facebook tracking Respiratory system diagnosis with ventilator support <=96 hours cost in Massachusetts: 17 hospitals compared (DRG 208)

Respiratory system diagnosis with ventilator support <=96 hours in Massachusetts

What 17 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.

DRG 208 Inpatient 2024 Medicare data
Average charge $87,254 Hospital list price billed
Average payment $30,223 Medicare + patient + other payers
Medicare paid $26,116 Average per stay
State rank #39 of 45 1 = lowest average payment

Hospitals in Massachusetts billed an average of $87,254 for respiratory system diagnosis with ventilator support <=96 hours, about 2.9 times the average total payment of $30,223. That payment is 18% above the U.S. average of $25,674.

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 $30,223Billed $87,254

About 35¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Massachusetts hospitals: respiratory system diagnosis with ventilator support <=96 hours

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
Baystate Medical CenterSpringfield 45 $54,606 $28,030 $25,448
Umass Memorial Medical Center INCWorcester 43 $117,852 $34,375 $30,446
Massachusetts General HospitalBoston 38 $159,806 $39,771 $26,771
Southcoast Hospital Group, INCFall River 37 $66,328 $22,686 $20,665
Beth Israel Deaconess Medical CenterBoston 35 $102,577 $44,996 $38,913
Lowell General HospitalLowell 30 $55,657 $23,077 $20,266
South Shore HospitalSouth Weymouth 30 $46,956 $22,715 $19,459
Berkshire Medical Center INCPittsfield 26 $67,295 $29,583 $27,695
Brigham and Women's HosptialBoston 26 $208,969 $42,490 $36,730
Lahey Clinic HospitalBurlington 23 $63,783 $29,225 $25,297
Cape Cod HospitalHyannis 22 $54,167 $27,885 $26,744
Beverly Hospital CorporationBeverly 16 $81,336 $22,374 $20,795
Good Samaritan Medical Center, a Caritas Family HoBrockton 15 $48,655 $22,517 $21,426
Union HospitalLynn 14 $74,938 $24,027 $22,105
Newton-Wellesley HospitalNewton Lower Falls 14 $99,887 $29,455 $23,951
Melrosewakefield HealthcareMelrose 12 $50,358 $26,050 $19,722
Saint Anne's Hospital, a Caritas Family HospitalFall River 11 $44,102 $22,897 $22,001
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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.

Respiratory system diagnosis with ventilator support <=96 hours in other states

Questions

How much does respiratory system diagnosis with ventilator support <=96 hours cost in Massachusetts?

In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208) at 17 hospitals in Massachusetts was billed at $87,254 on average, while the average total payment was $30,223, of which Medicare paid $26,116. 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 2.9 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.