Infection needing surgery, with major complications in Massachusetts
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$80,160typical hospital bill
$42,309typical amount paid
$33,472–$87,441range paid across 39 hospitals
Massachusetts hospitals billed Medicare a typical $80,160 for this stay in 2024, about 1.9 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)
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.