Other Respiratory System O.r. Procedures with Mcc in Massachusetts
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$91,669typical hospital bill
$43,146typical amount paid
$29,470–$53,909range paid across 7 hospitals
Massachusetts hospitals billed Medicare a typical $91,669 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 | |
|---|---|---|---|---|---|
| Southcoast Hospitals Group | Fall River | 12 | $79,135 | $29,470 | |
| Baystate Medical Center | Springfield | 15 | $62,937 | $39,668 | |
| Umass Memorial Medical Center/University Campus | Worcester | 11 | $107,690 | $41,508 | |
| Brigham and Women's Hospital | Boston | 21 | $160,746 | $43,146 | |
| Berkshire Medical Center | Pittsfield | 12 | $65,652 | $43,255 | |
| Massachusetts General Hospital | Boston | 18 | $180,358 | $44,017 | |
| Beth Israel Deaconess Medical Center | Boston | 32 | $91,669 | $53,909 |
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.