 22 $49,440 $22,036 $17,794
Beverly Hospital CorporationBeverly 21 $18,674 $7,629 $6,541
Berkshire Medical Center INCPittsfield 21 $17,819 $9,873 $8,641
Melrosewakefield HealthcareMelrose 18 $17,888 $8,338 $6,415
Sturdy Memorial HospitalAttleboro 17 $12,588 $7,549 $6,589
Morton Hospital & Medical CenterTaunton 17 $14,490 $7,679 $6,529
Tufts Medical CenterBoston 17 $24,166 $12,026 $9,080
Lawrence General HospitalLawrence 16 $21,243 $9,096 $7,715
Baystate Franklin Medical CenterGreenfield 15 $13,521 $7,818 $6,658
Faulkner HospitalBoston 14 $25,615 $8,879 $7,353
Metrowest Medical CenterFramingham 14 $58,518 $9,514 $7,232
Noble HospitalWestfield 13 $13,251 $7,364 $6,108
Mercy Medical CenterSpringfield 13 $17,107 $8,156 $7,026
Milton HospitalMilton 13 $18,306 $7,428 $5,764
Falmouth HospitalFalmouth 13 $25,907 $7,391 $6,389
Holy Family Hospital, a Caritas Family HospitalMethuen 12 $15,250 $8,001 $6,599
Emerson HospitalConcord 12 $16,925 $7,212 $5,988
Harrington Memorial HospitalSouthbridge 11 $17,029 $7,890 $6,851
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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

Emerson HospitalConcord, MA$7,212
Beth Israel Deaconess Hospital - NeedhamNeedham, MA$7,350
Noble HospitalWestfield, MA$7,364
Winchester HospitalWinchester, MA$7,366
Falmouth HospitalFalmouth, MA$7,391

Red blood cell disorders without major complications in other states

Questions

How much does red blood cell disorders without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for red blood cell disorders without major complications (DRG 812) at 38 hospitals in Massachusetts was billed at $25,707 on average, while the average total payment was $9,516, of which Medicare paid $7,537. 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.