Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Massachusetts
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$154,847typical hospital bill
$64,020typical amount paid
$43,670–$69,309range paid across 7 hospitals
Massachusetts hospitals billed Medicare a typical $154,847 for this stay in 2024, about 2.4 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 | |
|---|---|---|---|---|---|
| Southcoast Hospitals Group | Fall River | 11 | $186,635 | $43,670 | |
| Baystate Medical Center | Springfield | 45 | $129,774 | $57,827 | |
| Boston Medical Center-Brighton | Brighton | 12 | $113,030 | $59,612 | |
| Umass Memorial Medical Center/University Campus | Worcester | 27 | $207,225 | $64,020 | |
| Beth Israel Deaconess Medical Center | Boston | 26 | $91,573 | $65,507 | |
| Massachusetts General Hospital | Boston | 47 | $242,992 | $66,724 | |
| Tufts Medical Center | Boston | 18 | $154,847 | $69,309 |
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.