Respiratory infections and inflammations with major complications in Massachusetts
What 49 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$37,069
Hospital list price billed
Average payment
$15,844
Medicare + patient + other payers
Medicare paid
$13,752
Average per stay
State rank
#41 of 50
1 = lowest average payment
Hospitals in Massachusetts billed an average of $37,069 for respiratory infections and inflammations with major complications, about 2.3 times the average total payment of $15,844. That payment is 6% above the U.S. average of $14,949.
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 $15,844Billed $37,069
About 43¢ 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 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 | 436 | $25,102 | $13,321 | $12,100 |
| Southcoast Hospital Group, INCFall River | 392 | $34,952 | $13,838 | $12,515 |
| Massachusetts General HospitalBoston | 329 | $89,121 | $22,336 | $17,031 |
| Union HospitalLynn | 275 | $40,393 | $15,053 | $13,698 |
| Newton-Wellesley HospitalNewton Lower Falls | 228 | $38,629 | $14,220 | $12,381 |
| Brigham and Women's HosptialBoston | 216 | $104,573 | $22,724 | $18,553 |
| Milford Regional Medical CenterMilford | 214 | $20,322 | $13,557 | $12,225 |
| Umass Memorial Medical Center INCWorcester | 210 | $61,160 | $21,505 | $18,105 |
| Winchester HospitalWinchester | 209 | $25,568 | $13,070 | $11,783 |
| Lahey Clinic HospitalBurlington | 203 | $30,607 | $17,830 | $14,795 |
| Cape Cod HospitalHyannis | 196 | $26,627 | $17,826 | $15,482 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 191 | $29,255 | $13,465 | $12,313 |
| Beverly Hospital CorporationBeverly | 189 | $33,721 | $13,907 | $11,985 |
| Sturdy Memorial HospitalAttleboro | 182 | $22,820 | $13,043 | $11,929 |
| Beth Israel Deaconess Medical CenterBoston | 175 | $40,275 | $22,902 | $18,217 |
| Berkshire Medical Center INCPittsfield | 170 | $28,544 | $18,087 | $16,187 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 162 | $24,401 | $12,088 | $10,950 |
| Lowell General HospitalLowell | 155 | $30,933 | $14,034 | $11,963 |
| Baystate Medical CenterSpringfield | 152 | $27,090 | $18,332 | $15,383 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 147 | $21,921 | $13,464 | $12,085 |
| Faulkner HospitalBoston | 143 | $43,675 | $16,858 | $14,156 |
| Falmouth HospitalFalmouth | 119 | $27,243 | $12,744 | $11,668 |
| Morton Hospital & Medical CenterTaunton | 118 | $25,762 | $13,755 | $12,175 |
| Lawrence General HospitalLawrence | 115 | $27,725 | $15,906 | $14,045 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 114 | $27,508 | $13,739 | $12,795 |
| Healthalliance Hospitals, INCLeominster | 109 | $44,307 | $14,480 | $13,046 |
| Melrosewakefield HealthcareMelrose | 98 | $24,212 | $14,505 | $11,973 |
| Milton HospitalMilton | 97 | $19,164 | $12,796 | $11,619 |
| Mount Auburn HospitalCambridge | 93 | $23,765 | $17,409 | $14,843 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 89 | $20,465 | $13,747 | $12,689 |
| Emerson HospitalConcord | 88 | $27,350 | $12,536 | $11,350 |
| Marlborough HospitalMarlborough | 82 | $36,402 | $13,309 | $11,876 |
| Anna Jaques HospitalNewburyport | 77 | $28,614 | $13,399 | $12,132 |
| Metrowest Medical CenterFramingham | 74 | $73,738 | $15,658 | $14,237 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 70 | $30,054 | $13,166 | $11,617 |
| St Vincent HospitalWorcester | 64 | $78,275 | $18,235 | $15,491 |
| Tufts Medical CenterBoston | 57 | $42,309 | $21,573 | $17,275 |
| Holyoke Medical CenterHolyoke | 49 | $18,940 | $13,599 | $12,468 |
| Wing Memorial Hospital and Medical CenterPalmer | 49 | $22,285 | $13,722 | $12,525 |
| Harrington Memorial HospitalSouthbridge | 48 | $26,792 | $13,305 | $12,049 |
| Boston Medical Center CorporationBoston | 48 | $47,665 | $29,633 | $25,178 |
| Baystate Franklin Medical CenterGreenfield | 47 | $17,436 | $12,949 | $11,977 |
| Mercy Medical CenterSpringfield | 41 | $26,056 | $13,255 | $11,983 |
| Cambridge Health AllianceCambridge | 40 | $28,791 | $24,604 | $21,242 |
| Noble HospitalWestfield | 35 | $17,610 | $12,587 | $11,264 |
| Heywood HospitalGardner | 35 | $21,457 | $13,291 | $12,267 |
| Boston Medical Center-BrightonBrighton | 27 | $23,190 | $18,218 | $15,806 |
| Nashoba Valley Medical CenterAyer | 16 | $21,393 | $12,714 | $11,592 |
| Brockton HospitalBrockton | 14 | $31,021 | $15,910 | $12,836 |
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 | $12,088 |
|---|---|
| Emerson HospitalConcord, MA | $12,536 |
| Noble HospitalWestfield, MA | $12,587 |
| Nashoba Valley Medical CenterAyer, MA | $12,714 |
| Falmouth HospitalFalmouth, MA | $12,744 |
Highest
| Boston Medical Center CorporationBoston, MA | $29,633 |
|---|---|
| Cambridge Health AllianceCambridge, MA | $24,604 |
| Beth Israel Deaconess Medical CenterBoston, MA | $22,902 |
| Brigham and Women's HosptialBoston, MA | $22,724 |
| Massachusetts General HospitalBoston, MA | $22,336 |
Respiratory infections and inflammations with major complications in other states
Questions
How much does respiratory infections and inflammations with major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 49 hospitals in Massachusetts was billed at $37,069 on average, while the average total payment was $15,844, of which Medicare paid $13,752. 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 2.3 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.