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Seizures with major complications in Massachusetts

What 25 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for seizures with major complications (DRG 100), from 2024 Medicare claims.

DRG 100 Inpatient 2024 Medicare data
Average charge $63,089 Hospital list price billed
Average payment $23,055 Medicare + patient + other payers
Medicare paid $19,919 Average per stay
State rank #37 of 42 1 = lowest average payment

Hospitals in Massachusetts billed an average of $63,089 for seizures with major complications, about 2.7 times the average total payment of $23,055. That payment is 16% above the U.S. average of $19,930.

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 $23,055Billed $63,089

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: seizures 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
Brigham and Women's HosptialBoston 56 $123,268 $26,496 $22,604
Massachusetts General HospitalBoston 54 $146,431 $28,871 $23,760
South Shore HospitalSouth Weymouth 54 $34,524 $17,370 $14,515
Southcoast Hospital Group, INCFall River 45 $40,855 $15,766 $15,013
Baystate Medical CenterSpringfield 45 $47,451 $22,699 $18,763
Beth Israel Deaconess Medical CenterBoston 36 $100,201 $42,420 $37,111
Boston Medical Center-BrightonBrighton 35 $41,039 $25,544 $20,641
Cape Cod HospitalHyannis 32 $33,741 $20,476 $19,535
Lahey Clinic HospitalBurlington 29 $66,382 $29,726 $23,615
Lowell General HospitalLowell 28 $27,719 $15,775 $13,651
Boston Medical Center CorporationBoston 27 $54,927 $32,846 $28,914
Beverly Hospital CorporationBeverly 26 $30,607 $14,741 $13,674
Beth Israel Deaconess Hospital PlymouthPlymouth 25 $21,864 $16,026 $14,721
Umass Memorial Medical Center INCWorcester 25 $115,556 $30,695 $26,496
Union HospitalLynn 17 $38,535 $17,513 $16,437
Berkshire Medical Center INCPittsfield 16 $43,300 $21,926 $18,918
Tufts Medical CenterBoston 16 $88,945 $30,030 $23,475
Lawrence General HospitalLawrence 13 $32,371 $17,980 $16,295
Cooley Dickinson Hospital Inc,TheNorthampton 13 $34,249 $14,083 $12,953
Milford Regional Medical CenterMilford 12 $30,884 $17,194 $15,608
Saint Anne's Hospital, a Caritas Family HospitalFall River 11 $26,891 $15,930 $14,923
Morton Hospital & Medical CenterTaunton 11 $24,571 $15,895 $13,744
Newton-Wellesley HospitalNewton Lower Falls 11 $38,752 $17,792 $16,631
Falmouth HospitalFalmouth 11 $37,832 $14,853 $13,666
Metrowest Medical CenterFramingham 11 $88,389 $18,336 $16,656
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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

Cooley Dickinson Hospital Inc,TheNorthampton, MA$14,083
Beverly Hospital CorporationBeverly, MA$14,741
Falmouth HospitalFalmouth, MA$14,853
Southcoast Hospital Group, INCFall River, MA$15,766
Lowell General HospitalLowell, MA$15,775

Highest

Seizures with major complications in other states

Questions

How much does seizures with major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for seizures with major complications (DRG 100) at 25 hospitals in Massachusetts was billed at $63,089 on average, while the average total payment was $23,055, of which Medicare paid $19,919. 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.