Heart procedure through a catheter (e.g. ablation, valve clip) in Massachusetts
MS-DRG 274: Percutaneous and other intracardiac procedures without mcc
$97,896typical hospital bill
$35,229typical amount paid
$27,390–$41,355range paid across 11 hospitals
Massachusetts hospitals billed Medicare a typical $97,896 for this stay in 2024, about 2.8 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 | 82 | $97,896 | $27,390 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 100 | $69,518 | $32,389 | |
| Cape Cod Hospital | Hyannis | 86 | $48,015 | $32,511 | |
| Baystate Medical Center | Springfield | 156 | $77,644 | $32,837 | |
| St Vincent Hospital | Worcester | 19 | $246,797 | $34,174 | |
| Boston Medical Center-Brighton | Brighton | 22 | $95,459 | $35,229 | |
| Massachusetts General Hospital | Boston | 256 | $98,766 | $36,196 | |
| Brigham and Women's Hospital | Boston | 134 | $106,478 | $36,294 | |
| Umass Memorial Medical Center/University Campus | Worcester | 128 | $94,575 | $37,291 | |
| Tufts Medical Center | Boston | 54 | $108,240 | $38,423 | |
| Beth Israel Deaconess Medical Center | Boston | 99 | $108,876 | $41,355 |
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.