Other Digestive System O.r. Procedures with Mcc in Massachusetts
MS-DRG 356: Other digestive system o.r. procedures with mcc
$167,371typical hospital bill
$57,872typical amount paid
$32,780–$75,183range paid across 8 hospitals
Massachusetts hospitals billed Medicare a typical $167,371 for this stay in 2024, about 2.9 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| South Shore Hospital | South Weymouth | 13 | $63,991 | $32,780 | |
| Cape Cod Hospital | Hyannis | 14 | $123,839 | $43,962 | |
| Baystate Medical Center | Springfield | 17 | $66,114 | $44,220 | |
| Brigham and Women's Hospital | Boston | 20 | $213,722 | $55,616 | |
| Massachusetts General Hospital | Boston | 30 | $225,767 | $60,128 | |
| Umass Memorial Medical Center/University Campus | Worcester | 15 | $205,351 | $60,587 | |
| Beth Israel Deaconess Medical Center | Boston | 17 | $129,391 | $66,493 | |
| Tufts Medical Center | Boston | 11 | $217,255 | $75,183 |
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.