Respiratory infections and inflammations with complications in Massachusetts
What 41 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$25,338
Hospital list price billed
Average payment
$9,706
Medicare + patient + other payers
Medicare paid
$7,705
Average per stay
State rank
#36 of 46
1 = lowest average payment
Hospitals in Massachusetts billed an average of $25,338 for respiratory infections and inflammations with complications, about 2.6 times the average total payment of $9,706. That payment is 2% above the U.S. average of $9,493.
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 $9,706Billed $25,338
About 38¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: respiratory infections and inflammations with 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 |
|---|---|---|---|---|
| Southcoast Hospital Group, INCFall River | 127 | $23,173 | $8,208 | $6,965 |
| South Shore HospitalSouth Weymouth | 112 | $15,838 | $7,927 | $6,656 |
| Massachusetts General HospitalBoston | 91 | $61,942 | $14,128 | $9,863 |
| Newton-Wellesley HospitalNewton Lower Falls | 89 | $29,427 | $9,019 | $7,209 |
| Union HospitalLynn | 78 | $28,663 | $9,173 | $7,590 |
| Sturdy Memorial HospitalAttleboro | 68 | $16,461 | $8,020 | $6,731 |
| Beverly Hospital CorporationBeverly | 61 | $22,255 | $8,359 | $6,615 |
| Winchester HospitalWinchester | 54 | $17,166 | $8,901 | $6,382 |
| Baystate Medical CenterSpringfield | 52 | $15,030 | $10,481 | $8,608 |
| Brigham and Women's HosptialBoston | 52 | $60,388 | $13,631 | $9,439 |
| Lahey Clinic HospitalBurlington | 51 | $21,571 | $11,177 | $8,334 |
| Umass Memorial Medical Center INCWorcester | 48 | $51,120 | $14,915 | $10,935 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 45 | $17,890 | $8,295 | $6,607 |
| Lowell General HospitalLowell | 45 | $20,457 | $9,145 | $6,636 |
| Berkshire Medical Center INCPittsfield | 43 | $22,311 | $10,802 | $8,943 |
| Beth Israel Deaconess Medical CenterBoston | 42 | $27,621 | $14,113 | $10,290 |
| Milford Regional Medical CenterMilford | 42 | $14,152 | $8,155 | $6,697 |
| Melrosewakefield HealthcareMelrose | 39 | $16,938 | $9,137 | $6,968 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 37 | $16,772 | $7,496 | $5,762 |
| Cape Cod HospitalHyannis | 36 | $20,393 | $10,193 | $8,818 |
| Morton Hospital & Medical CenterTaunton | 35 | $16,915 | $8,222 | $7,196 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 35 | $14,126 | $8,267 | $6,977 |
| Faulkner HospitalBoston | 35 | $27,214 | $9,623 | $8,215 |
| Falmouth HospitalFalmouth | 32 | $20,618 | $7,853 | $6,527 |
| Emerson HospitalConcord | 29 | $16,691 | $7,733 | $6,301 |
| Milton HospitalMilton | 28 | $13,820 | $7,597 | $6,316 |
| Mount Auburn HospitalCambridge | 26 | $17,171 | $10,347 | $8,530 |
| Anna Jaques HospitalNewburyport | 25 | $14,996 | $8,211 | $7,104 |
| Healthalliance Hospitals, INCLeominster | 24 | $31,445 | $8,858 | $7,542 |
| Lawrence General HospitalLawrence | 24 | $19,375 | $9,663 | $8,235 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 22 | $22,956 | $8,460 | $7,268 |
| Harrington Memorial HospitalSouthbridge | 21 | $17,484 | $8,238 | $6,878 |
| Boston Medical Center CorporationBoston | 20 | $32,522 | $18,536 | $15,070 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 19 | $19,882 | $7,649 | $6,276 |
| St Vincent HospitalWorcester | 19 | $55,201 | $11,088 | $8,786 |
| Wing Memorial Hospital and Medical CenterPalmer | 14 | $13,317 | $7,830 | $6,898 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 14 | $15,068 | $8,619 | $7,050 |
| Tufts Medical CenterBoston | 14 | $24,506 | $12,932 | $10,124 |
| Heywood HospitalGardner | 12 | $16,133 | $7,832 | $7,016 |
| Baystate Franklin Medical CenterGreenfield | 11 | $16,919 | $7,924 | $6,706 |
| Mercy Medical CenterSpringfield | 11 | $35,966 | $11,914 | $8,279 |
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 - NeedhamNeedham, MA | $7,496 |
|---|---|
| Milton HospitalMilton, MA | $7,597 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $7,649 |
| Emerson HospitalConcord, MA | $7,733 |
| Wing Memorial Hospital and Medical CenterPalmer, MA | $7,830 |
Highest
| Boston Medical Center CorporationBoston, MA | $18,536 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $14,915 |
| Massachusetts General HospitalBoston, MA | $14,128 |
| Beth Israel Deaconess Medical CenterBoston, MA | $14,113 |
| Brigham and Women's HosptialBoston, MA | $13,631 |
Respiratory infections and inflammations with complications in other states
Questions
How much does respiratory infections and inflammations with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 41 hospitals in Massachusetts was billed at $25,338 on average, while the average total payment was $9,706, of which Medicare paid $7,705. 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.