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The Price of Medicare Procedures in Massachusetts



This table shows the 100 most frequently charged procedures/diagnosis in Massachusetts to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Massachusetts 744 $13345 $6153 $7192
Acute Myocardial Infarction Discharged Alive With Complications
 Massachusetts 1223 $18228 $8884 $9344
Acute Myocardial Infarction Discharged Alive With Major Complications
 Massachusetts 1956 $24260 $13664 $10596
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Massachusetts 2994 $8093 $5182 $2911
Atherosclerosis No Major Complications
 Massachusetts 1034 $9468 $4509 $4959
Back And Neck Proc Exc Spinal Fusion No Complications
 Massachusetts 972 $22809 $8141 $14668
Bronchitis And Asthma No Complications
 Massachusetts 737 $9205 $5274 $3931
Bronchitis And Asthma With Complications
 Massachusetts 1163 $11891 $6592 $5299
Cardiac Arrhythmia And Conduction Disorders No Complications
 Massachusetts 3111 $9061 $4421 $4640
Cardiac Arrhythmia And Conduction Disorders With Complications
 Massachusetts 3222 $12625 $6629 $5996
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Massachusetts 1942 $18415 $9696 $8719
Cellulitis No Major Complications
 Massachusetts 4657 $11351 $6458 $4893
Cellulitis With Major Complications
 Massachusetts 542 $20256 $11884 $8372
Cervical Spinal Fusion No Complications
 Massachusetts 330 $38614 $17326 $21288
Chest Pain
 Massachusetts 4342 $9185 $4239 $4946
Chronic Obstructive Pulmonary Disease No Complications
 Massachusetts 3335 $9969 $5450 $4519
Chronic Obstructive Pulmonary Disease With Complications
 Massachusetts 4414 $12798 $7244 $5554
Chronic Obstructive Pulmonary Disease With Major Complications
 Massachusetts 4368 $16231 $8802 $7429
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Massachusetts 2099 $26807 $9521 $17286
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Massachusetts 446 $63442 $22579 $40863
Cranial And Peripheral Nerve Disorders No Major Complications
 Massachusetts 798 $15171 $7206 $7965
Degenerative Nervous System Disorders No Major Complications
 Massachusetts 1065 $16358 $7647 $8711
Diabetes With Complications
 Massachusetts 1327 $12197 $6605 $5592
Disorders Of Pancreas Except Malignancy With Complications
 Massachusetts 810 $17358 $8510 $8848
Dysequilibrium
 Massachusetts 1186 $11223 $4966 $6257
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Massachusetts 8449 $12124 $5687 $6437
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Massachusetts 1309 $19186 $9654 $9532
Extracranial Procedures No Complications
 Massachusetts 732 $24745 $8586 $16159
Fractures Of Hip And Pelvis No Major Complications
 Massachusetts 815 $10973 $5256 $5717
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Massachusetts 1381 $11257 $5486 $5771
Gi Hemorrhage No Complications
 Massachusetts 932 $11898 $5640 $6258
Gi Hemorrhage With Complications
 Massachusetts 3884 $17305 $8001 $9304
Gi Hemorrhage With Major Complications
 Massachusetts 1333 $27685 $13824 $13861
Gi Obstruction No Complications
 Massachusetts 1008 $11121 $5063 $6058
Gi Obstruction With Complications
 Massachusetts 1388 $15067 $7402 $7665
Heart Failure And Shock No Complications
 Massachusetts 2703 $11002 $5276 $5726
Heart Failure And Shock With Complications
 Massachusetts 6373 $15544 $7997 $7547
Heart Failure And Shock With Major Complications
 Massachusetts 4816 $20800 $11374 $9426
Hip And Femur Procedures Except Major Joint No Complications
 Massachusetts 386 $31317 $12341 $18976
Hip And Femur Procedures Except Major Joint With Complications
 Massachusetts 1921 $34898 $14569 $20329
Hip And Femur Procedures Except Major Joint With Major Complications
 Massachusetts 509 $48942 $24580 $24362
Hypertension No Major Complications
 Massachusetts 611 $11253 $5090 $6163
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Massachusetts 682 $99935 $46690 $53245
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Massachusetts 1359 $17699 $6528 $11171
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Massachusetts 2487 $21398 $9714 $11684
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Massachusetts 1433 $33644 $15511 $18133
Kidney And Urinary Tract Infections No Major Complications
 Massachusetts 6458 $11735 $5950 $5785
Kidney And Urinary Tract Infections With Major Complications
 Massachusetts 2253 $15868 $8932 $6936
Laparoscopic Cholecystectomy No Cde No Complications
 Massachusetts 420 $20496 $9123 $11373
Laparoscopic Cholecystectomy No Cde With Complications
 Massachusetts 281 $32374 $14299 $18075
