facebook tracking Signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Massachusetts: 6 hospitals compared (DRG 556)

Signs and symptoms of musculoskeletal system and connective tissue without major complications in Massachusetts

What 6 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556), from 2024 Medicare claims.

DRG 556 Inpatient 2024 Medicare data
Average charge $16,201 Hospital list price billed
Average payment $7,392 Medicare + patient + other payers
Medicare paid $5,835 Average per stay
State rank #7 of 16 1 = lowest average payment

Hospitals in Massachusetts billed an average of $16,201 for signs and symptoms of musculoskeletal system and connective tissue without major complications, about 2.2 times the average total payment of $7,392. That payment is 14% below the U.S. average of $8,554.

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 $7,392Billed $16,201

About 46¢ 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: signs and symptoms of musculoskeletal system and connective tissue without 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 36 $13,746 $6,959 $5,393
Union HospitalLynn 17 $19,392 $7,843 $6,428
Beverly Hospital CorporationBeverly 16 $14,917 $6,894 $5,670
Baystate Medical CenterSpringfield 13 $21,799 $9,359 $6,872
Lowell General HospitalLowell 11 $17,275 $7,254 $5,919
Winchester HospitalWinchester 11 $13,484 $6,646 $5,299
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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

Winchester HospitalWinchester, MA$6,646
Beverly Hospital CorporationBeverly, MA$6,894
South Shore HospitalSouth Weymouth, MA$6,959
Lowell General HospitalLowell, MA$7,254
Union HospitalLynn, MA$7,843

Highest

Baystate Medical CenterSpringfield, MA$9,359
Union HospitalLynn, MA$7,843
Lowell General HospitalLowell, MA$7,254
South Shore HospitalSouth Weymouth, MA$6,959
Beverly Hospital CorporationBeverly, MA$6,894

Signs and symptoms of musculoskeletal system and connective tissue without major complications in other states

Questions

How much does signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556) at 6 hospitals in Massachusetts was billed at $16,201 on average, while the average total payment was $7,392, of which Medicare paid $5,835. 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 2.2 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.