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.
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.
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:
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 |
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.
| 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 |
| Beth Israel Deaconess Medical CenterBoston, MA | $12,410 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $11,571 |
| Massachusetts General HospitalBoston, MA | $11,550 |
| Brigham and Women's HosptialBoston, MA | $11,420 |
| Baystate Medical CenterSpringfield, MA | $10,024 |
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.
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.