Major Cardiovasc Procedures No Major Complications
 Massachusetts 864 $72505 $27532 $44973
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Massachusetts 1182 $17258 $9740 $7518
Major Joint Replacement Of Lower Extremity No Major Complications
 Massachusetts 9781 $34815 $16169 $18646
Major Joint Replacement Of Lower Extremity With Major Complications
 Massachusetts 452 $56032 $26459 $29573
Major Small And Large Bowel Procedures With Complications
 Massachusetts 1421 $47736 $20782 $26954
Major Small And Large Bowel Procedures With Major Complications
 Massachusetts 855 $89293 $41855 $47438
Medical Back Problems No Major Complications
 Massachusetts 2464 $13283 $6375 $6908
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Massachusetts 4537 $11032 $5408 $5624
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Massachusetts 1260 $17371 $9228 $8143
Other Circulatory System Diagnoses With Complications
 Massachusetts 594 $19359 $8410 $10949
Other Circulatory System Diagnoses With Major Complications
 Massachusetts 996 $32993 $15874 $17119
Other Digestive System Diagnoses With Complications
 Massachusetts 1432 $16291 $8089 $8202
Other Kidney And Urinary Tract Diagnoses With Complications
 Massachusetts 716 $17038 $8221 $8817
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Massachusetts 432 $27080 $13292 $13788
Other Vascular Procedures No Complications
 Massachusetts 768 $39953 $14837 $25116
Other Vascular Procedures With Complications
 Massachusetts 995 $57770 $22087 $35683
Other Vascular Procedures With Major Complications
 Massachusetts 774 $69347 $28688 $40659
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Massachusetts 733 $62781 $17196 $45585
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Massachusetts 1652 $46217 $17742 $28475
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Massachusetts 363 $64967 $29744 $35223
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Massachusetts 928 $46601 $16395 $30206
Peripheral Vascular Disorders No Complications
 Massachusetts 281 $13780 $5414 $8366
Peripheral Vascular Disorders With Complications
 Massachusetts 1036 $15504 $7834 $7670
Permanent Cardiac Pacemaker Implant No Complications
 Massachusetts 675 $38334 $16807 $21527
Permanent Cardiac Pacemaker Implant With Complications
 Massachusetts 713 $50350 $21721 $28629
Poisoning And Toxic Effects Of Drugs No Major Complications
 Massachusetts 1113 $11310 $5178 $6132
Poisoning And Toxic Effects Of Drugs With Major Complications
 Massachusetts 525 $26686 $12916 $13770
Psychoses
 Massachusetts 1241 $15748 $7494 $8254
Pulmonary Edema And Respiratory Failure
 Massachusetts 2091 $18051 $9910 $8141
Pulmonary Embolism No Major Complications
 Massachusetts 888 $18441 $8312 $10129
Red Blood Cell Disorders No Major Complications
 Massachusetts 2237 $12727 $6341 $6386
Red Blood Cell Disorders With Major Complications
 Massachusetts 547 $19676 $10196 $9480
Renal Failure No Complications
 Massachusetts 659 $10608 $5236 $5372
Renal Failure With Complications
 Massachusetts 4232 $14101 $7793 $6308
Renal Failure With Major Complications
 Massachusetts 2384 $22295 $12764 $9531
Respiratory Infections And Inflammations With Complications
 Massachusetts 2114 $20284 $10835 $9449
Respiratory Infections And Inflammations With Major Complications
 Massachusetts 2051 $26638 $15116 $11522
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Massachusetts 509 $96443 $44222 $52221
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Massachusetts 1487 $39531 $18650 $20881
Seizures No Major Complications
 Massachusetts 1816 $14164 $6348 $7816
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Massachusetts 2247 $16201 $8660 $7541
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Massachusetts 7097 $27269 $14585 $12684
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Massachusetts 469 $103425 $49815 $53610
Signs And Symptoms No Major Complications
 Massachusetts 1552 $11667 $5423 $6244
Simple Pneumonia And Pleurisy No Complications
 Massachusetts 2324 $10334 $5319 $5015
Simple Pneumonia And Pleurisy With Complications
 Massachusetts 5862 $14686 $7667 $7019
Simple Pneumonia And Pleurisy With Major Complications
 Massachusetts 3214 $20722 $11062 $9660
Spinal Fusion Except Cervical No Major Complications
 Massachusetts 1016 $62198 $31425 $30773
Syncope And Collapse
 Massachusetts 5473 $10915 $5557 $5358
Transient Ischemia
 Massachusetts 1888 $13501 $5542 $7959


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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