Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Massachusetts
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$66,828typical hospital bill
$26,922typical amount paid
$21,894–$38,566range paid across 18 hospitals
Massachusetts hospitals billed Medicare a typical $66,828 for this stay in 2024, about 2.5 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 | |
|---|---|---|---|---|---|
| Falmouth Hospital | Falmouth | 15 | $54,721 | $21,894 | |
| Winchester Hospital | Winchester | 17 | $49,248 | $23,125 | |
| Northeast Hospital Corporation | Beverly | 17 | $45,144 | $23,583 | |
| Milford Regional Medical Center | Milford | 14 | $36,505 | $23,783 | |
| Lowell General Hospital | Lowell | 11 | $59,850 | $24,681 | |
| Beth Israel Deaconess Hospital Plymouth | Plymouth | 23 | $66,043 | $25,261 | |
| Newton-Wellesley Hospital | Newton | 20 | $77,111 | $25,358 | |
| South Shore Hospital | South Weymouth | 25 | $50,696 | $26,068 | |
| North Shore Medical Center - | Salem | 29 | $82,809 | $26,781 | |
| Southcoast Hospitals Group | Fall River | 20 | $87,509 | $27,063 | |
| Cape Cod Hospital | Hyannis | 35 | $54,167 | $31,329 | |
| Berkshire Medical Center | Pittsfield | 15 | $67,612 | $32,470 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 29 | $71,798 | $32,658 | |
| Umass Memorial Medical Center/University Campus | Worcester | 31 | $102,783 | $34,896 | |
| Baystate Medical Center | Springfield | 14 | $56,111 | $35,918 | |
| Brigham and Women's Hospital | Boston | 19 | $186,178 | $37,716 | |
| Beth Israel Deaconess Medical Center | Boston | 20 | $71,926 | $38,309 | |
| Massachusetts General Hospital | Boston | 23 | $183,316 | $38,566 |
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.