Other Circulatory System O.r. Procedures in Massachusetts
MS-DRG 264: Other circulatory system o.r. procedures
$119,529typical hospital bill
$39,782typical amount paid
$24,139–$62,705range paid across 6 hospitals
Massachusetts hospitals billed Medicare a typical $119,529 for this stay in 2024, about 3.0 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| South Shore Hospital | South Weymouth | 17 | $37,663 | $24,139 | – | – | |
| Southcoast Hospitals Group | Fall River | 14 | $59,488 | $25,218 | – | – | |
| Baystate Medical Center | Springfield | 14 | $49,385 | $34,925 | – | – | |
| Brigham and Women's Hospital | Boston | 13 | $213,585 | $44,639 | $89,765 | – | |
| Umass Memorial Medical Center/University Campus | Worcester | 12 | $179,570 | $49,736 | $97,050 | $32,925$7,515–$42,622 · 19 plans | |
| Massachusetts General Hospital | Boston | 47 | $228,730 | $62,705 | $117,203 | $41,728only 2 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.