Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Massachusetts
What 4 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$581,992
Hospital list price billed
Average payment
$167,009
Medicare + patient + other payers
Medicare paid
$144,786
Average per stay
State rank
#21 of 24
1 = lowest average payment
Hospitals in Massachusetts billed an average of $581,992 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 3.5 times the average total payment of $167,009. That payment is 20% above the U.S. average of $139,119.
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 $167,009Billed $581,992
About 29¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Massachusetts hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 24 | $680,249 | $182,103 | $158,334 |
| Brigham and Women's HosptialBoston | 18 | $665,337 | $133,246 | $123,406 |
| Umass Memorial Medical Center INCWorcester | 14 | $498,427 | $147,980 | $133,970 |
| Beth Israel Deaconess Medical CenterBoston | 11 | $337,587 | $213,542 | $163,975 |
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
| Brigham and Women's HosptialBoston, MA | $133,246 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $147,980 |
| Massachusetts General HospitalBoston, MA | $182,103 |
| Beth Israel Deaconess Medical CenterBoston, MA | $213,542 |
Highest
| Beth Israel Deaconess Medical CenterBoston, MA | $213,542 |
|---|---|
| Massachusetts General HospitalBoston, MA | $182,103 |
| Umass Memorial Medical Center INCWorcester, MA | $147,980 |
| Brigham and Women's HosptialBoston, MA | $133,246 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Massachusetts?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 4 hospitals in Massachusetts was billed at $581,992 on average, while the average total payment was $167,009, of which Medicare paid $144,786. 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 3.5 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.