Hip replacement after a hip fracture in Massachusetts

MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc

$42,320typical hospital bill

$18,603typical amount paid

$15,943–$32,130range paid across 33 hospitals

Massachusetts hospitals billed Medicare a typical $42,320 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
Emerson Hospital -	W Concord	17	$41,022	$15,943
Winchester Hospital	Winchester	24	$32,666	$16,599
Sturdy Memorial Hospital	Attleboro	15	$46,196	$16,610
Falmouth Hospital	Falmouth	13	$53,242	$16,654
Anna Jaques Hospital	Newburyport	12	$32,514	$16,846
Beth Israel Deaconess Hospital - Milton	Milton	18	$33,348	$17,028
The Cooley Dickinson Hospital Inc	Northampton	17	$65,258	$17,287
Heywood Hospital -	Gardner	11	$42,138	$17,352
Milford Regional Medical Center	Milford	25	$28,142	$17,534
Mercy Medical Ctr	Springfield	11	$41,827	$17,587
Good Samaritan Medical Center	Brockton	18	$42,320	$17,621
Southcoast Hospitals Group	Fall River	55	$56,756	$17,669
Beth Israel Deaconess Hospital Plymouth	Plymouth	23	$49,949	$17,681
Brown University Health Morton Hospital	Taunton	12	$35,897	$17,686
South Shore Hospital	South Weymouth	58	$35,306	$17,729
Melrosewakefield Healthcare	Melrose	12	$31,905	$17,764
Northeast Hospital Corporation	Beverly	28	$35,487	$18,603
Umass Memorial Healthalliance Hospitals	Leominster	14	$71,152	$18,828
Lowell General Hospital	Lowell	22	$38,756	$18,834
Newton-Wellesley Hospital	Newton	50	$64,151	$19,513
North Shore Medical Center -	Salem	27	$58,410	$19,647
Merrimack Health Lawrence Hospital	Lawrence	25	$41,201	$20,052
Cape Cod Hospital	Hyannis	47	$44,942	$21,786
Lahey Hospital & Medical Center, Burlington	Burlington	40	$42,258	$22,033
Mount Auburn Hospital	Cambridge	14	$29,464	$22,054
Baystate Medical Center	Springfield	36	$40,508	$22,425
Berkshire Medical Center	Pittsfield	48	$51,319	$22,673
Tufts Medical Center	Boston	16	$54,543	$25,036
Massachusetts General Hospital	Boston	46	$111,978	$25,375
Umass Memorial Medical Center/University Campus	Worcester	51	$92,229	$25,678
Brigham and Women's Hospital	Boston	34	$117,020	$26,753
Beth Israel Deaconess Medical Center	Boston	33	$48,770	$28,908
Boston Medical Center	Boston	13	$78,354	$32,130

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.