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.
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.
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:
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 |
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.
| 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 |
| Beth Israel Deaconess Medical CenterBoston, MA | $42,420 |
|---|---|
| Boston Medical Center CorporationBoston, MA | $32,846 |
| Umass Memorial Medical Center INCWorcester, MA | $30,695 |
| Tufts Medical CenterBoston, MA | $30,030 |
| Lahey Clinic HospitalBurlington, MA | $29,726 |
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.
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.