Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc in Massachusetts
MS-DRG 493: Lower extremity and humerus procedures except hip, foot and femur with cc
$58,052typical hospital bill
$27,715typical amount paid
$19,211–$38,737range paid across 10 hospitals
Massachusetts hospitals billed Medicare a typical $58,052 for this stay in 2024, about 2.1 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 | |
|---|---|---|---|---|---|
| South Shore Hospital | South Weymouth | 30 | $34,948 | $19,211 | |
| Southcoast Hospitals Group | Fall River | 26 | $63,379 | $20,254 | |
| Berkshire Medical Center | Pittsfield | 12 | $52,724 | $23,691 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 24 | $47,135 | $24,841 | |
| Baystate Medical Center | Springfield | 34 | $46,639 | $26,779 | |
| Brigham and Women's Hospital | Boston | 27 | $125,325 | $28,651 | |
| Massachusetts General Hospital | Boston | 63 | $118,743 | $29,081 | |
| Beth Israel Deaconess Medical Center | Boston | 45 | $42,191 | $29,638 | |
| Umass Memorial Medical Center/University Campus | Worcester | 24 | $114,179 | $30,585 | |
| Boston Medical Center | Boston | 17 | $74,681 | $38,737 |
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.