Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc in Massachusetts
MS-DRG 515: Other musculoskeletal system and connective tissue o.r. procedures with mcc
$66,687typical hospital bill
$33,182typical amount paid
$27,087–$39,835range paid across 5 hospitals
Massachusetts hospitals billed Medicare a typical $66,687 for this stay in 2024, about 2.0 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 | 22 | $46,976 | $27,087 | |
| Cape Cod Hospital | Hyannis | 12 | $42,707 | $32,260 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 14 | $66,687 | $33,182 | |
| Massachusetts General Hospital | Boston | 25 | $133,314 | $38,319 | |
| Brigham and Women's Hospital | Boston | 13 | $179,663 | $39,835 |
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.