facebook tracking Wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Massachusetts: 5 hospitals compared (DRG 464)

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in Massachusetts

What 5 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464), from 2024 Medicare claims.

DRG 464 Inpatient 2024 Medicare data
Average charge $127,291 Hospital list price billed
Average payment $38,635 Medicare + patient + other payers
Medicare paid $31,254 Average per stay
State rank #11 of 14 1 = lowest average payment

Hospitals in Massachusetts billed an average of $127,291 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 3.3 times the average total payment of $38,635. That payment is 14% above the U.S. average of $34,026.

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 $38,635Billed $127,291

About 30¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:

Massachusetts hospitals: wound debridement and skin graft except hand for musculoskeletal and connective tissue d

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 26 $154,852 $36,412 $31,705
Beth Israel Deaconess Medical CenterBoston 21 $58,634 $37,058 $29,260
Brigham and Women's HosptialBoston 20 $176,658 $38,831 $32,122
Baystate Medical CenterSpringfield 12 $55,617 $30,637 $27,353
Umass Memorial Medical Center INCWorcester 11 $181,654 $55,266 $36,677
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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

Highest

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in other states

Questions

How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Massachusetts?

In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464) at 5 hospitals in Massachusetts was billed at $127,291 on average, while the average total payment was $38,635, of which Medicare paid $31,254. 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 3.3 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.