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Inpatient stay · MS-DRG 176

Pulmonary embolism without MCC

In 2024, Medicare and patients paid an average of $8,293 per stay at 515 hospitals. Half of hospitals averaged between $6,587 and $9,217.

National figures, 2024

Average payment per case
$8,293
Typical range (middle half of hospitals)
$6,587–$9,217
Medicare’s share
$5,97972% of the payment
Average billed charge
$41,798
Hospitals reporting
5159,457 stays

Hospitals in Massachusetts

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Massachusetts
Specific hospitals up to 10
Average payment across these 19 hospitals
$8,689National $8,293 · Massachusetts $8,689
Median hospital
$7,966
Lowest to highest
$6,503–$12,234
Medicare stays
391

19 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pulmonary embolism without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 22001511$6,50322% below the national average$4,871$18,138
Winchester HospitalWinchester, MA · CCN 22010520$6,67819% below the national average$5,439$19,836
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 22006023$6,69219% below the national average$5,628$14,686
Northeast Hospital CorporationBeverly, MA · CCN 22003321$6,85617% below the national average$5,770$22,701
Southcoast Hospitals GroupFall River, MA · CCN 22007429$6,98716% below the national average$5,748$21,737
Newton-Wellesley HospitalNewton, MA · CCN 22010125$7,24213% below the national average$6,035$23,631
MelroseWakefield HealthcareMelrose, MA · CCN 22007013$7,490About average$5,578$12,821
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 22000111$7,593About average$5,895$20,374
North Shore Medical Center -Salem, MA · CCN 22003518$7,758About average$6,398$23,898
Lowell General HospitalLowell, MA · CCN 22006316$7,966About average$5,010$16,653
South Shore HospitalSouth Weymouth, MA · CCN 22010023$7,979About average$5,214$19,325
Cape Cod HospitalHyannis, MA · CCN 22001230$8,419About average$7,050$19,239
Baystate Medical CenterSpringfield, MA · CCN 22007717$8,780About average$7,136$14,557
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 22017126$9,43714% above the national average$6,265$18,668
Berkshire Medical CenterPittsfield, MA · CCN 22004613$10,30724% above the national average$6,897$20,323
Brigham And Women's HospitalBoston, MA · CCN 22011025$11,00633% above the national average$7,688$47,649
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008622$11,17735% above the national average$8,479$27,748
Massachusetts General HospitalBoston, MA · CCN 22007130$11,90144% above the national average$7,404$50,209
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 22016318$12,23448% above the national average$7,916$33,312

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 13,932 stays at 714 hospitals · 2021: 12,596 stays at 666 hospitals · 2022: 9,891 stays at 542 hospitals · 2023: 10,016 stays at 550 hospitals · 2024: 9,457 stays at 515 hospitals
View data as a table
National average payment and billed charge for Pulmonary embolism without MCC
Year of careAverage paymentAverage billed charge
2020$7,548$33K
2021$8,048$35K
2022$8,131$38K
2023$8,019$39K
2024$8,293$42K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 46 states
Average payment by state for Pulmonary embolism without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont122$5,383$5,383–$5,383
Arkansas336$5,763$5,501–$6,079
Iowa457$5,987$5,951–$6,010
Mississippi462$6,285$6,323–$6,728
Montana112$6,314$6,314–$6,314
Kentucky9190$6,322$5,898–$6,813
Kansas586$6,370$5,585–$7,155
Colorado355$6,637$6,588–$6,808
Indiana13198$6,980$6,130–$7,128
Missouri16246$7,006$5,898–$7,445
Alabama7114$7,041$6,090–$6,931
North Dakota231$7,131$7,055–$7,218
Arizona17305$7,196$6,357–$7,117
Ohio27428$7,304$6,149–$7,684
South Dakota116$7,345$7,345–$7,345
Louisiana675$7,356$5,700–$7,944
South Carolina12198$7,397$6,788–$7,613
Wisconsin343$7,410$6,452–$8,073
Florida40863$7,418$6,272–$7,885
West Virginia463$7,538$6,919–$7,969
Idaho338$7,574$7,328–$7,819
Nebraska591$7,650$6,673–$8,723
Pennsylvania35616$7,713$6,125–$8,447
Tennessee16255$7,721$6,403–$8,308
Delaware3113$7,759$7,364–$8,397
Oklahoma452$7,805$6,763–$8,428
Michigan11206$7,840$7,374–$8,329
Virginia22385$7,868$6,641–$7,944
New Hampshire565$7,912$6,428–$9,879
Texas20341$7,945$6,601–$9,647
Illinois28556$8,201$6,696–$9,394
North Carolina22424$8,217$6,785–$8,306
Minnesota7130$8,274$6,625–$8,483
Washington571$8,284$7,507–$8,537
Nevada463$8,311$8,133–$8,544
New Jersey21399$8,334$7,641–$9,088
Massachusetts19391$8,689$7,114–$9,872
Utah232$8,855$7,988–$9,530
Georgia15274$9,190$7,334–$9,693
Rhode Island352$9,813$9,597–$9,900
District of Columbia337$9,822$9,063–$11,144
New York32680$10,116$7,950–$11,043
California26463$10,201$8,826–$10,769
Connecticut383$10,618$9,524–$11,423
New Mexico113$10,881$10,881–$10,881
Maryland22527$11,951$9,027–$13,236

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.