facebook tracking Uterine and adnexa procedures for non-malignancy with complications cost in Massachusetts: 2 hospitals compared (DRG 742)

Uterine and adnexa procedures for non-malignancy with complications in Massachusetts

What 2 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for uterine and adnexa procedures for non-malignancy with complications (DRG 742), from 2024 Medicare claims.

DRG 742 Inpatient 2024 Medicare data
Average charge $123,030 Hospital list price billed
Average payment $26,300 Medicare + patient + other payers
Medicare paid $19,615 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Massachusetts billed an average of $123,030 for uterine and adnexa procedures for non-malignancy with complications, about 4.7 times the average total payment of $26,300. That payment is 28% above the U.S. average of $20,541.

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 $26,300Billed $123,030

About 21¢ 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: uterine and adnexa procedures for non-malignancy with 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
Massachusetts General HospitalBoston 12 $136,308 $30,778 $20,150
Brigham and Women's HosptialBoston 12 $109,751 $21,822 $19,080
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Uterine and adnexa procedures for non-malignancy with complications in other states

Questions

How much does uterine and adnexa procedures for non-malignancy with complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for uterine and adnexa procedures for non-malignancy with complications (DRG 742) at 2 hospitals in Massachusetts was billed at $123,030 on average, while the average total payment was $26,300, of which Medicare paid $19,615. 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 4.7 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.