Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in Massachusetts
MS-DRG 981: Extensive o.r. procedures unrelated to principal diagnosis with mcc
$113,559typical hospital bill
$49,559typical amount paid
$31,904–$80,778range paid across 19 hospitals
Massachusetts hospitals billed Medicare a typical $113,559 for this stay in 2024, about 2.3 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 | |
|---|---|---|---|---|---|
| Winchester Hospital | Winchester | 14 | $48,126 | $31,904 | |
| Northeast Hospital Corporation | Beverly | 13 | $74,253 | $37,841 | |
| Southcoast Hospitals Group | Fall River | 35 | $108,927 | $38,086 | |
| South Shore Hospital | South Weymouth | 27 | $78,126 | $38,466 | |
| Lowell General Hospital | Lowell | 17 | $70,221 | $40,326 | |
| Newton-Wellesley Hospital | Newton | 11 | $150,066 | $40,939 | |
| St Vincent Hospital | Worcester | 16 | $197,894 | $44,262 | |
| North Shore Medical Center - | Salem | 18 | $124,417 | $47,437 | |
| Cape Cod Hospital | Hyannis | 20 | $80,231 | $48,666 | |
| Berkshire Medical Center | Pittsfield | 14 | $77,154 | $49,559 | |
| Mount Auburn Hospital | Cambridge | 13 | $76,453 | $49,609 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 38 | $113,559 | $55,065 | |
| Baystate Medical Center | Springfield | 24 | $98,301 | $55,229 | |
| Umass Memorial Medical Center/University Campus | Worcester | 39 | $204,553 | $59,966 | |
| Massachusetts General Hospital | Boston | 79 | $255,017 | $67,027 | |
| Tufts Medical Center | Boston | 11 | $172,902 | $67,115 | |
| Brigham and Women's Hospital | Boston | 53 | $282,919 | $74,825 | |
| Beth Israel Deaconess Medical Center | Boston | 49 | $156,530 | $79,967 | |
| Boston Medical Center | Boston | 21 | $168,350 | $80,778 |
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.