facebook tracking Trauma to the skin, subcutaneous tissue and breast without major complications cost in Massachusetts: 15 hospitals compared (DRG 605)

Trauma to the skin, subcutaneous tissue and breast without major complications in Massachusetts

What 15 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.

DRG 605 Inpatient 2024 Medicare data
Average charge $22,737 Hospital list price billed
Average payment $9,167 Medicare + patient + other payers
Medicare paid $7,106 Average per stay
State rank #18 of 25 1 = lowest average payment

Hospitals in Massachusetts billed an average of $22,737 for trauma to the skin, subcutaneous tissue and breast without major complications, about 2.5 times the average total payment of $9,167. That payment is 3% below the U.S. average of $9,406.

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 $9,167Billed $22,737

About 40¢ 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: trauma to the skin, subcutaneous tissue and breast 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 37 $17,597 $7,639 $6,121
Southcoast Hospital Group, INCFall River 26 $22,620 $8,005 $6,130
Baystate Medical CenterSpringfield 25 $21,787 $10,024 $7,422
Winchester HospitalWinchester 22 $15,500 $7,925 $5,514
Union HospitalLynn 21 $21,870 $8,813 $7,089
Beverly Hospital CorporationBeverly 20 $18,509 $8,350 $6,215
Massachusetts General HospitalBoston 16 $37,194 $11,550 $9,176
Umass Memorial Medical Center INCWorcester 16 $34,649 $11,571 $9,202
Lawrence General HospitalLawrence 15 $21,434 $9,208 $7,343
Lowell General HospitalLowell 14 $16,737 $8,014 $6,965
Good Samaritan Medical Center, a Caritas Family HoBrockton 14 $15,577 $7,793 $6,483
Newton-Wellesley HospitalNewton Lower Falls 13 $29,313 $9,169 $6,204
Brigham and Women's HosptialBoston 13 $42,139 $11,420 $9,012
Beth Israel Deaconess Medical CenterBoston 12 $24,418 $12,410 $9,400
Lahey Clinic HospitalBurlington 12 $14,657 $9,698 $7,681
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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

South Shore HospitalSouth Weymouth, MA$7,639
Good Samaritan Medical Center, a Caritas Family HoBrockton, MA$7,793
Winchester HospitalWinchester, MA$7,925
Southcoast Hospital Group, INCFall River, MA$8,005
Lowell General HospitalLowell, MA$8,014

Highest

Trauma to the skin, subcutaneous tissue and breast without major complications in other states

Questions

How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 15 hospitals in Massachusetts was billed at $22,737 on average, while the average total payment was $9,167, of which Medicare paid $7,106. 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 2.5 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.