Pleural Effusion with Mcc in Massachusetts
MS-DRG 186: Pleural effusion with mcc
$26,240typical hospital bill
$17,137typical amount paid
$12,071–$20,015range paid across 3 hospitals
Massachusetts hospitals billed Medicare a typical $26,240 for this stay in 2024, about 1.5 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 | |
|---|---|---|---|---|---|
| Milford Regional Medical Center | Milford | 11 | $18,062 | $12,071 | |
| Baystate Medical Center | Springfield | 17 | $26,240 | $17,137 | |
| Brigham and Women's Hospital | Boston | 12 | $87,280 | $20,015 |
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.